Chapter 8: Therapeutic Communication

Question 1

density

Answer 1

the number of people within a given environmental space

Question 2

distance

Answer 2

the means by which various cultures use space to communicate.

Question 3

intimate distance

Answer 3

the closest distance that individuals will allow between themselves and others.
0 to 18 inches

Question 4

paralanguage

Answer 4

the gestural component of the spoken word

Question 5

personal distance

Answer 5

reserved for interactions that are personal in nature

18 to 40 inches

Question 6

public distance

Answer 6

Examples include speaking in public or yelling to someone some distance away.
exceeds 12 feet

Question 7

social distance

Answer 7

Interactions at this distance include conversations with strangers or acquaintances, such as at a cocktail party or in a public building
4 to 12 feet

Question 8

Functional-Professional touch

Answer 8

This type of touch is impersonal and businesslike. It is used to accomplish a task.

Question 9

Therapeutic interpersonal relationship

Answer 9

the process by which nurses provide care for clients in need of psychosocial intervention

Question 10

Friendship-Warmth touch

Answer 10

Touch at this level indicates a strong liking for the other person, a feeling that he is a friend.

Question 11

interpersonal communication

Answer 11

a transaction be- tween the sender and the receiver

Question 12

Sexual Arousal touch

Answer 12

Touch at this level is an expression of physical attraction only

Question 13

Nostril flare

Answer 13

Anger; arousal

Question 14

Wrinkling up nose

Answer 14

Dislike; disgust

Question 15

Grin; smile

Answer 15

Happiness; contentment

Question 16

Grimace

Answer 16

Fear; pain

Question 17

Compressed lips

Answer 17

Anger; frustration

Question 18

Compressed lips

Answer 18

Anger; frustration

Question 19

Canine-type snarl

Answer 19

Disgust

Question 20

Pouted; frown

Answer 20

Unhappiness; discontented; disapproval

Question 21

Pursing

Answer 21

Disagreement

Question 22

Sneer

Answer 22

Contempt; disdain

Question 23

Frown eyebrows

Answer 23

Anger; unhappiness; concentration

Question 24

Raised eyebrows

Answer 24

Surprise; enthusiasm

Question 25

Stick out tongue

Answer 25

Dislike; disagree

Question 26

Widened eyes

Answer 26

Surprise; excitement

Question 27

Narrowed, lids squeezed shut

Answer 27

Threat; fear

Question 28

Eyes downcast; lack of eye contact

Answer 28

Submission; low self-esteem

Question 29

``` eye contact (generally intermittent, as opposed to a stare) ```

Answer 29

Self-confidence; interest

Question 30

Stare

Answer 30

Threat

Question 31

Stare/blink/look away

Answer 31

Dislike; disinterest

Question 32

Therapeutic Communication

Answer 32

encourages exploration of feelings and fosters under- standing of behavioral motivation. It is nonjudgmental, discourages defensiveness, and promotes trust.

Question 33

Therapeutic Communication

Answer 33

encourages exploration of feelings and fosters under- standing of behavioral motivation. It is nonjudgmental, discourages defensiveness, and promotes trust.

Question 34

Active Listening

Answer 34

being attentive to what the client is saying, both verbally and nonverbally.

Question 35

SOLER

Answer 35

nonverbal behaviors designated as facilitative skills for attentive listening

Question 36

SOLER | S

Answer 36

Sit squarely facing the client. This gives the message that the nurse is there to listen and is interested in what the client has to say.

Question 37

SOLER | O

Answer 37

Observe an open posture. Arms and legs remain uncrossed. With a “closed” position, the nurse can convey a somewhat defensive stance, possibly invoking a similar response in the client.

Question 38

SOLER | L

Answer 38

Lean forward toward the client. This conveys to the client that you are involved in the interaction, interested in what is being said, and making a sincere effort to be attentive.

Question 39

SOLER | E

Answer 39

Establish eye contact. The absence of eye contact or the constant shifting of eye contact elsewhere in the environment gives the message that the nurse is not really interested in what is being said.

Question 40

SOLER | R

Answer 40

Relax. A sense of being relaxed and comfortable with the client. Restlessness and fidgetiness communicate a lack of interest and may convey a feeling of discomfort that is likely to be transferred to the client.

Question 41

Process recordings

Answer 41

Written reports of verbal interactions with clients.

Question 42

Nonverbal expression

Answer 42

is a primary communication system in which meaning is assigned to various gestures and patterns of behavior.

Question 43

Feedback

Answer 43

method of communication for helping the client consider a modification of behavior.

Question 44

Feedback

Answer 44

method of communication for helping the client consider a modification of behavior.

Question 45

A client states: “I refuse to shower in this room. I must be very cautious. The FBI has placed a camera in here to monitor my every move.” What is a therapeutic response?

Answer 45

“I have a hard time believing that is true.”

Question 46

Nancy, a depressed client who has been unkept and untidy for weeks, today comes to group therapy wearing makeup and a clean dress and having washed and combed her hair. What responses by the nurse is appropriate?

Answer 46

“Nancy, I see you have put on a clean dress and combed your hair.”

Question 47

Judy has been in the hospital for 3 weeks. She has used Valium “to settle my nerves” for the past 15 years. She was admitted by her psychiatrist for safe withdrawal from the drug. She has passed the physical symptoms of withdrawal at this time, but states to the nurse, “I don’t know if I will be able to make it without Valium after I go home. I’m already starting to feel nervous. I have so many personal problems.” What is an appropriate response by the nurse?

Answer 47

“We will just have to think about some things that you can do to decrease your anxiety without resorting to drugs.”

Question 48

Carol, an adolescent, just returned from group therapy and is crying. She says to the nurse, “All the other kids laughed at me! I try to fit in, but I always seem to say the wrong thing. I’ve never had a close friend. I guess I never will.” What is an appropriate response by the nurse?

Answer 48

“You’re feeling pretty down on yourself right now.”

Question 49

The client says to the nurse, “I’ve been offered a promotion, but I don’t know if I can handle it.” The nurse replies, “You’re afraid you may fail in the new position.” This is an example of which therapeutic technique?

Answer 49

Restating

Question 50

aspects of environment communication

Answer 50

Territoriality, density, and distance

Question 51

Kinesics

Answer 51

body movements

Question 52

Proxemics

Answer 52

use of personal and social space

Question 53

Appearance

Answer 53

use of clothing and other personal objects to communicate a personal image

Question 54

Acceptance

Answer 54

favorable reception of the other

Question 55

Interest

Answer 55

genuine curiosity

Question 56

Respect

Answer 56

showing consideration

Question 57

Honesty

Answer 57

sincerity and truthfulness

Question 58

Assistance

Answer 58

being present and helping

Question 59

Permission

Answer 59

consent to behave in new ways

Question 60

Protection

Answer 60

ensuring safety