Establish a formal or informal contract that addresses the patient's problems
Implement nursing interventions that are designed to achieve expected patient outcomes
Develop rapport and trust so the patient feels protected and an initial plan can be identified
Clearly identify the role of the nurse and establish the parameters of the professional relationship
Clarification of information
Summarization of the topics discussed
You sound scared
You think you will die
Surgery can be frightening
Everything will be alright
"I am sure your wife will be willing to make this sacrifice in exchange for your well being"
"The doctors are getting great results with nerve sparing surgery today"
"Your wife may not put as much emphasis on sex as you think"
"Let's talk about how you feel about this surgery"
Limit the number of visitors at one time
Use visual cues when communicating
Correct errors as they occur gently
Allow adequate time to respond
Work on establishing a friendship with the patient
Use humor to defuse emotionally charged topics of discussion
Demonstrate respect that is not based on the patient's behavior
Sympathize with the patient when the patient shares sad feelings.
Let us talk about your concern regarding the test
I'll see if the doctor will let you have some ice chips
The doctor will review the results of the test as soon as possible
As soon as the test is over I'll get you whatever you like to drink
Look for similarity in meaning between the patient's verbal and nonverbal behavior
Ask family members to help you interpret the patient's behavior
Validate your inferences by asking the patient direct questions
Recognize that what the patient says is most important
Using interview skills to discuss the patient's concerns
Letting the patient control the focus of conversation
Setting time aside to interact with the patient
Agreeing with a patient's statements
Patient assumes the dominant role
Equal sharing of information
Specific to a person and guided by a purpose
Based on the needs of both participants
Are you saying that you want to postpone the surgery?
You are undecided about having this surgery?
You seem upset about this surgery.
Tell me more about your concerns.
What brought you to the hospital?
Would it help to discuss your feelings?
We don't need to talk unless you want to
Perhaps you would like to talk about why you are here?
You seem distressed about your bowels.
You're having trouble with your bowels?
It's common to have problems with the bowels at your age.
When did you first notice having trouble with your bowels?
Anything you tell me I will share with the health team because we are here to help you
Something is clearly upsetting you for you to place such a restriction on our interaction.
Whatever you tell me is between us because your personal information is confidential.
You will have to trust me that I will maintain your confidentiality as long as it will not harm yourself or others.
Communication is inevitable
Behavior clearly reflects feelings
The hands are the most expressive parts of the body
Verbal communication is essential for human relationships
It's natural to be worried about your job
Your job must be very important to you
Calm down so that I can understand what you are saying
I'm not quite sure I heard what you were saying about your work
Diminish feelings of anger
Refocus the patient's attention
Maintain a balanced perspective
Delay dealing with the inevitable
Verbal and nonverbal communication is congruent
Interaction is conducted in a professional manner
Common understanding is achieved
Thoughts can be put into words
Did your boyfriend do this to you?
You really got beat up pretty badly this time
Would you like to talk about how this happened to you?
Sometimes people are embarrassed to share information about their situation
You find it hard to believe that beer can damage the liver?
How long have you been drinking a couple of beers a day?
You may believe that beer is not harmful but research shows that it is just as bad for you as hard liquor.
Are you aware that each beer is equivalent to one shot of liquor so it's just as damaging to the liver as hard liquor?