Therapeutic communication validating
The focus may be an idea or a feeling; however, the nurse often emphasizes a feeling to help the client recognize an emotion disguised behind words.
Client:”My wife says she will look after me, but I don’t think she can, what with the children to take care of, and they’re always after her about something— clothes, homework, what’s for dinner that night.” Nurse: “Sounds like you are worried about how well she can manage.” Stating the main points of a discussion to clarify the relevant points discussed.
Therapeutic communication is one of the most difficult things for nurses to master when caring for those who are trying to cope with the stressors of disease, illness, and even the loss of life.
Finding the right things to say in times of great distress is one of the key elements in establishing a therapeutic relationship.
Client: “Those night nurses must sit around and talk all night.
Akin to judgmental responses, agreeing and disagreeing imply that the client is either right or wrong and that the nurse is in a position to judge this.
Client: “I felt nauseated after that red pill.” Nurse: “Surely you don’t think I gave you the wrong pill?
” Client: “I feel as if I am dying.” Nurse: “How can you feel that way if your pulse is 60?
You’re not the only client you know.” Giving a response that makes clients prove their statement or point of view.
These responses indicate that the nurse is failing to consider the client’s feelings, making the client feel it necessary to defend a position.