Theraputic Communication

Question 0

The development of self-awareness requires a willingness to be __________

Answer 0

Introspective

Question 1

The process of understanding ones own beliefs, thoughts, motivations, biases, and limitations, and recognizing how they affect others

Answer 1

Self-awareness

Question 2

Phases of a Nurse-Patient Relationship

Answer 2

Preinteraction phase, orientation phase, working phase, termination phase

Question 3

What phase is the relationship when there is self-exploration (prejudices, misconceptions, fears, anxiety) by the nurse

Answer 3

Printeraction phase

Question 4

What stage may you see testing behaviors? Is this normal?

Answer 4

Orientation phase and testing behaviors is fairly normal

Question 5

If the nurse is thinking “why does the client need help?” What phase is this

Answer 5

Orientation phase

Question 6

What happens in the working phase of a nurse-patient relationship?

Answer 6

When more of the therapeutic work is done, client insight, change in behavior

Question 7

What goes on during the termination phase?

Answer 7

It is a difficult but important phase. There should be discussion on feelings and progress. May feel loss, sadness, rejection, and/or anger that need to be discussed. You should prepare for the termination stage in advance so you can work through separation

Question 8

What are some reactions to termination

Answer 8

Client may deny separation, deny importance of relationship, express anger, regress to earlier stage, cope with anxiety about separation, can be difficult for nurse as well

Question 9

What does restating show?

Answer 9

Repeating the main though of the patient shows you are listening

Question 10

What type of space is 12 feet or more

Answer 10

Public space

Question 11

What type of space is 9-12 feet?

Answer 11

Social-consultative space

Question 12

What type of space is 18 inches-4 feet

Answer 12

Personal space

Question 13

What type of space is up to 18 inches

Answer 13

Intimate space

Question 14

What are the four body zones

Answer 14

Intimate, personal, social, public zones

Question 15

What zone will the patient allow the nurse to enter? When will they express discomfort?

Answer 15

Will allow nurse to enter the personal zone but may express discomfort if the nurse breaches the intimate zone

Question 16

Being specific in terminology

Answer 16

Concreteness

Question 17

Open, honest, sincere

Answer 17

Genuineness

Question 18

“unconditional positive regard”

Answer 18

Respect

Question 19

Understanding another’s situation as if it was your own but remembering the “as if” quality

Answer 19

Empathic understanding

Question 20

What is the goal of a therapeutic relationship

Answer 20

To achieve the patients optimal growth

Question 21

That are some verbal communication techniques

Answer 21

Listening, acceptance, broad openings, restating, and clarification

Question 22

What are some techniques that inhibit communication

Answer 22

Advice, agreement, challenges, reassurance, disapproval

Question 23

Does reassurance help or inhibit communication? Why?

Answer 23

Inhibits because telling the patient everything will be ok may not be true. The patient is blocked from exploring their feelings

Question 24

Is advice a good communication technique?

Answer 24

No telling a patient what to do inhibits communication because the nurse solves the patients problem, which may not be the appropriate solution and encourages dependency on the nurse

Question 25

Is agreement a good communication technique?

Answer 25

No it inhibits communication because the patient is denied the opportunity to change his or her view now that the nurse agrees

Question 26

What is nurse self-disclosure

Answer 26

Revealing of personal information

Question 27

Release of feelings

Answer 27

Emotional catharsis

Question 28

Unconscious assignment to others of the feelings and attitudes that the patient originally associated with important feelings

Answer 28

Transference

Question 29

The providers emotional reaction to the patient based on personal unconscious needs and conflicts

Answer 29

Countertransference