Ch 3 Definitions

Question 1

Compensation

Answer 1

Using personal strengths or abilities to overcome feelings of inadequacy

Question 2

Denial

Answer 2

Refusing to admit the reality of a situation or feeling

Question 3

Displacement

Answer 3

Transferring emotional energy away from an actual source of stress to an unrelated person or object

Question 4

Introduction

Answer 4

Taking on certain characteristics of another individuals personality

Question 5

Projection

Answer 5

Attributing undesirable feelings to another person

Question 6

Rationalization

Answer 6

Denying true motives for an action by identifying a more socially acceptable explanation

Question 7

Regression

Answer 7

Reverting to behaviors consistent with earlier stages of development

Question 8

Repression

Answer 8

Storing painful or hostile feelings in the unconscious, causing them to be temporarily forgotten

Question 9

Sublimation

Answer 9

Rechanneling unacceptable impulses into socially acceptable activities

Question 10

Suppression

Answer 10

Choosing not to think consciously about unpleasant feelings

Question 11

Actions of nontheraputic communication

Answer 11

Asking “why” questions
Using closed ended questions or comments
Changing the subject
Giving false reassurance
Giving advice
Giving stereotypical or generalized responses
Showing approval or disapproval
Showing agreement or disagreement
Engaging in excessive self disclosure or comparing the experiences of others
Comparing patient experiences 
Using personal terms of endearment
Being defensive

Question 12

Nonverbal techniques for facilitating communication

Answer 12

Active listening
Silence
Therapeutic touch

Question 13

Verbal techniques for initiating communication

Answer 13

Using open ended questions or comments
Using focused questions or comments
Providing general leads
Conveying acceptance
Using humor
Verbalizing the implied
Paraphrasing or restating communication content
Reflecting feelings or emotions
Seeking clarification
Summarizing
Validating
Offering self
Calling the patient by name
Sharing observations
Giving information

Question 14

Orientation or introductory

Answer 14

• making introductions, extra bling professional role boundaries and expectations, and clarifying the role of a nurse
• observing, interviewing and assessing the patient, followed by validation of perceptions
• identifying the needs and resources of the patient

Question 15

Working

Answer 15

• development of a contract or plan of care to achieve identified patient goals
• implementation of the care plan
• collaborative work among the nurse, patient and other health care providers
• enhancement of trust and rapport between the nurse and patient
• reflection by the patient on emotional aspects of illness
• use of therapeutic communication by the nurse to keep interactions focused on the patient

Question 16

Termination

Answer 16

• alerting the patient to impending closure of the relationship
• evaluating the outcomes achieved during the interaction
• concluding the relationship and transitioning patient care to another caregiver

Question 17

I
S
B
A
R

Answer 17

Identification
Situation
Background
Assessment
Recommendation

Question 18

Identify key components of the communication process

Answer 18

A referent initiates communication between a sender and a receiver during which a message is sent through a channel and followed by feedback to ensure accuracy

Question 19

List examples of the verbal and nonverbal modes of communication

Answer 19

Most common and accurate more of communication is nonverbal - body language and voice inflection.
Verbal may be spoken, written or electronic

Question 20

Recognize various types of communication

Answer 20

Effective intrapersonal, interpersonal, small group, public communication skills are used to meet needs of patients, families and the community

Question 21

Describe how significant aspects of the nursing process are implemented in the nurse patient helping relationship

Answer 21

The relationship focuses on addressing identified patient needs. Build a trusting relationship focused on positive patient outcomes

Question 22

Discuss factors affecting the timing of patient communication

Answer 22

Several factors influence the ability of patients to respond to nurse initiated communication - pain level, anxiety, environmental factors such as distractions or level of privacy

Question 23

Recognize the roles of respect, assertiveness, collaboration, delegation and advocacy in professional nursing communication

Answer 23

This is how they professionally communicate

Question 24

Identify social, therapeutic and non-therapeutic communication techniques

Answer 24

Therapeutic comm - address the patient

Nontherapeutic comm - considered social and shifts convo away from concerns of patient

Question 25

List defense mechanisms used by patients while communicating

Answer 25

Individuals under extreme stress may use defense mechanisms to protect themselves and their psyches to better cope with the reality of life experiences

Question 26

Illustrate methods of communicating in special situations

Answer 26

Nurses may use a variety of methods such as whiteboards, computer tablets, physical touch and online resources to communicate with sensory impaired or nonverbal patients. Assessing family and community dynamics facilities enhanced communication and patient safety