Chapter 10

Question 1

Self-awareness

Answer 1

Self-awareness is the process of understanding one’s own beliefs, thoughts, motivations, biases, and limitations and recognizing how they affect others.

Question 2

Therapeutic communication

Answer 2

Therapeutic communication is the ongoing process of interaction through which meaning emerges.

Question 3

Verbal Communication

Answer 3

achieved by spoken words, includes the underlying emotion, context, and connotation of what is actually said.

Question 4

Nonverbal communication

Answer 4

includes gestures, expressions, and body language.

Question 5

Self-disclosure,

Answer 5

telling the patient personal information,

generally is not a good idea.

Question 6

There are two types of listening:

Answer 6

passive and active.

Question 7

Passive listening

Answer 7

Passive listening involves sitting quietly and letting the patient talk

Question 8

active listening

Answer 8

active listening, the nurse focuses on what the patient is saying, interprets the underlying meaning, and responds to the message objectively.

Question 9

Therapeutic techniques in establishing relationships and helping patients focus on their problems.

Answer 9

Asking a question, restating, and reflecting are examples of such techniques.

Question 9

Strength-based communication

Answer 9

should be supportive, focusing on the patient’s strengths instead of potential deficits. Language that promotes acceptance and respect should be favored over language that distracts from acceptance of the person.

Question 9

Four different body zones that provide varying degrees of protection against unwanted physical closeness during interactions.

Answer 9

1. as the intimate zone
2. the personal zone
3. the social zone
4. the public zone

Question 10

Intimate Zone (distance and meaning)

Answer 10

for whispering and embracing)

Question 11

the personal zone

Answer 11

close friends

Question 12

the social zone

Answer 12

e.g., for acquaintances

Question 13

the public zone

Answer 13

usually for interacting with strangers

Question 14

Intimate zone distance

Answer 14

1-18 in

Question 15

Personal zone distance

Answer 15

18-36 in

Question 16

Social zone distance

Answer 16

4ft-12ft

Question 17

Public zone distance

Answer 17

12-25ft

Question 18

Therapeutic communication is done at what distance?

Answer 18

most comfortable when nurse and pt are 3ft to 6ft away

Question 19

Defense mechanisms (also known as coping styles)

Answer 19

Defense mechanisms (also known as coping styles) are psychological mechanisms that help an individual respond to and cope with difficult situations, emotional conflicts, and external stressors.

Question 20

Three phases of nurse pt relationship:

Answer 20

1. orientation phase
2. working phase
3. resolution phase

Question 21

Orientation phase

Answer 21

during which the nurse and patient get to know each other

pt develops sense of trust in the rn

Question 22

The second is the working phase,

Answer 22

The second is the working phase, in which the patient uses the relationship to examine specific problems and learn new ways of approaching them.

Question 23

The final stage, resolution phase/termination,

Answer 23

The final stage, resolution phase, is the termination stage of the relationship and lasts from the time the problems are actually resolved to the close of the relationship.

Question 24

When does termination phase begin ?

Answer 24

Termination begins on the first day of the relationship, when the nurse explains that this relationship is time limited and has been established to resolve the patient’s problems and help them handle their problems.

Question 25

Transference

Answer 25

The unconscious assignment to a therapist or nurse of a patient’s feelings and attitudes that were originally associated with important figures such as parents or siblings.

Question 26

countertransference

Answer 26

The therapist or nurse’s reactions to a patient that are based on interpersonal experiences, feelings, and attitudes. It can significantly interfere with the nurse–patient relationship

Question 27

Empathy

Answer 27

Empathy is the ability to experience, in the present, a situation as another did at some time in the past. It is the ability to put oneself in another person’s circumstances and to imagine what it would be like to share their feelings.