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Do use silence so patients can
take control of the discussion.
Do not give reassurances. It may cause the patient to believe their feelings will be downplayed.
Do not refuse to consider the patients ideas or behaviors.
Do not offer approval or disapproval which implies judgment is being passed.
Do not give advice which implies staff know what is right for the patient
Do not probe or push for answers when
the patient does not want to
discuss a topic
Mental health providers must know how to gain trust and gather information from the patient, the patient's family, and patient's friends.
Ask "why"
implying the patient has to
defend their behaviors
Introduce an unrelated topic and take over the direction of the conversation.
Interpret the meaning of the patients experience
Belittle the patients feelings
Do present reality by clarifying misconceptions the patient may be expressing.
Do verbalize the implied. Put words to what the patient has implied.
Do explore by delving further into a subject, idea experience, or relationship.
Do Reflect -Direct questions or feelings back to the patient so they may be recognized.
Do Restate -This demonstrates you were listening. It helps the patient know whether an expressed statement has or has not been understood.
Encourage Descriptions -ask the patient to visualize what is being perceived.
Encourage Comparisons -ask the patient to compare similarities and differences in ideas, experiences, or interpersonal relationships.
Morrissey, J., Callaghan, P. (2011).
Communication Skills for Mental Health Nurse.
(1st ed.). Berkshire England: Open University Press
Nursing Planet. (Sept. 2013).
Therapeutic Communication in Psychiatric Nursing.
http://nursingplanet.com/pn/therapeutic_communication.html
Retrieved from:
DO
Actively listen to your patient.
One of the most common mistake made when caring for a patients mental health is to talk too much.
When we are talking, we are not listening.
(Morrissey, Callaghan, 2011)
S: sit squarely facing the client
O: observe an open posture
L: lean forward toward the patient
E: establish eye contact
R: relax