Chapter 10 - Midterm Exam

Question 1

Therapeutic Communication - def

Answer 1

refers to an interactive dynamic process entered into by nurse and client for the purpose of achieving identified health-related goals.

Question 2

Active Listening - def

Answer 2

a dynamic process in which a nurse listens for a client’s message, decodes its message, and asks questions for clarifications.

Question 3

Verbal responses - def

Answer 3

refer to the spoken words people use to communicate with each other.

Question 4

Open-ended questions - What do they encourage the client to do?

Answer 4

encourage the client to take the initiative.

Question 5

Closed-ended questions - narrow the…

Answer 5

focus of the question to a single answer.

Question 6

Minimal cues - def

Answer 6

cues transmitted through body actions (like nodding, leaning forward, etc.)

Question 7

Clarification - example

Answer 7

Could you describe what happened in sequence?

Question 8

Restatement - example

Answer 8

Are you saying that…… (repeat client’s words) - “You mean…” You repeat it using their words!

Question 9

Paraphrasing - example

Answer 9

It sounds as though you are saying you have had enough. (You rearrange what they said, in your own words. It’s basically a way to check whether the nurse’s translation of the client’s words is an accurate interpretation of the message.)

Question 10

Reflection - example

Answer 10

It sounds as though you feel guilty because you weren’t home at the time of the accident. - (Focuses on the emotional implication of the message)

Question 11

Summarization - example

Answer 11

Before moving on, I would like to go over with you what I think we’ve accomplished thus far.
(Used to review content and process.)

Question 12

Silence - example

Answer 12

briefly disconnecting but continuing to use attending behaviors after an important idea, thought, or feeling.

Question 13

Touch - example

Answer 13

gently rubbing a person’s arm during a painful procedure.

Question 14

Negative Listening Responses - False reassurance - def and example.

Answer 14

Using pseudocomforting phrases in an attempt to offer reassurance. “It will be okay.”

Question 15

Negative Listening Responses - Giving advice - def and example

Answer 15

Making a decision for a client, offering personal opinions, etc.
“If I were you…”

Question 16

Negative Listening Responses - False inferences - def and example

Answer 16

Making an ubstantiated assumption about what a client means; interpreting the client’s behavior without asking for validation.
“What you really mean is you don’t like your physician.”

Question 17

Negative Listening Responses - Moralizing - def and example.

Answer 17

Expressing your own values about what is right and wrong.

“Abortion is wrong.”

Question 18

Negative Listening Responses - Value Judgments - def and example.

Answer 18

Conveying your approval or disapproval about the client’s behavior or about what the client has said, and it typically uses words like good, bad, etc. “I’m glad you decided to… “That wasn’t a nice way to behave!”

Question 19

Negative Listening Responses - Social Responses - def and example

Answer 19

Polite, superficial comments that do not focus on what the client is feeling or trying to say. Use of cliche’s! “Isn’t that nice?” “Hospital rules, you know?”

Question 20

Reframing - def

Answer 20

changing the frame in which a person perceives events in order to change the meaning.