therapeutic communication and groups (halter ch 8, 9, 34)

Question 1

transmission of
feelings, attitudes, ideas, and
behaviors using a set of mutually
understood rules

Answer 1

communication

Question 2

5 responsive dimensions

Answer 2

• genuineness
• respect
• empathy
• concreteness
• immediacy

Question 3

4 phases of relationship

Answer 3

• pre-interaction
• introductory/orientation
• working phase
• termination

Question 4

therapeutic communication technique: focusing on what pt is saying

Answer 4

active listening

Question 5

therapeutic communication technique: using different words for same meaning

Answer 5

paraphrasing

Question 6

therapeutic communication technique: using same words

Answer 6

restating

Question 7

therapeutic communication technique: conveys back pts thoughts or feelings

Answer 7

reflecting

Question 8

therapeutic communication technique: narrow conversation to important topics

Answer 8

exploring/focusing

Question 9

therapeutic communication technique: helps pt think hopefully

Answer 9

projective question

Question 10

therapeutic communication technique: provides options (not advice)

Answer 10

suggestion

Question 11

therapeutic communication technique: verifying meaning is understood

Answer 11

clarification

Question 12

therapeutic communication technique: pointing out discrepancies in pts behavior

Answer 12

confronting

Question 13

therapeutic communication technique: reorienting pt to here and now

Answer 13

presenting reality

Question 14

therapeutic communication technique: explaining expectations and consequences

Answer 14

limit setting

Question 15

therapeutic communication technique: comments that will increase likelihood of pt behaving positively

Answer 15

positive reinforcement

Question 16

therapeutic communication technique: highlighting main points

Answer 16

summarizing

Question 17

non-therapeutic comment: gives unrealistic expectations

Answer 17

false reassurance

Question 18

non-therapeutic comment: limits pt internalization

Answer 18

advice

Question 19

non-therapeutic comment: devalues pt emotions and needs

Answer 19

discounting/belittling

Question 20

non-therapeutic comment: puts pt on defensive

Answer 20

“why?”

Question 21

non-therapeutic comment: stereotyping

Answer 21

cliche

Question 22

examples non-therapeutic comments

Answer 22

• false reassurance
• advice
• discounting/belittling
• why?
• cliche
• changing topics
• closed-ended questions
• leading comments

Question 23

examples therapeutic communication

Answer 23

• active listening
• paraphrasing
• restating
• reflecting
• exploring/focusing
• projective question
• suggestion
• clarification
• confrontation
• presenting reality
• limit setting
• positive reinforcement
• summarizing

Question 24

yalom’s therapeutic group factors

Answer 24

• imparting information
• instillation of hope
• universality
• altruism
• corrective reenactment
• development of social skills
• imitative behaviors
• existential/spiritual factors
• catharsis
• group cohesion

Question 25

occurs when the patient unconsciously and inappropriately displaces (transfers) onto the nurse feelings and behaviors related to significant figures in the patient’s past.

Answer 25

transference

Question 26

occurs when the nurse unconsciously displaces feelings related to significant figures in the nurse’s past onto the patient

Answer 26

countertransference

Question 27

goal of task group

Answer 27

accomplish task (decision making, problem solving, etc)

Question 28

optimal number of people for group

Answer 28

7-10

Question 29

goal of process group

Answer 29

deal with emotional stress, explore group interactions, focus on thoughts, behaviors, feelings

Question 30

"rules" that describe the actions/behaviors that "should" be exhibited by group members

Answer 30

norms

Question 31

phases of being in a group

Answer 31

- orientation - working - termination

Question 32

challenging behavior: pt who wants to take up all of time

Answer 32

monopolizer

Question 33

challenging behavior: pt who wants sympathy from everyone/fix their problems

Answer 33

complainer/victim

Question 34

challenging behavior: pt changes topic from important conversation

Answer 34

distractor

Question 35

challenging behavior: pt always being discouraging

Answer 35

demoralizer

Question 36

challenging behavior: pt not contributing to group

Answer 36

silent member

Question 37

how to deal with monopolizer in group meeting

Answer 37

- remind them everyone has to contribute | - ask them to limit contributions

Question 38

how to deal with disruptive member in group meeting

Answer 38

- ask them how their body is physically feeling - ask for feedback from other group members - talk to pt privately and empathize

Question 39

how to deal with silent member in group meeting

Answer 39

- allow person to have extra time to gather thoughts | - have everyone respond to certain question/topic

Question 40

yalom's therapeutic group factor: The leader shares optimism about the successes of group treatment, and members share their improvements.

Answer 40

instillation of hope

Question 41

yalom's therapeutic group factor: Members realize that they are not alone with their problems, feelings, or thoughts

Answer 41

universality

Question 42

yalom's therapeutic group factor: Participants receive formal teaching by the leader or advice from peers.

Answer 42

imparting of information

Question 43

yalom's therapeutic group factor: Members gain or profit from giving support to others, leading to improved self-esteem

Answer 43

altruism

Question 44

yalom's therapeutic group factor: Members may copy the behavior of the leader or peers and thus can adopt healthier habits

Answer 44

imitative behavior

Question 45

yalom's therapeutic group factor: A genuine expression of feelings that can be interpreted by both the patient and the group.

Answer 45

catharsis