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Tag: Pathophysiology & Pharmacology

  • [Solved] Lorem

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    Case Study – a year ago **files (1)** – ## MS94WK4SoapNote.docx **## MS94WK4SoapNote.docx** **MS94 WK4 Soap Note** **Topic :** Child Wellness Visit **C. B. is a 5-year-old Caucasian female who came in for a wellness visit.** · Submit a SOAP note for this visit · Use the same format as the STI SOAP n…

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    Case Study

    – a year ago

    **files (1)**

    – ## MS94WK4SoapNote.docx

    **## MS94WK4SoapNote.docx**

    **MS94 WK4 Soap Note**

    **Topic :** Child Wellness Visit

    **C. B. is a 5-year-old Caucasian female who came in for a wellness visit.**

    · Submit a SOAP note for this visit

    · Use the same format as the STI SOAP note you just did

    · Please use evidence-based medical or nursing literature or clinical guidelines for references

    · Always have one primary diagnosis and three different diagnoses

    · References need to be in the correct APA format.

    **Thank you so much**.

    **Sample paper**

    **SOAP Note: Well Child Infant**

    **Name**

    **United States University, Department of Nursing**

    **MS**

    **Dr.**

    **Date**

    **ID:** C. B.

    **Age/DOB**: 5 years, born 09/14/2020

    **Gender:** Female

    **Ethnicity:** Caucasian

    **Accompanied by:** Mother

    **Subjective**

    **Chief complaint:**

    **HPI**

    **Also vaccination history**

    And everything else to make a complete soap for this child

    **## MS94WK4SoapNote.docx**

    **MS94 WK4 Soap Note**

    **Topic :** Child Wellness Visit

    **C. B. is a 5-year-old Caucasian female who came in for a wellness visit.**

    · Submit a SOAP note for this visit

    · Use the same format as the STI SOAP note you just did

    · Please use evidence-based medical or nursing literature or clinical guidelines for references

    · Always have one primary diagnosis and three different diagnoses

    · References need to be in the correct APA format.

    **Thank you so much**.

    **Sample paper**

    **SOAP Note: Well Child Infant**

    **Name**

    **United States University, Department of Nursing**

    **MS**

    **Dr.**

    **Date**

    **ID:** C. B.

    **Age/DOB**: 5 years, born 09/14/2020

    **Gender:** Female

    **Ethnicity:** Caucasian

    **Accompanied by:** Mother

    **Subjective**

    **Chief complaint:**

    **HPI**

    **Also vaccination history**

    And everything else to make a complete soap for this child

  • [Solved] Milestone 5

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    Follow rubric Verbatim What to Submit The draft of your implementation section should be submitted as a 3- to 4-page Microsoft Word document with double spacing, 12- point Times New Roman font, and one-inch margins. Any references should be cited in APA format. Use appropriate headings to identify e…

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    Assignment Prompt & Instructions

    Follow rubric Verbatim

    What to Submit

    The draft of your implementation section should be submitted as a 3- to 4-page Microsoft Word document with double spacing, 12- point Times New Roman font, and one-inch margins. Any references should be cited in APA format. Use appropriate headings to identify each critical element.

    – [\
    \
    rubric1.pdf](https://www.sweetstudy.com/files/rubric1-pdf-10276833 "rubric1.pdf")

    – a year ago

  • [Solved] Discussion 6

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    Begin your initial post with a one-sentence summary of your proposal topic. Then, provide a brief description of how your organization (and potential funders) will know the program is successful. Include a description of the analysis and collection of data for your program proposal. This discussion …

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    Assignment Prompt & Instructions

    Begin your initial post with a one-sentence summary of your proposal topic. Then, provide a brief description of how your organization (and potential funders) will know the program is successful. Include a description of the analysis and collection of data for your program proposal.

    This discussion will help you complete Milestone Six, which is due in Module Seven.

    – a year ago

  • [Solved] Health Promotion & Middle-Age Adults

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    – a year ago **files (1)** – ## Healthpromotionmiddle-ageadults.docx **## Healthpromotionmiddle-ageadults.docx** Case: R.K. is a home health nurse practitioner who delivers primary care to a predominantly Medicare population. The role of the home health nurse practitioner is to provide assessments t…

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## Healthpromotionmiddle-ageadults.docx

    **## Healthpromotionmiddle-ageadults.docx**

    Case: R.K. is a home health nurse practitioner who delivers primary care to a predominantly Medicare population. The role of the home health nurse practitioner is to provide assessments to individuals inclusive of the environment, provide direct skilled care and treatment, and provide education and referrals as needed. He must work closely with the patient and his or her caregiver in trying to prevent complications of illness.

    R.K. specializes in providing wound care services in the home. He visits many diabetic patients living in a senior community. These patients are considered to be homebound and use wheelchairs or walkers to reach the common dining room where meals are served every evening. He is interested in assessing the nutritional content of the meals that are served.

    Question: Create a list of recommendations of major activities older adults can engage in to promote health and prevent frailty.

    1.
    **Discuss how you would advise young adults in selecting contraceptive methods. Do you have any personal, religious reservations, or discomforts that would interfere with your ability to advise clients and ask them how they would address these personal conflicts?**

    2.
    **Have students develop a smoking cessation plan for a client.**

    3.
    **Evaluate the impact of poverty on older adults. Make sure to include the impact on their physical and mental health and health promotion recommendations.**

    500 words, APA style, 2 Academic Resources

    **## Healthpromotionmiddle-ageadults.docx**

    Case: R.K. is a home health nurse practitioner who delivers primary care to a predominantly Medicare population. The role of the home health nurse practitioner is to provide assessments to individuals inclusive of the environment, provide direct skilled care and treatment, and provide education and referrals as needed. He must work closely with the patient and his or her caregiver in trying to prevent complications of illness.

    R.K. specializes in providing wound care services in the home. He visits many diabetic patients living in a senior community. These patients are considered to be homebound and use wheelchairs or walkers to reach the common dining room where meals are served every evening. He is interested in assessing the nutritional content of the meals that are served.

    Question: Create a list of recommendations of major activities older adults can engage in to promote health and prevent frailty.

    1.
    **Discuss how you would advise young adults in selecting contraceptive methods. Do you have any personal, religious reservations, or discomforts that would interfere with your ability to advise clients and ask them how they would address these personal conflicts?**

    2.
    **Have students develop a smoking cessation plan for a client.**

    3.
    **Evaluate the impact of poverty on older adults. Make sure to include the impact on their physical and mental health and health promotion recommendations.**

    500 words, APA style, 2 Academic Resources

  • [Solved] Female Genitourinary & Musculoskeletal

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    – a year ago **files (1)** – ## Femalegenitourinarymusculoskeletal.docx **## Femalegenitourinarymusculoskeletal.docx** Chief Complaint **:**“My back hurts so bad I can barely walk” History of Present Illness: A 35-year-old male painter presents to your clinic with the complaint of low back pain. He …

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## Femalegenitourinarymusculoskeletal.docx

    **## Femalegenitourinarymusculoskeletal.docx**

    Chief Complaint
    **:**“My back hurts so bad I can barely walk”

    History of Present Illness: A 35-year-old male painter presents to your clinic with the complaint of low back pain. He recalls lifting a 5-gallon paint can and felt an immediate pull in the lower right side of his back. This happened 2 days ago and he had the weekend to rest, but after taking Motrin and using heat, he has not seen any improvement. His pain is sharp, stabbing, and he scored it as a 9 on a scale of 0 to 10.
    Drug Hx: Motrin for pain.

    Family Hx: Father hypertension, Mother DM
    Subjective: He is having some right leg pain but no bowel or bladder changes. No numbness or tingling.

    VS: temperature: 98.2°F, respiratory rate 16, heart rate 90, blood pressure 120/60
    O2 saturation 98%

    General: well-developed healthy 35-year-old male; no gross deformities

    HEENT: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries.

    Lungs: CTA AP&L

    Cardiac: S1S2 without rub or gallop

    Breast: INSPECTION: no dimpling or abnormalities noted upon inspection

    PALPATION: Left breast – no abnormalities noted. Right breast – denies tenderness, pain, no abnormalities noted.

    Lymph: no bruising, fever, or swelling noted, no acute bleeding or trauma to skin.

    Abd: benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin.

    GU: Bladder is non-distended.

    Integument: intact without lesions masses or rashes.

    MS: No obvious deformities, masses, or discoloration. Palpable pain noted at the right lower lumbar region. No palpable spasms. ROM limited to forward bending 10 inches from floor; able to bend side to side but had difficulty twisting and going into extension.

    Neuro: DTRs 2+ lower sensory neurology intact to light touch and patient able to toe and heel walk. Gait was stable and no limping noted.

    1.
    **What other subjective data would you obtain?**

    2.
    **What other objective findings would you look for?**

    3.
    **What diagnostic exams do you want to order?**

    4.
    **Name 3 differential diagnoses based on this patient presenting symptoms?**

    5.
    **Give rationales for your each differential diagnosis.**

    6.
    **What teachings will you provide?**

    500 words, APA style, 2 academic resources

    **## Femalegenitourinarymusculoskeletal.docx**

    Chief Complaint
    **:**“My back hurts so bad I can barely walk”

    History of Present Illness: A 35-year-old male painter presents to your clinic with the complaint of low back pain. He recalls lifting a 5-gallon paint can and felt an immediate pull in the lower right side of his back. This happened 2 days ago and he had the weekend to rest, but after taking Motrin and using heat, he has not seen any improvement. His pain is sharp, stabbing, and he scored it as a 9 on a scale of 0 to 10.
    Drug Hx: Motrin for pain.

    Family Hx: Father hypertension, Mother DM
    Subjective: He is having some right leg pain but no bowel or bladder changes. No numbness or tingling.

    VS: temperature: 98.2°F, respiratory rate 16, heart rate 90, blood pressure 120/60
    O2 saturation 98%

    General: well-developed healthy 35-year-old male; no gross deformities

    HEENT: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries.

    Lungs: CTA AP&L

    Cardiac: S1S2 without rub or gallop

    Breast: INSPECTION: no dimpling or abnormalities noted upon inspection

    PALPATION: Left breast – no abnormalities noted. Right breast – denies tenderness, pain, no abnormalities noted.

    Lymph: no bruising, fever, or swelling noted, no acute bleeding or trauma to skin.

    Abd: benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin.

    GU: Bladder is non-distended.

    Integument: intact without lesions masses or rashes.

    MS: No obvious deformities, masses, or discoloration. Palpable pain noted at the right lower lumbar region. No palpable spasms. ROM limited to forward bending 10 inches from floor; able to bend side to side but had difficulty twisting and going into extension.

    Neuro: DTRs 2+ lower sensory neurology intact to light touch and patient able to toe and heel walk. Gait was stable and no limping noted.

    1.
    **What other subjective data would you obtain?**

    2.
    **What other objective findings would you look for?**

    3.
    **What diagnostic exams do you want to order?**

    4.
    **Name 3 differential diagnoses based on this patient presenting symptoms?**

    5.
    **Give rationales for your each differential diagnosis.**

    6.
    **What teachings will you provide?**

    500 words, APA style, 2 academic resources

  • [Solved] Health Information Technology

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    1,000 words – a year ago **files (1)** – ## Requirements.docx **## Requirements.docx** use two to three scholarly sources to write a 1,000-1,250-word essay. Based on your current practice, clinical experience, course materials, and review of outside resources, include the following: · Discuss the hi…

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    Assignment Prompt & Instructions

    1,000 words

    – a year ago

    **files (1)**

    – ## Requirements.docx

    **## Requirements.docx**

    use two to three scholarly sources to write a 1,000-1,250-word essay. Based on your current practice, clinical experience, course materials, and review of outside resources, include the following:

    · Discuss the history of health information technologies and the evolution of nursing informatics.

    · Based on the various areas of practice discussed on the American Medical Informatics Association (AMIA) website, describe the one that is most relevant to day-to-day nursing practices.

    · Explain two to three information and communication technologies and the components used on a daily basis to provide care to patients, communities, and populations.

    · Describe the appropriate use of multimedia applications in health care.

    · Evaluate how technology impacts the way you modify the plan of care to meet the needs of your patients. Provide two examples.

    · Explain the importance of nursing engagement in the planning and selection of health care technologies.

    Cite a minimum of two sources to complete this assignment. Sources must be published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

    **## Requirements.docx**

    use two to three scholarly sources to write a 1,000-1,250-word essay. Based on your current practice, clinical experience, course materials, and review of outside resources, include the following:

    · Discuss the history of health information technologies and the evolution of nursing informatics.

    · Based on the various areas of practice discussed on the American Medical Informatics Association (AMIA) website, describe the one that is most relevant to day-to-day nursing practices.

    · Explain two to three information and communication technologies and the components used on a daily basis to provide care to patients, communities, and populations.

    · Describe the appropriate use of multimedia applications in health care.

    · Evaluate how technology impacts the way you modify the plan of care to meet the needs of your patients. Provide two examples.

    · Explain the importance of nursing engagement in the planning and selection of health care technologies.

    Cite a minimum of two sources to complete this assignment. Sources must be published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

  • [Solved] NUR 505 530 DISCUSSION

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    – a year ago **files (1)** – ## NUR505530wk7dis.pdf **## NUR505530wk7dis.pdf** Caring for Cuban, Amish, & Irish Populations After studying Module 7: Lecture Materials & Resources, discuss the following: A. What are the differences that may affect Cuban-American patients who immigrated at different t…

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## NUR505530wk7dis.pdf

    **## NUR505530wk7dis.pdf**

    Caring for Cuban, Amish, & Irish Populations

    After studying Module 7: Lecture Materials & Resources, discuss the following:

    A. What are the differences that may affect Cuban-American patients who
    immigrated at different times?

    B. What can a nurse do to make life in the hospital more culture-specific for an
    Amish client?

    C. List at least two etiological reasons for the development of alcoholism within an
    Irish-American family.

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted, and cited in current
    APA style with support from at least 2 academic sources.  Your initial post is
    worth 8 points.

    • You should respond to at least two of your peers by extending, refuting/
    correcting, or adding additional nuance to their posts. Your reply posts are worth
    2 points (1 point per response.)

    • Incorporate a minimum of 2 current (published within the last five years)
    scholarly journal articles or primary legal sources (statutes, court opinions) within
    your work. Journal articles should be referenced according to the current APA
    style (the online library has an abbreviated version of the APA Manual).

    Case Study: Jax

    Purpose: Analyze and apply critical thinking skills in the psychopathology of mental
    health patients and provide treatment and health promotion while applying
    evidence-based research.

    [https://stu.instructure.com/courses/43801/pages/module-7-lecture-materials-and-resources](https://stu.instructure.com/courses/43801/pages/module-7-lecture-materials-and-resources)

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted and cited in current APA
    style with support from at least 2 academic sources.  Your initial post is worth 8
    points.

    • You should respond to at least two of your peers by extending, refuting/
    correcting, or adding additional nuance to their posts. Your reply posts are worth
    2 points (1 point per response.)

    • All replies must be constructive and use literature where possible.

    Scenario: Jax is a 66-year-old Caucasian female whose wife has encouraged her to
    seek treatment. She has never been in therapy before, and has no history
    of depression or anxiety. However, her alcohol use has recently been
    getting in the way of her marriage, and interfering with her newly-retired
    life. She describes drinking increasing amounts over the last year, currently
    consuming approximately a six-pack of beer per day. She notes that this
    amount “doesn’t give me the same buzz as it used to.” She denies ever
    experiencing “the shakes” or any other withdrawal symptoms if she skips a
    day of drinking.

    Jax comments that her wife is her biggest motivation to decrease her
    alcohol use. She tells Jax that she gets argumentative and irritable when
    she drinks, though she does not always remember these incidents. She
    has also fallen while intoxicated twice, causing bruises both times and
    hitting her head on one of the occasions.

    Question
    s:

    Remember to answer these questions from your textbooks and NP
    guidelines. At all times, explain your answers.

    1. Describe the presenting problems/issues. Is there any information
    that was not provided that you would need to formulate a diagnosis?

    2. Generate a primary and differential diagnosis using the DSM5 and
    ICD 10 codes.

    3. What physiological and psychological processes lead to substance
    dependence?

    **## NUR505530wk7dis.pdf**

    Caring for Cuban, Amish, & Irish Populations

    After studying Module 7: Lecture Materials & Resources, discuss the following:

    A. What are the differences that may affect Cuban-American patients who
    immigrated at different times?

    B. What can a nurse do to make life in the hospital more culture-specific for an
    Amish client?

    C. List at least two etiological reasons for the development of alcoholism within an
    Irish-American family.

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted, and cited in current
    APA style with support from at least 2 academic sources.  Your initial post is
    worth 8 points.

    • You should respond to at least two of your peers by extending, refuting/
    correcting, or adding additional nuance to their posts. Your reply posts are worth
    2 points (1 point per response.)

    • Incorporate a minimum of 2 current (published within the last five years)
    scholarly journal articles or primary legal sources (statutes, court opinions) within
    your work. Journal articles should be referenced according to the current APA
    style (the online library has an abbreviated version of the APA Manual).

    Case Study: Jax

    Purpose: Analyze and apply critical thinking skills in the psychopathology of mental
    health patients and provide treatment and health promotion while applying
    evidence-based research.

    [https://stu.instructure.com/courses/43801/pages/module-7-lecture-materials-and-resources](https://stu.instructure.com/courses/43801/pages/module-7-lecture-materials-and-resources)

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted and cited in current APA
    style with support from at least 2 academic sources.  Your initial post is worth 8
    points.

    • You should respond to at least two of your peers by extending, refuting/
    correcting, or adding additional nuance to their posts. Your reply posts are worth
    2 points (1 point per response.)

    • All replies must be constructive and use literature where possible.

    Scenario: Jax is a 66-year-old Caucasian female whose wife has encouraged her to
    seek treatment. She has never been in therapy before, and has no history
    of depression or anxiety. However, her alcohol use has recently been
    getting in the way of her marriage, and interfering with her newly-retired
    life. She describes drinking increasing amounts over the last year, currently
    consuming approximately a six-pack of beer per day. She notes that this
    amount “doesn’t give me the same buzz as it used to.” She denies ever
    experiencing “the shakes” or any other withdrawal symptoms if she skips a
    day of drinking.

    Jax comments that her wife is her biggest motivation to decrease her
    alcohol use. She tells Jax that she gets argumentative and irritable when
    she drinks, though she does not always remember these incidents. She
    has also fallen while intoxicated twice, causing bruises both times and
    hitting her head on one of the occasions.

    Question
    s:

    Remember to answer these questions from your textbooks and NP
    guidelines. At all times, explain your answers.

    1. Describe the presenting problems/issues. Is there any information
    that was not provided that you would need to formulate a diagnosis?

    2. Generate a primary and differential diagnosis using the DSM5 and
    ICD 10 codes.

    3. What physiological and psychological processes lead to substance
    dependence?

  • [Solved] Process

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    – a year ago **files (2)** – ## CommunicationTechniques.docx – Processrecording.docx **## CommunicationTechniques.docx** **COMMUNICATION TECHNIQUES** **_Therapeutic_****_Techniques_****_Examples_** **Use silence** – (Sitting quietly and appearing interested but no verbal communication. Pausing whil…

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    Assignment Prompt & Instructions

    – a year ago

    **files (2)**

    – ## CommunicationTechniques.docx

    – Processrecording.docx

    **## CommunicationTechniques.docx**

    **COMMUNICATION TECHNIQUES**

    **_Therapeutic_****_Techniques_****_Examples_**

    **Use silence** – (Sitting quietly and appearing interested but no verbal communication. Pausing while client gathers thoughts)

    **Give recognition** – Good evening John, or Mr. . . .

    · Thank you for helping around . . .

    **Demonstrate acceptance** – Yes . . .

    · Uh hmm . . .

    · I follow what you are saying.

    **Offer self** – I will spend some time with you.

    · I will go out for a walk with you.

    · How can I help you?

    **Give broad openings (some sources** – What would you like to talk about?

    **call this a General lead)** – Where would you like to begin?

    · How do you feel now?

    **Offer general leads** – What happened?

    · And then . . .

    · Go on . .

    **Direct lead**- I’d like to talk to you about….

    – Let’s talk about….

    **Indirect lead**- What would you like to talk about?

    – Would you like to talk?

    **Place event in time and sequence** – When did you start feeling this way?

    · Was this before or after . . . ?

    · What were your thoughts before this?

    **Make observations** – You appear angry.

    · You look uncomfortable when . . .

    · I notice you are clenching your fists.

    · You look relaxed this evening . .

    **Encourage description of observation** – How does it feel to be anxious?

    · What is the voice telling you?

    · Have you had similar experiences like this before?

    **Restate** – Client: I stayed awake all night.

    Nurse: You have difficulty sleeping.

    – Client: I don’t know whether I should go out with the group as I don’t have any clothes and my mother might visit me.

    Nurse: You really do not wish to go if you are not properly dressed.

    – You wish to join the group if you are sure your mother is not coming to visit you.

    **Reflection** – Client: Do you think I should go?

    Nurse: Do you think you should?

    – Client: My mother might be disappointed.

    Nurse: And this makes you feel angry?

    **Focus on statement** – Let us talk more about this incident.

    Client: Last night I really enjoyed the party.

    – Nurse: You said your mother might be disappointed.

    **Explore** – Tell me more about that.

    · What does your mother do when she gets disappointed?

    · How do you react to her then?

    **Seek clarification** – I do not follow what you are saying

    · What are you trying to tell me?

    · How do you behave when you get angry?

    **Present reality** – I hear no voices.

    · That was the radio.

    · Your mother is not here. You are in the hospital.

    **Give information** – You are in the hospital.

    · Your mother will come during visiting hours which are from . . . . to . . . .

    · This medication will help you settle your nerves.

    **Voice doubt** – I find that hard to believe.

    · Do you really think she will be disappointed or will be glad?

    · Isn’t that unusual?

    **Seek consensual validation** – Are you telling me that your mother gets angry when she comes and you are not around?

    · And as a result you get very hostile?

    **Verbalize the implied** – Client: I cannot talk to you or anyone. You are all the same.

    Nurse: Is it your feeling that no one understands you?

    – Client: My mother and my girlfriend always tell me what to do.

    Nurse: Is it your feeling that women are controlling?

    **Attempt to translate into feelings** – Client: It’s hopeless and I will not bother you anymore.

    Nurse: Are you suggesting that you feel useless and desire to give up?

    · That must be frustrating.

    **Suggest collaboration** – Maybe you and I can discuss further what makes you feel this way.

    **Summarize interaction** – You said that . . .

    · We have discussed . . .

    **Formulate plan of action** – What can you do to express your anger constructively?

    · When this happens again, how would you handle it?

    **Accurate empathy** – That must have been very difficult

    – I can’t imagine how painful that must have been

    \_\_\__________________________________________________________________________

    **_Non-Therapeutic Techniques Examples_**

    **Giving reassurance** – Everything will be all right.

    · Don’t worry about that.

    · You did all that you could.

    **Giving approval** – I am glad that you . . .

    · That is really good.

    · You did quite well.

    · You look pretty/handsome today

    **Rejecting** – I do not wish to discuss this any further.

    · Let us talk of something else.

    **Disapproving** – I wish you did not . . .

    · How many times did I tell you not to . . .

    **Agreeing** – I agree that …

    · You did it.

    **Giving advice** – Maybe you should . . .

    · This is the best way to . . .

    **Probing** – Now tell me about . . .

    · How is your sex life?

    **Challenging** – How can you be the Prime Minister?

    · If you are depressed, how can you function?

    **Testing** – Do you know what place this is?

    · Do you still feel that you are the Prime Minister?

    · Where are you now?

    **Making stereotyped comments** – Things will be better.

    · It’s really nice outside.

    · How are you? You are looking great.

    **Giving literal responses** – Client: I am a disciple sent by God.

    Nurse: St. Peter or St. Paul?

    · Client: I am here to spread the Gospel.

    Nurse: Gather the other clients then for group therapy and you can spread your gospel.

    **Requesting an explanation** – Why do you think that you are a disciple?

    · Why do you feel that way?

    · Why did you do that?

    **Belittling expressed feelings** – I know what you mean. I feel that way sometimes.

    · Everybody feels depressed every now and then.

    **Interpreting** – What you are saying is . . .

    · Perhaps unconsciously you want to . . .

    **Introducing unrelated topic** – Client: I wonder if my husband will be here

    **or Changing the subject** before surgery.

    Nurse: Did you go away for the summer?

    **Using denial** – Client: Perhaps I have cancer.

    Nurse: Don’t be silly. Not all surgery is for cancer.

    4

    **Processrecording.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/processrecording-docx-10277103)

    **Processrecording.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/processrecording-docx-10277103)

    **## CommunicationTechniques.docx**

    **COMMUNICATION TECHNIQUES**

    **_Therapeutic_****_Techniques_****_Examples_**

    **Use silence** – (Sitting quietly and appearing interested but no verbal communication. Pausing while client gathers thoughts)

    **Give recognition** – Good evening John, or Mr. . . .

    · Thank you for helping around . . .

    **Demonstrate acceptance** – Yes . . .

    · Uh hmm . . .

    · I follow what you are saying.

    **Offer self** – I will spend some time with you.

    · I will go out for a walk with you.

    · How can I help you?

    **Give broad openings (some sources** – What would you like to talk about?

    **call this a General lead)** – Where would you like to begin?

    · How do you feel now?

    **Offer general leads** – What happened?

    · And then . . .

    · Go on . .

    **Direct lead**- I’d like to talk to you about….

    – Let’s talk about….

    **Indirect lead**- What would you like to talk about?

    – Would you like to talk?

    **Place event in time and sequence** – When did you start feeling this way?

    · Was this before or after . . . ?

    · What were your thoughts before this?

    **Make observations** – You appear angry.

    · You look uncomfortable when . . .

    · I notice you are clenching your fists.

    · You look relaxed this evening . .

    **Encourage description of observation** – How does it feel to be anxious?

    · What is the voice telling you?

    · Have you had similar experiences like this before?

    **Restate** – Client: I stayed awake all night.

    Nurse: You have difficulty sleeping.

    – Client: I don’t know whether I should go out with the group as I don’t have any clothes and my mother might visit me.

    Nurse: You really do not wish to go if you are not properly dressed.

    – You wish to join the group if you are sure your mother is not coming to visit you.

    **Reflection** – Client: Do you think I should go?

    Nurse: Do you think you should?

    – Client: My mother might be disappointed.

    Nurse: And this makes you feel angry?

    **Focus on statement** – Let us talk more about this incident.

    Client: Last night I really enjoyed the party.

    – Nurse: You said your mother might be disappointed.

    **Explore** – Tell me more about that.

    · What does your mother do when she gets disappointed?

    · How do you react to her then?

    **Seek clarification** – I do not follow what you are saying

    · What are you trying to tell me?

    · How do you behave when you get angry?

    **Present reality** – I hear no voices.

    · That was the radio.

    · Your mother is not here. You are in the hospital.

    **Give information** – You are in the hospital.

    · Your mother will come during visiting hours which are from . . . . to . . . .

    · This medication will help you settle your nerves.

    **Voice doubt** – I find that hard to believe.

    · Do you really think she will be disappointed or will be glad?

    · Isn’t that unusual?

    **Seek consensual validation** – Are you telling me that your mother gets angry when she comes and you are not around?

    · And as a result you get very hostile?

    **Verbalize the implied** – Client: I cannot talk to you or anyone. You are all the same.

    Nurse: Is it your feeling that no one understands you?

    – Client: My mother and my girlfriend always tell me what to do.

    Nurse: Is it your feeling that women are controlling?

    **Attempt to translate into feelings** – Client: It’s hopeless and I will not bother you anymore.

    Nurse: Are you suggesting that you feel useless and desire to give up?

    · That must be frustrating.

    **Suggest collaboration** – Maybe you and I can discuss further what makes you feel this way.

    **Summarize interaction** – You said that . . .

    · We have discussed . . .

    **Formulate plan of action** – What can you do to express your anger constructively?

    · When this happens again, how would you handle it?

    **Accurate empathy** – That must have been very difficult

    – I can’t imagine how painful that must have been

    \_\_\__________________________________________________________________________

    **_Non-Therapeutic Techniques Examples_**

    **Giving reassurance** – Everything will be all right.

    · Don’t worry about that.

    · You did all that you could.

    **Giving approval** – I am glad that you . . .

    · That is really good.

    · You did quite well.

    · You look pretty/handsome today

    **Rejecting** – I do not wish to discuss this any further.

    · Let us talk of something else.

    **Disapproving** – I wish you did not . . .

    · How many times did I tell you not to . . .

    **Agreeing** – I agree that …

    · You did it.

    **Giving advice** – Maybe you should . . .

    · This is the best way to . . .

    **Probing** – Now tell me about . . .

    · How is your sex life?

    **Challenging** – How can you be the Prime Minister?

    · If you are depressed, how can you function?

    **Testing** – Do you know what place this is?

    · Do you still feel that you are the Prime Minister?

    · Where are you now?

    **Making stereotyped comments** – Things will be better.

    · It’s really nice outside.

    · How are you? You are looking great.

    **Giving literal responses** – Client: I am a disciple sent by God.

    Nurse: St. Peter or St. Paul?

    · Client: I am here to spread the Gospel.

    Nurse: Gather the other clients then for group therapy and you can spread your gospel.

    **Requesting an explanation** – Why do you think that you are a disciple?

    · Why do you feel that way?

    · Why did you do that?

    **Belittling expressed feelings** – I know what you mean. I feel that way sometimes.

    · Everybody feels depressed every now and then.

    **Interpreting** – What you are saying is . . .

    · Perhaps unconsciously you want to . . .

    **Introducing unrelated topic** – Client: I wonder if my husband will be here

    **or Changing the subject** before surgery.

    Nurse: Did you go away for the summer?

    **Using denial** – Client: Perhaps I have cancer.

    Nurse: Don’t be silly. Not all surgery is for cancer.

    4

    **Processrecording.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/processrecording-docx-10277103)

    **## CommunicationTechniques.docx**

    **COMMUNICATION TECHNIQUES**

    **_Therapeutic_****_Techniques_****_Examples_**

    **Use silence** – (Sitting quietly and appearing interested but no verbal communication. Pausing while client gathers thoughts)

    **Give recognition** – Good evening John, or Mr. . . .

    · Thank you for helping around . . .

    **Demonstrate acceptance** – Yes . . .

    · Uh hmm . . .

    · I follow what you are saying.

    **Offer self** – I will spend some time with you.

    · I will go out for a walk with you.

    · How can I help you?

    **Give broad openings (some sources** – What would you like to talk about?

    **call this a General lead)** – Where would you like to begin?

    · How do you feel now?

    **Offer general leads** – What happened?

    · And then . . .

    · Go on . .

    **Direct lead**- I’d like to talk to you about….

    – Let’s talk about….

    **Indirect lead**- What would you like to talk about?

    – Would you like to talk?

    **Place event in time and sequence** – When did you start feeling this way?

    · Was this before or after . . . ?

    · What were your thoughts before this?

    **Make observations** – You appear angry.

    · You look uncomfortable when . . .

    · I notice you are clenching your fists.

    · You look relaxed this evening . .

    **Encourage description of observation** – How does it feel to be anxious?

    · What is the voice telling you?

    · Have you had similar experiences like this before?

    **Restate** – Client: I stayed awake all night.

    Nurse: You have difficulty sleeping.

    – Client: I don’t know whether I should go out with the group as I don’t have any clothes and my mother might visit me.

    Nurse: You really do not wish to go if you are not properly dressed.

    – You wish to join the group if you are sure your mother is not coming to visit you.

    **Reflection** – Client: Do you think I should go?

    Nurse: Do you think you should?

    – Client: My mother might be disappointed.

    Nurse: And this makes you feel angry?

    **Focus on statement** – Let us talk more about this incident.

    Client: Last night I really enjoyed the party.

    – Nurse: You said your mother might be disappointed.

    **Explore** – Tell me more about that.

    · What does your mother do when she gets disappointed?

    · How do you react to her then?

    **Seek clarification** – I do not follow what you are saying

    · What are you trying to tell me?

    · How do you behave when you get angry?

    **Present reality** – I hear no voices.

    · That was the radio.

    · Your mother is not here. You are in the hospital.

    **Give information** – You are in the hospital.

    · Your mother will come during visiting hours which are from . . . . to . . . .

    · This medication will help you settle your nerves.

    **Voice doubt** – I find that hard to believe.

    · Do you really think she will be disappointed or will be glad?

    · Isn’t that unusual?

    **Seek consensual validation** – Are you telling me that your mother gets angry when she comes and you are not around?

    · And as a result you get very hostile?

    **Verbalize the implied** – Client: I cannot talk to you or anyone. You are all the same.

    Nurse: Is it your feeling that no one understands you?

    – Client: My mother and my girlfriend always tell me what to do.

    Nurse: Is it your feeling that women are controlling?

    **Attempt to translate into feelings** – Client: It’s hopeless and I will not bother you anymore.

    Nurse: Are you suggesting that you feel useless and desire to give up?

    · That must be frustrating.

    **Suggest collaboration** – Maybe you and I can discuss further what makes you feel this way.

    **Summarize interaction** – You said that . . .

    · We have discussed . . .

    **Formulate plan of action** – What can you do to express your anger constructively?

    · When this happens again, how would you handle it?

    **Accurate empathy** – That must have been very difficult

    – I can’t imagine how painful that must have been

    \_\_\__________________________________________________________________________

    **_Non-Therapeutic Techniques Examples_**

    **Giving reassurance** – Everything will be all right.

    · Don’t worry about that.

    · You did all that you could.

    **Giving approval** – I am glad that you . . .

    · That is really good.

    · You did quite well.

    · You look pretty/handsome today

    **Rejecting** – I do not wish to discuss this any further.

    · Let us talk of something else.

    **Disapproving** – I wish you did not . . .

    · How many times did I tell you not to . . .

    **Agreeing** – I agree that …

    · You did it.

    **Giving advice** – Maybe you should . . .

    · This is the best way to . . .

    **Probing** – Now tell me about . . .

    · How is your sex life?

    **Challenging** – How can you be the Prime Minister?

    · If you are depressed, how can you function?

    **Testing** – Do you know what place this is?

    · Do you still feel that you are the Prime Minister?

    · Where are you now?

    **Making stereotyped comments** – Things will be better.

    · It’s really nice outside.

    · How are you? You are looking great.

    **Giving literal responses** – Client: I am a disciple sent by God.

    Nurse: St. Peter or St. Paul?

    · Client: I am here to spread the Gospel.

    Nurse: Gather the other clients then for group therapy and you can spread your gospel.

    **Requesting an explanation** – Why do you think that you are a disciple?

    · Why do you feel that way?

    · Why did you do that?

    **Belittling expressed feelings** – I know what you mean. I feel that way sometimes.

    · Everybody feels depressed every now and then.

    **Interpreting** – What you are saying is . . .

    · Perhaps unconsciously you want to . . .

    **Introducing unrelated topic** – Client: I wonder if my husband will be here

    **or Changing the subject** before surgery.

    Nurse: Did you go away for the summer?

    **Using denial** – Client: Perhaps I have cancer.

    Nurse: Don’t be silly. Not all surgery is for cancer.

    4

    **Processrecording.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/processrecording-docx-10277103)

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