Communication

Question 1

Phases of the therapeutic relationship

Answer 1

preinteraction
introductory
working
termination

Question 2

Preinteraction phase

Answer 2

nurse gathers information about the client before first face to face meeting

Question 3

Introductory phase

Answer 3

nurse and client closely observe each other, establish the tone for the relationship, and develop a bond of trust and security

Question 4

Working phase

Answer 4

nurse helps client explore thoughts, feelings and actions and to plan a program of action to meet preestablished goals

Question 5

Termination phase

Answer 5

end of relationship once nurse has prepared client to deal with problems on their own

Question 6

Verbal communication

Answer 6

always involves the use of words either spoken or written

Question 7

Nonverbal communication

Answer 7

involves communicating without using words; examples include facial expressions, gestures, and touch

Question 8

Stereotyping

Answer 8

Offering generalized and oversimplified beliefs about groups or individuals that are based on experiences too limited to be valid. These responses categorize individuals and negate their uniqueness as individuals.

Question 9

Being defensive

Answer 9

Attempting to protect an individual or healthcare service from negative comments. These responses prevent the client from expressing true concerns.

Question 10

Challenging

Answer 10

Giving a response that makes a client prove their statement or point of view. These responses indicate that the nurse is failing to consider the client’s feelings, making the client feel it necessary to defend a position.

Question 11

Changing the subject

Answer 11

Directing the communication into areas of self interest rather than considering the client’s concerns is often a self-protective response to a topic that causes anxiety.

Question 12

Unwanted reassurance/ using cliches

Answer 12

These responses block the fears, feelings, and other thoughts of the client

Question 13

Using silence

Answer 13

accepting pauses or silences that may extend for several seconds or minutes without injecting any verbal response

Question 14

Reflecting

Answer 14

directing ideas, feelings, questions, or content back to clients to enable them to explore their own ideas and feelings about the situation

Question 15

Offering self

Answer 15

suggesting one’s presence, interest, or wish to understand the client without making any demands or attaching any conditions that the client must comply with to receive the nurse’s attention

Question 16

Sequencing

Answer 16

helping a client clarify an event, situation, or happening in relationship to time

Question 17

Acknowledging

Answer 17

Giving recognition, in a nonjudgmental way, of a change in behavior, an effort the client has made, or a contribution to a communication. Acknowledgment may be with or without understanding, verbal, or nonverbal.

Question 18

Paraphrasing

Answer 18

Actively listening for the client’s basic message and then repeating those thoughts and/or feelings in similar words

Question 19

Clarifying

Answer 19

A method if making the client’s broad overall meaning of the message more understandable by restating the message or asking the client to repeat or restate the message. Often done when message is initially not understood

Question 20

Using open-ended questions

Answer 20

Asking broad questions that lead or invite the client to elaborate and explore thoughts and feelings.

Question 21

Assertive communication techniques

Answer 21

Using “I” statements
Repetition
Thinking before speaking
Avoiding apologizing

Question 22

Using “I” statements

Answer 22

voice their own feelings and wishes based on sound evidence without placing blame or raising the defenses of an individual to whom they are speaking

Question 23

Repetition

Answer 23

repeating the request every time one meets resistance can be helpful; this technique has diminishing returns, the more often you repeat the less helpful it will be

Question 24

Thinking before speaking

Answer 24

considering your words and tone of voice helps prevent you from saying something you will regret

Question 25

Avoiding apologizing

Answer 25

apologies should be given only when warrented