Quiz 4 Mid (Therapeutic Communication)

Question 1

Accepting pauses silences that may extended for several seconds or minutes without interjecting any verbal response.

Answer 1

Using silence

Question 2

Using statements or questions that (a) encourage the client to verbalize (b) choose a topic of conversation, and (c) facilitate continued verbalization.

Answer 2

Providing general needs

Question 3

Making statements that are specific rather than general, and tentative rather than absolute.

Answer 3

Being specific and tentative

Question 4

Asking broad questions that lead or invite the client to explore (elaborate, clarify, describe, compare, or illustrate) thoughts or feelings. Ope-ended questions specific only the topic to be discussed and invite answers that are longer than one or two words.

Answer 4

Using open-ended questions

Question 5

Providing appropriate forms of touch to reinforce caring feelings. Because tactile contacts vary considerably among individuals, families, and cultures, the nurse must be sensitive to the differences in attitudes and practices of clients and self.

Answer 5

Using touch

Question 6

Actively listening for the client’s basic message and then repeating those thoughts and/or feeling in similar words. This conveys that the nurse has listened and understood the clients basic message and also offers clients a clearer idea of what they have said.

Answer 6

Restating or paraphrasing

Question 7

A method of making the client’s broad overall meaning of the message more understandable. It is used when paraphrasing is difficult or when the communication is rambling or garbled. To clarify the message, the nurse can restate the basic message or confess confusion and ask the client to repeat or restate the message.
Nurse can also clarify their own message with statement.

Answer 7

Seeking clarification

Question 8

A method similar to clarifying that verifies the meaning of the specific words rather than the overall meaning of a message.

Answer 8

Perception checking or seeking consensual validation.

Question 9

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

Answer 9

Offering self

Question 10

Providing, in a simple and direct manner, specific factual information the client may or may not request. When information is not known, the nurse states this and indicates who has it or when the nurse will obtain it.

Answer 10

Giving information

Question 11

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

Answer 11

Acknowledging

Question 12

Helping the client clarify an event, situation or happening in relationship to time.

Answer 12

Clarifying time or sequence

Question 13

Helping the client to differentiate the real from the unreal.

Answer 13

Presenting reality

Question 14

Helping the client expand on and develop topic of importance. It is important for the nurse to wait until the client finishes stating the main concerns before attempting to focus. The focus maybe an idea or a feeling; however the nurse often emphasizes a feeling to help the client recognize an emotion disguised behind words.

Answer 14

Focusing

Question 15

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

Answer 15

Reflecting

Question 16

Stating the main point of the discussion to clarify the relevant points discussed. This technique is useful at the end of an interview or to review a health teaching session. It often acts as an introduction to future care planning.

Answer 16

Summarizing and planning

Question 17

8 Goals of Therapeutic Communication

Answer 17

1. Establish a therapeutic Nurse-Patient relationship.
2. Identify the most important client concern.
3. Assess the clients perception of the problem as it unfolds. Includes detailed action.
4. Facilitate the expression of emotions.
5. Teach the client and family self-care skills.
6. Recognize the clients needs.
7. Implement interventions designed to address the clients need.
8. Guide the client toward identifying.

Question 18

3 Components of Therapeutic Communication

Answer 18

1. Privacy and Respect for Boundaries.
2. Active Listening
3. Active Observation

Question 19

Concentrate on what the clients says.

Answer 19

Active Listening

Question 20

Watch non-verbal actions.

Answer 20

Active Observation