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| **Therapeutic Verbal             |                                  |
| Interventions**                  |                                  |
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|                                  |                                  |
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|                                  |                                  |
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|                                  | 1.  Using Silence                |
|                                  |                                  |
|                                  | 2.  Accepting                    |
|                                  |                                  |
|                                  | Yes.                             |
|                                  |                                  |
|                                  | Uh hum.                          |
|                                  |                                  |
|                                  | I follow what you said           |
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|                                  | 1.  Giving Recognition           |
|                                  |                                  |
|                                  | Good Morning, Mr. \_\_\_\_ .     |
|                                  |                                  |
|                                  | You've tooled a leather wallet.  |
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|                                  | 1.  Offering Self                |
|                                  |                                  |
|                                  | I'll sit with you awhile.        |
|                                  |                                  |
|                                  | I'll stay here with you.         |
|                                  |                                  |
|                                  | I'm interested in your comfort.  |
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|                                  | 1.  Giving Broad Openings        |
|                                  |                                  |
|                                  | Is there something you'd like to |
|                                  | talk about?                      |
|                                  |                                  |
|                                  | What are you feeling?            |
|                                  |                                  |
|                                  | Where would you like to begin?   |
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|                                  | 1.  Asking Open Ended Questions  |
|                                  |                                  |
|                                  | Go on.                           |
|                                  |                                  |
|                                  | And then?                        |
|                                  |                                  |
|                                  | Tell me about it.                |
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|                                  | 1.  Placing the Event in Time or |
|                                  |     in Sequence                  |
|                                  |                                  |
|                                  | What seemed to lead up to        |
|                                  | \_\_\_?                          |
|                                  |                                  |
|                                  | Was this before or after \_\_\_? |
|                                  |                                  |
|                                  | When did this happen?            |
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|                                  | 1.  Making Observations          |
|                                  |                                  |
|                                  | You appear tense.                |
|                                  |                                  |
|                                  | Are you uncomfortable when you   |
|                                  | \_\_\_?                          |
|                                  |                                  |
|                                  | I notice that you're biting your |
|                                  | lips.                            |
|                                  |                                  |
|                                  | It makes me uncomfortable when   |
|                                  | you \_\_\_.                      |
+----------------------------------+----------------------------------+
|                                  | 1.  Encouraging Description of   |
|                                  |     Perceptions                  |
|                                  |                                  |
|                                  | Tell me when you feel anxious.   |
|                                  |                                  |
|                                  | What is happening?               |
|                                  |                                  |
|                                  | What does the voice seem to be   |
|                                  | saying?                          |
+----------------------------------+----------------------------------+
|                                  | 1.  Encouraging Comparison       |
|                                  |                                  |
|                                  | Was this something like \_\_\_?  |
|                                  |                                  |
|                                  | Have you had similar             |
|                                  | experiences?                     |
+----------------------------------+----------------------------------+
|                                  | 1.  Restating                    |
|                                  |                                  |
|                                  | Patient: I can't sleep. I stay   |
|                                  | awake all night.                 |
|                                  |                                  |
|                                  | Nurse: You have difficulty       |
|                                  | sleeping.                        |
+----------------------------------+----------------------------------+
|                                  | 1.  Reflecting                   |
|                                  |                                  |
|                                  | Patient: My brother spends all   |
|                                  | my money and then has the nerve  |
|                                  | to ask for more.                 |
|                                  |                                  |
|                                  | Nurse: This causes you to feel   |
|                                  | angry?                           |
+----------------------------------+----------------------------------+
|                                  | 1.  Focusing                     |
|                                  |                                  |
|                                  | This point seems worth looking   |
|                                  | at more closely.                 |
+----------------------------------+----------------------------------+
|                                  | 1.  Exploring                    |
|                                  |                                  |
|                                  | Tell me more about that. Would   |
|                                  | you describe it more fully?      |
|                                  |                                  |
|                                  | What kind of work?               |
+----------------------------------+----------------------------------+
|                                  | 1.  Giving Information           |
|                                  |                                  |
|                                  | My name is \_\_\_.               |
|                                  |                                  |
|                                  | Visiting hours are \_\_\_\_.     |
|                                  |                                  |
|                                  | My purpose in being here is      |
|                                  | \_\_\_\_\_.                      |
|                                  |                                  |
|                                  | I'm taking you to the \_\_\_\_.  |
+----------------------------------+----------------------------------+
|                                  | 1.  Seeking Clarification        |
|                                  |                                  |
|                                  | I'm not sure that I follow.      |
|                                  |                                  |
|                                  | What would you say is the main   |
|                                  | point of what you told me?       |
+----------------------------------+----------------------------------+
|                                  | 1.  Presenting Reality           |
|                                  |                                  |
|                                  | I see no one else in the room.   |
|                                  |                                  |
|                                  | That sound was a car backfiring. |
|                                  |                                  |
|                                  | Your mother is not here; I'm a   |
|                                  | nurse.                           |
+----------------------------------+----------------------------------+
|                                  | 1.  Voicing Doubt                |
|                                  |                                  |
|                                  | Isn't that unusual?              |
|                                  |                                  |
|                                  | Really?                          |
|                                  |                                  |
|                                  | That's hard to believe.          |
+----------------------------------+----------------------------------+
|                                  | 1.  Seeking Consensual           |
|                                  |     Validation                   |
|                                  |                                  |
|                                  | Tell me whether my understanding |
|                                  | of it agrees with yours.         |
|                                  |                                  |
|                                  | Are you using this word to       |
|                                  | convey the idea?                 |
+----------------------------------+----------------------------------+
|                                  | 1.  Verbalizing the Implied      |
|                                  |                                  |
|                                  | Patient: I can't talk to you or  |
|                                  | to anyone. It is a waste of      |
|                                  | time.                            |
|                                  |                                  |
|                                  | Nurse: Is it your feeling that   |
|                                  | no one understands?              |
|                                  |                                  |
|                                  | Patient: My wife pushes me       |
|                                  | around just like my mother and   |
|                                  | sister did.                      |
|                                  |                                  |
|                                  | Nurse: Is it your impression     |
|                                  | that women are domineering?      |
+----------------------------------+----------------------------------+
|                                  | 1.  Encouraging Evaluation       |
|                                  |                                  |
|                                  | What are your feelings in regard |
|                                  | to \_\_\_?                       |
|                                  |                                  |
|                                  | Does this contribute to your     |
|                                  | discomfort?                      |
+----------------------------------+----------------------------------+
|                                  | 1.  Attempting to Translate into |
|                                  |     Feelings                     |
|                                  |                                  |
|                                  | Patient: I'm dead.               |
|                                  |                                  |
|                                  | Nurse: Are you expressing that   |
|                                  | you feel lifeless?               |
|                                  |                                  |
|                                  | Or                               |
|                                  |                                  |
|                                  | Is it that life seems without    |
|                                  | meaning?                         |
+----------------------------------+----------------------------------+
|                                  | 1.  Suggesting Collaboration     |
|                                  |                                  |
|                                  | Perhaps you and I can discuss it |
|                                  | and discover what procedures     |
|                                  | lead to your anxiety.            |
+----------------------------------+----------------------------------+
|                                  | 1.  Summarizing                  |
|                                  |                                  |
|                                  | Do I have this straight?         |
|                                  |                                  |
|                                  | You've said that \_\_\_\_.       |
|                                  |                                  |
|                                  | During the past hour you and I   |
|                                  | have discussed \_\_\_\_.         |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
|                                  | 1.  Encouraging Formulation of a |
|                                  |     Plan of Action               |
|                                  |                                  |
|                                  | What could you do to let your    |
|                                  | anger out harmlessly?            |
|                                  |                                  |
|                                  | Next time this comes up, what    |
|                                  | might you do to handle it?       |
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|                                  |                                  |
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