Chapter 8

Question 1

Before we begin, this chapter is going to solely be on chapter 8, based on the study guide, powerpoint, and in class recording !

Question 2

One more thing before we start the actual chapter, it is still very important to follow the abc’s and Maslow hierarchy of basic human needs.

what is his hierarchy again ?(5)

Answer 2

1. physiological needs
2. security and safety
3. love and belonging
4. self esteem
5. self actualization

Question 3

what does therapeutic communication mean?

Answer 3

to deal therapeutically with the emotions, feelings, and problems of patients, & nurses must understand their own values and beliefs and interpersonal strengths and limitations

Question 4

what does self-awareness mean ?

Answer 4

the process of understandings one’s own belief, thoughts, motivations, biases and limitations and recognizing how they affect others

Question 5

what does self-examination mean?

Answer 5

a willingness to be introspective

• lookin within yourself

Question 6

in the powerpoint and study guide, it reviews that self-awareness is to know-thyself. can you elaborate more on this topic? (3)
dont over think it

Answer 6

knowing your biologic self
- genetic makeup, physical diabilties

knowing your psychological self
- emotions, beliefs, traumatic experiences

knowing your social self
- patterns of communication, cultural beliefs

Question 7

what are some principles of therapeutic communication ?
give a few examples

Answer 7

• the client as primary focus
• a professional attitude
• self-disclosure only for therapeutic purpose
• no advice or social relationships with clients
• client confidentiality
• assessment of clients intellectual competence
• intervention based on theory
• nonjudgmental attitude
• guiding client to reinterpret exprieneces rationally
• clarification to track the clients verbal interactions

Question 8

what is verbal communication ?

Answer 8

spoken word, underlying emotion, context, connotation

Question 9

what is nonverbal communication ?

Answer 9

gestures, expressions, body language

Question 10

what is the difference between verbal and non verbal communication ?

Answer 10

verbal you must talk to the patient
nonverbal is like your body language to the patient

Question 11

what do you believe communicates or grabs the attention of the patient more and why?

nonverbal or verbal communication ?

Answer 11

nonverbal
- the reason behind this is because the patient is going to look at the way you are walking to them first before you even get a word out your mouth

Question 12

what are some common verbal communication techniques we may use for patients when wanting to establish therapeutic communication ?

Answer 12

acceptance
confrontation
observation
silence
listening (active)
reflection
interpretation
open ended statements

Question 13

what are the 5 techniques that inhibit communication ?

Answer 13

advice
agreement
challenges
reassurance
disapproval

Question 14

I want to bring this to light about nonverbal behavior, this can vary from culture to culture, so maybe looking into someones eyes can be disrespectful for some people, so what do you do as a nurse?

Answer 14

identify and understand the meaning of communication within the patients culture

Question 15

in therapeutic communication, the nurse must do 3 very important things which are?

Answer 15

limit self-disclosure
actively listen to the patient
carefully select communication techniques

Question 16

how can a nurse limit herself to self-disclosure ?

Answer 16

not sharing personal information
redirect the client to the main topic
avoid trying to be “nice”

Question 17

how can a nurse do active listening?
how can a nurse do passive listening?

Answer 17

active
- focus on what client is saying
- respond objectively
- interprets underlying meaning

passive
- sitting quietly
- letting client talk

Question 18

how can a nurse be able to select the appropriate communication technique to have with a patient?

Answer 18

assessment and interpretation of the meaning of the clients verbal and nonverbal communication

• identification of the desired client outcome
• client feelings as the focus

available techniques
- silence, validation, strength-based communication

Question 19

what is strength based communication and why would we might want to choose this form of communication?

Answer 19

because it focusers on the patients strengths rather than potential deficits

Question 20

it is a vital that a nurse maintain personal boundaries with her staff and when caring for patients.
what are the 4 body spaces that we need to understand?

Answer 20

intimate
personal
social
public

Question 21

while we understand that the size of boundary varies by culture, but the nurse must what?

Answer 21

assess and evaluate what is the most appropriate body space to present to each patient

Question 22

what is the intimate zone (measure)
what is personal zone
what is social zone
what is public zone ?

Answer 22

15-68cm (6-18in)

46cm-1.2m (18-47)

1.2-3.6m (47in-3yd)

over 3.6m ( over 3yd )

Question 23

why must we as nurses avoid establishing friendship with patients and instead focus only on the patient in a professional relationship?

Answer 23

in friendships, both persons share personal information

in a professional relationship, you must only focus on the patient

Question 24

defense mechanisms, also referred to as coping styles is what?

Answer 24

psychological mechanism that help individuals respond to and cope with difficult situations, emotional conflicts, external stressors

Question 25

what are some examples of defense mechanisms?

Answer 25

humor
repressions
suppression
projection
passive aggression

Question 26

typically individuals are often unaware when performing defense mechanisms, so we as a nurse must evaluate what?

Answer 26

the purpose of defense mechanism and determination of weather or not to discuss with the client about their defense mechanisms

Question 27

reflection and analysis of interactions between patient and nurse can allow the nurse to identify what?

Answer 27

significant content and themes to help evaluate the effectiveness of therapeutic communication

Question 28

many patients who have mental disorders have difficulty communicating about their feelings and events, so as the nurse you must ?

Answer 28

try to understand the unique communication challenges a person with these disorders may have

Question 29

additional information
symbolism is what?

content themes means what?

Answer 29

word or phrase represents object, event of feelings

possibly recurrent thread of story

Question 30

in some cases, communication blocks may occur when trying to communicate with a client, either from the topic being too uncomfortable and the client doesn’t want to discuss on it, or simply goes off track

you as the nurse must try to attempt to redirect the conversation back to the topic at hand unless the topic is too uncomfortable for the client

consider cultural norms

compare the nonverbal and verbal behavior of the patient when discussing about the topic