drawing of headphones Module 2 –Unit 8:  Listening Task   click to Listen

The C.A.R.E. Confrontation Model

Donald Kerns was admitted to the hospital two days ago with a gunshot wound to his leg, an injury he got on a hunting trip. His primary nurse, Chris, left for vacation today, and Richard Blake is taking over for her. Listen and answer the questions below.

Conversation A

First Listening

  1. How would you describe Donald’s behavior?


  2. How does Richard respond to the patient’s behavior?


  3. What could Richard have said or done differently in this situation?


Narration  A narrator will describe the C.A.R.E. Confrontation. Listen and answer the questions below.

  1. What does each letter of C.A.R.E. stand for?

C: ___________________________________

A: ___________________________________

R: ___________________________________

E: ___________________________________

  1. When is it appropriate to use the C.A.R.E. Confrontation?

Second Listening  

Listen again and add details to each step of the C.A.R.E. Confrontation.

C: _______________________________________________________________________________

_______________________________________________________________________________

A: _______________________________________________________________________________

_______________________________________________________________________________

R: _______________________________________________________________________________

_______________________________________________________________________________

E: _______________________________________________________________________________

_______________________________________________________________________________

Conversation B

Listen to a different conversation between Donald and Richard in which Richard uses the C.A.R.E. Confrontation, and answer the questions below.

First Listening

  1. How is this conversation different from the first one? What does Richard say to Donald? How does Donald respond to Richard this time?


  2. How realistic do you think this conversation is? Explain your answer.

Second Listening  

  1. Read the tapescript of Donald using the C.A.R.E. Confrontation. Listen and mark each step of C.A.R.E. Write “C” for “Clarify,” “A” for “Articulate,” “R” for “Request,” and “E” for “Encourage” next to the correct lines on the script.


  2. Act out (or write) a more realistic version of the conversation between Richard and Donald using the C.A.R.E. Confrontation, in which Donald interrupts and reacts to Richard’s comments.


Conversation C  

Sometimes a patient may be difficult to work with because of the situation rather than the patient’s personality. In the next conversation, Mrs. Hayes is being held for observation after dizziness and fainting. She has been through a battery of tests without appearing to have any anxiety. Her nurse, Janet Stevens, expects to find her patient calm and relaxed. Listen and answer the questions below.

  1. How does Mrs. Hayes react to Janet telling her that they need to take more blood?


  2. The narrator asks, “Is Mrs. Hayes suddenly angry about the hospital’s tests or the lack of definite results? Is she angry with Janet and the nursing staff?” Why do you think Mrs. Hayes is so upset?


  3. How does Janet deal with Mrs. Hayes’ angry reaction?


  4. What does Janet find out about why Mrs. Hayes is angry? What does she say to Mrs. Hayes to find this out?


  5. How realistic do you think this conversation is? Explain your answer.