Ch 8 Therapeutic Commun.

Question 1

5 techniques that enhance communication

Answer 1

+ Reflecting
+ restating
+ focusing
+ broad openings, general leads
+ exploring
+ presenting reality
+ clarification
+ acceptance


Question 2

Examples of non-therapeutic communication

Answer 2

+ Falsely reassuring
+ asking why questions
+ giving approval
+ giving advice
+ excessive questions - peppering
+ changing the subject
+ minimizing feelings

Question 3

What is active listening?

Answer 3

Showing patient that you are involved in the conversation, Observing patients nonverbal cues, listening, understanding context, noticing inconsistencies, providing feedback 

Question 4

Examples of “exploring” statements

Answer 4

+ Tell me more about…
+ describe that for me….
+ would you describe it more fully 

Question 5

Examples of “focusing” statements

Answer 5

+ This point you are making is worth looking at more closely
+ you’ve mentioned many things, let’s go back to your thinking of ending it all

Question 6

Example statements of “presenting reality”

Answer 6

+ That was the sound of a car backfiring
+ your mother is not here, I am a nurse
+ that was Dr. Todd, not a terrorist, stocking and trying to harm you 

Question 7

Examples of “summarizing” statements

Answer 7

+ Have I got this right?
+ You said that…
+ During the past hour you and I have discussed… 

Question 8

Steps that nurses take to formulate a plan for patients

Answer 8

+ assess
+ identify
+ set goals
+ implement
+ evaluate

Question 9

Examples of “clarification” statements

Answer 9

+ I’m not sure I follow you
+ what would you say is the main point of what you just said
+ give an example of a time you thought that?

Question 10

Four methods of communication that are not helpful and therapeutic settings

Answer 10

+ approving/agreeing
+ WHY questions
+ peppering with too many questions
+ premature advice
+minimizing/discounting feelings
+ disapproving/disagreeing
+ giving advice
+ changing subject

Question 11

Communication definition

Answer 11

Process of information being passed back-and-forth between two or more entities

Question 12

Five factors/filters that
affect/influence communication

Answer 12

+ Values, attitudes, beliefs
+ culture or religion
+ social status
+ gender
+ age or developmental level
+ power dynamic
+ prejudice
+ mood
+ agendas

Question 13

environmental factors influencing communication

Answer 13

+ noise
+ lack of privacy
+ physical pain or discomfort
+ location

Question 14

What distance should therapeutic interactions happen between nurse and patient? What is that called?

Answer 14

+ Social distance
+ 4 to 12 feet (according to class or book - at least 3 feet)

Question 15

Words, you hear during report to watch out for concerning the patients

Answer 15

+ Unpredictable
+ unstable
+ agitated or escalating
+ labile

Question 16

What is a safe location to meet with a patient who shows escalation

Answer 16

A quiet corner of the day room because the room provides some privacy in a neutral setting, while allowing access to distance/get away if the situation becomes unsafe

Question 17

Why is empathy so important in the therapeutic relationship?

Answer 17

+ puts yourself in the patient’s shoes
+ patient feels understood

Question 18

What does rapport provide in the therapeutic relationship

Answer 18

+ Provides warmth
+ is nonjudgmental
+ provides understanding
+ provides presence and listening

Question 19

What is RTIS?
Why is it important?

Answer 19

+ responding to internal stimuli
+ encourages people to recognize and address any emotional or physical responses that may arise in response to internal stimuli, such as stress or fear

Question 20

Ways to show that you are actively listening

Answer 20

+ Sit eye level to patient
+ relaxed demeanor
+ arms and legs uncrossed
+ leaning forward slightly
+ nodding head as person speaks
+ showing attentiveness
+ listening and understanding, patience, verbal and nonverbal cues
+ not looking away, or glancing around
+ reflecting back to patient

Question 21

The importance of silence and therapeutic communication

Answer 21

+ Allows patient to process thoughts and feelings
+ increases self-awareness
+ provides time to interpret communication
+ gives a space to reflect

Question 22

“Reflective listening” helps build….

Answer 22

+ trust
+ rapport
+ connection

Question 23

Aspects of MI - motivational interviewing

Answer 23

+ evidence-based
+ patient-centered
+ promotes pt. exploration & motivation
+ incorporates active listening
+ pt. focused

Question 24

What are process reports (IPR)

Answer 24

Written reports of verbal client interactions by nurse/student to improve communication techniques

Question 25

Reasons pt. may exhibit difficult behaviors

Answer 25

+ pain/discomfort
+ frustration
+ poor coping
+ hopelessness/powerlessness
+ meds effects
+ mental illness/delirium
+ fear
+ grief

Question 26

Deescalation techniques

Answer 26

+ normal tone
+ speak on developmental level of pt.
+ ask simple questions requiring simple answers
+ reduce tempo/sound in room
+ don’t rush/provoke pt
+ make sure to have pt attn
+ maintain eye contact if appropriate
+ respect personal space
+ set limits
+ offer choices