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Psych > Chapter 9 - Therapeutic Communication > Flashcards

Chapter 9 - Therapeutic Communication Flashcards

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1
Q

Self exam

A

a willingness to be introspective

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2
Q

Verbal communincation

A

Spoken word
Underlying emotion
Context
Connotation

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3
Q

Nonverbal communincation

A

Gestures
Expressions
Body Language

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4
Q

Therapeutic communincation

A

Ongoing process of interaction through which meaning emerges

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5
Q

What is the #1 principle of therapeutic communication?

A

The patient is the primary focus

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6
Q

Interventions should come from ___ based

A

Theory based

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7
Q

How can the nurse track the pt’s verbal communication using therapeutic communication?

A

Clarification

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8
Q

Avoid ___, ___, and ___

A

Avoid giving advice, social relationships, and changing the subject

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9
Q

What is a very important therapeutic communication principal to follow when conversing w/ pt?

A

Limit self disclosure

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10
Q

Acceptance

A

Encouraging and receiving info in a nonjudgemental and interested manner

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11
Q

The use of acceptance is usefully when:

A

Establishing a rapport and trust

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12
Q

Confrontation

A

Presenting the pt. with a different reality of the situation

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13
Q

Doubt

A

Expressing/voicing doubt when a pt. relates a situation

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14
Q

Why would the nurse use doubt?

A

To guide the pt. toward other explanations

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15
Q

Interpretation

A

Putting into words what the pt. is implying/feeling

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16
Q

Why would the nurse use Interpretation?

A

Help the pt. identify underlying thoughts or feelings?

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17
Q

Observation

A

Stating to the pt. what the nurse is observing

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18
Q

Open-ended questions

A

Introducing an idea and letting the pt. respond

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19
Q

Reflection

A

Redirecting the idea back to the pt. for classification about what is important
It gives pt. permission to have feelings they may not realize they have

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20
Q

The pt. is explaining ideas about getting a job and ask the nurse what the nurse thinks the pt. should do. What therapeutic techniques is useful here?

A

Reflection - when the pt. is asking for the nurse’s approval or judgement

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21
Q

Restatement

A

Repeating the main idea expressed

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22
Q

Silence

A

remaining quiet but nonverbally expressing interest during an interaction

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23
Q

Validation

A

Clarifying the nurse’s understanding of the situation

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24
Q

Why would the nurse use validation?

A

When the nurse is trying to understand the situation the pt. is trying to describe

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25
Q

Communication blocks

A 
Advice (#1)
Agreement
Challenges (disputing pt. beliefs)
Reassurance
Disapproval
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26
Q

The pt. is very anxious while the nurse is interviewing her. The nurse notices that her own speech is becoming faster and shaky. What is this called?

A

Empathetic linkage- direct communication of feelings

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27
Q

Intimate zone

A

whispering

embracing

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28
Q

Personal zone

A

Close friends

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29
Q

Social zone

A

For acquaintances

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30
Q

Public zone

A

Interacting with strangers

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31
Q

Defense Mechanisms

A

Psychological mechanisms that help an individual respond to and cope with emotional conflicts and external stressors

32
Q

Acting out

A

Using actions rather than reflections/feelings during periods of emotional conflict

33
Q

Affiliation

A

Turing to other for help or support

34
Q

Altruism

A

dedicating life to meeting the needs of others - receives gratification from others

35
Q

Anticipation

A

Experiencing emotional reactions in advance or anticipating consequences of possible future events and considering realistic alternative solutions

36
Q

Autistic Fantasy

A

Excessive daydreaming as a substitute for human relationships, more effective action or problem-solving

37
Q

Devaluation

A

Attributing exaggerated negative qualities to self or others
Ex. A boy has been rejected by his long-time girlfriend. He tells his friends that he realizes that she is stupid and ugly.

38
Q

Displacement

A

Transferring a feeling about or a response to one object onto another
Ex. A child is mad at her mother for leaving for the day but says she is really mad at the sitter for serving her food she does not like.

39
Q

Denial

A

Refusing to acknowledge some painful aspect of external reality or subjective experience

40
Q

Dissociation

A

An adult relates severe sexual abuse experienced as a child but does it without feeling. She says that the experience was as if she were outside her body watching the abuse.

41
Q

Help-rejecting/Complaining

A

Complaining or making repeated requests for help. Rejecting suggestions or advice

42
Q

Humor

A

Emphasizing the amusing or ironic aspects of the conflict or stressor

43
Q

Idealization

A

Attributing exaggerated positive qualities to others

44
Q

An adult falls in love and fails to see the negative qualities of their significant other, is an example of:

A

Idealization

45
Q

Intellectualization

A

Excessive use of abstract thinking or the making of generalizations to control or minimize disturbing feelings

46
Q

Isolation of affect

A

Separation of ideas from the feelings originally associated with them

47
Q

An individual looses touch with the feelings associated with rape while remaining aware of the details is an example of:

A

Isolation of affect

48
Q

Omnipotence

A

Feeling or acting as if one possesses special powers or abilities and is superior to others

49
Q

Passive aggression

A

Indirectly and unassertively expressing aggression toward others

50
Q

Projection

A

Falsely attributing to another one’s own unacceptable feelings, impulses, or thoughts

51
Q

Projective identification

A

Falsely attributing to another’s own unacceptable feelings, impulses, or thoughts.

52
Q

A child is angry at a parent but the child accuses the parent of being angry is an example of:

A

Projection

53
Q

A child is angry at a parent who in turn becomes angry at the child but not sure why. The child then feels justified at being angry at the parent is an example of:

A

Projective identification

54
Q

Rationalization

A

Concealing the true motivations for one’s own thoughts, actions, or feelings through elaboration of reassuring or incorrect explanations

55
Q

Reaction formations

A

Substituting behavior, thoughts, or feelings that are opposite from one own’s unacceptable thoughts or feelings

56
Q

Reaction formation usually occur with ___

A

Repression

57
Q

A wife find out her husband is having an affair. She tells her friend she thinks the affairs are perfectly appropriate. She truly does not have any anger or hurt. Is an example of:

A

Reaction formation

58
Q

Repression

A

Expelling disturbing wishes, thoughts, or experiences from conscious awareness

59
Q

A woman does not remember the experience of being raped is an example of:

A

Repression

60
Q

Self-assertion

A

Expressing feelings and thoughts directly in a way that is not coercive or manipulative

61
Q

A woman reaffirms that going to a ball game is not what she wants to do is an example of:

A

Self-assertion

62
Q

Self-observation

A

Reflecting feelings, thoughts, motivation, and behavior and responding to them appropriately
Ex. An individual notices an irritation at his friend’s late arrival and decides to tell the friend of the irritation.

63
Q

Splitting

A

Compartmentalizing opposite affect states and failing to integrate the positive and negative qualities to the self or others in cohesive images

64
Q

Sublimination

A

Channeling potentially maladaptive feelings or impulses into socially acceptable behavior

65
Q

An adolescent boy is very angry with his parents he channeling this by hitting someone very hard in football practice is an example of:

A

Sublimination

66
Q

Suppression

A

Internally avoiding thinking about disturbing problems, wishes, feelings, or experiences

67
Q

A student is anxiously awaiting a test result but goes to a movie to stop thinking about it is an example of:

A

Suppression

68
Q

Undoing

A

Words or behaviors designed to negate or to make amends symbolically for unacceptable thoughts, feelings, or actions

69
Q

Symbolism

A

The use of a word or phrase to represent an object, event, or feeling

70
Q

Which theorist suggests building a nurse-patient relationship?

A

Hildegarde Peplau

71
Q

Orientation phase

A

First meeting
Confidentiality is addressed
The pt. may test the relationship

72
Q

Working Phase

A

Identification of problems

Problem solving

73
Q

Resolution phase

A

Problem resolve

Relationship ends

74
Q

Transference

A

Unconscious assignment to others of the feelings and attitudes that the pt. originally associated with important figures

75
Q

Countertransference

A

The provider’s emotional reaction to the pt. based on unconscious needs and conflicts

76
Q

The nurse and pt. are in the termination phase of their relationship. The nurse noticed the pt. keeps bringing up problems that have previously been solved. What does the nurse interpret the pt. is doing?

A

The pt. is attempting to prolong the relationship and avoid it ending
Nurse should reassure that they have already solved these problems

Psych (19 decks)

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