TNPR and Therapeutic Communication Flashcards

1
Q

Abstract standards that provide a person with his or her code of:
conduct are
a. values.
b. attitudes.
c. beliefs.
d. personal philosophy.

A

a. values.

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2
Q

Building trust is important in:
a. the orientation phase of the relationship.
b. the problem identification subphase of the relationship.
c. all phases of the relationship.
d. the exploitation subphase of the relationship.

A

a. the orientation phase of the relationship.

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3
Q

Ideas that one holds as true are:
a. values.
b. attitudes.
c. beliefs.
d. personal philosophy

A

c. beliefs.

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4
Q

The emotional frame of reference by which one sees the world is created by:
a. values.
b. attitudes.
c. beliefs.
d. personal philosophy.

A

b. attitudes.

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5
Q

The client tells the nurse, “My biggest problem right now is trying to deal with a divorce. “I didn’t want a divorce and I still don’t. But it is
happening anyway!”
Which of the following responses by the nurse will convey empathy?

a. “Can you tell me about it?”
b. “I’m so sorry. No wonder you’re upset.”
c. “Sounds like it has been a difficult time.”
d. “You must be devastated.”

A

c. “Sounds like it has been a difficult time.”

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6
Q

Select all that apply.
Which are specific tasks of the working phase of a therapeutic relationship?:
a. Begin planning for termination.
b. Build trust.
c. Encourage expression of feelings.
d. Establish a nurse–client contract.
e. Facilitate behavior change.
f. Promote self-esteem.

A

c. Encourage expression of feelings.
e. Facilitate behavior change.
f. Promote self-esteem.

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7
Q

Select all that apply.
Confidentiality means respecting the client’s right to keep his or her information private. When can the nurse share information about the client?

a. The client threatens to harm a family member.
b. Sharing the information is in the client’s best interest.
c. The client gives written permission.
d. The client’s legal guardian asks for information.
e. The client is discharged to the parent’s care.
f. The client admits to domestic abuse.

A

a. The client threatens to harm a family member.
c. The client gives written permission.
d. The client’s legal guardian asks for information.

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8
Q

Client: “I had an accident.”
Nurse: “Tell me about your accident.”
This is an example of which therapeutic communication technique?
a. Making observations
b. Offering self
c. General lead
d. Reflection

A

c. General lead

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9
Q

“Earlier today you said you were concerned that your son was still upset with you. When I stopped by your room about an hour ago, you
and your son seemed relaxed and smiling as you spoke to each other. How did things go between the two of you?”
This is an example of which therapeutic communication technique?
a. Consensual validation
b. Encouraging comparison
c. Accepting
d. General lead

A

a. Consensual validation
Consensual
validation—searching for mutual understanding, for accord in the meaning of the words

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10
Q

“Why do you always complain about the night nurse? She is a nice woman and a fine nurse and has five kids to support. You’re wrong
when you say she is noisy and uncaring.”
This example reflects which nontherapeutic technique?
a. Requesting an explanation
b. Defending
c. Disagreeing
d. Advising

A

b. Defending

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11
Q

“How does Jerry make you upset?” is a nontherapeutic communication
technique because it:
a. gives a literal response.
b. indicates an external source of the emotion.
c. interprets what the client is saying.
d. is just another stereotyped comment.

A

b. indicates an external source of the emotion.

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12
Q

Client: “I was so upset about my sister ignoring my pain when I broke my leg.”
Nurse: “When are you going to your next diabetes education program?”
This is a nontherapeutic response because the nurse has:
a. used testing to evaluate the client’s insight.
b. changed the topic.
c. exhibited an egocentric focus.
d. advised the client what to do.

A

b. changed the topic.

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13
Q

When the client says, “I met Joe at the dance last week,” what is the best way for the nurse to ask the client to describe her relationship with
Joe?
a. “Joe who?”
b. “Tell me about Joe.”
c. “Tell me about you and Joe.”
d. “Joe, you mean that blond guy with the dark blue eyes?”

A

c. “Tell me about you and Joe.”

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14
Q

Which of the following is a concrete message?
a. “Help me put this pile of books on Marsha’s desk.”
b. “Get this out of here.”
c. “When is she coming home?”
d. “They said it is too early to get in.”

A

a. “Help me put this pile of books on Marsha’s desk.”

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15
Q

Select all that apply.
The advantages of assertive communication are:
a. all persons’ rights are respected.
b. it gains approval from others.
c. it protects the speaker from being exploited.
d. the speaker can say no to another person’s request.
e. the speaker can safely express thoughts and feelings.
f. the speaker will get his or her needs met.

A

a. all persons’ rights are respected.
c. it protects the speaker from being exploited.
d. the speaker can say no to another person’s request.
e. the speaker can safely express thoughts and feelings.

Assertive communication is the ability to express positive and negative ideas and feelings in an open, honest, and direct way. It recognizes the rights of both parties and is useful in various situations, such as resolving conflicts, solving problems, and expressing feelings or thoughts that are difficult for some people to express.
Assertive communication can help a person deal with issues with coworkers, family, or friends. It is particularly helpful for people who have difficulty refusing another’s request, expressing emotions of anger or frustration, or dealing with persons of authority

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16
Q

Select all that apply.
Which of the following are examples of a therapeutic communication response?
a. “Don’t worry; everybody has a bad day occasionally.”
b. “I don’t think your mother will appreciate that behavior.”
c. “Let’s talk about something else.”
d. “Tell me more about your discharge plans.”
e. “That sounds like a great idea.”
f. “What might you do the next time you’re feeling angry?”

A

d. “Tell me more about your discharge plans.”
f. “What might you do the next time you’re feeling angry?”

17
Q

Identify the 4 phases of TNPR

A

Ph I : Orientation
Ph II :Identification
Ph III : Exploitation/working
Ph IV: Resolution/termination

18
Q

Orientation and preinteraction component?

Preinteraction
EXPLORE SELF IN TERMS OF:
- KNOWLEDGE & SKILLS
- FEELINGS, ATTITUDES, PREJUDICE,
- FEAR & ANXIETY OF PSYCHIATRIC CLIENTS
- COLLECT CLIENTS’ DATA.
- PLAN FOR THE FIRST INTERACTION.
- PREPARE RELEVANT KNOWLEDGE AND REVIEW GOALS OF TNPR.

Orientation
- FIRST INTERACTION BETWEEN A NURSE & CLIENT
- ESTABLISH & MAINTAIN A GOOD RELATIONSHIP.
- PERFORM A COMPREHENSIVE __.
- REDUCE CLIENTS’ __.
- IDENTIFY CLIENTS’ __.

A

Preinteraction
EXPLORE SELF IN TERMS OF:
- KNOWLEDGE & SKILLS
- FEELINGS, ATTITUDES, PREJUDICE,
- FEAR & ANXIETY OF PSYCHIATRIC CLIENTS
- COLLECT CLIENTS’ DATA.
- PLAN FOR THE FIRST INTERACTION.
- PREPARE RELEVANT KNOWLEDGE AND REVIEW GOALS OF
THE NURSE-CLIENT THERAPEUTIC RELATIONSHIPS.

Orientation
- FIRST INTERACTION BETWEEN A NURSE & CLIENT
- ESTABLISH & MAINTAIN A GOOD RELATIONSHIP.
- PERFORM A COMPREHENSIVE HEALTH ASSESSMENT.
- REDUCE CLIENTS’ ANXIETY LEVELS.
- IDENTIFY CLIENTS’ PROBLEMS.

19
Q

Identification components

A

contract setting and build rapport

20
Q

exploitation/working components

A
  • PERFORM ON-GOING HEALTH ASSESSMENT.
  • EXPLORE STRESSORS & PROBLEMS.
  • PROMOTE CLIENT’S DEVELOPMENT OF INSIGHT AND THE USE
    OF ADAPTIVE COPING.
  • OVERCOME RESISTANCE BEHAVIOURS & ANXIETY
  • NURSE & CLIENT COLLABORATIVELY WORK TO ACHIEVED THE MUTUAL GOALS.
21
Q

Termination components

A
  • ESTABLISH REALITY OF SEPARATION.
  • EVALUATE CLIENT’S PROGRESS AND GOAL
    ATTENMENT.
  • MUTUALLY EXPLORE NEGATIVE FEELINGS (E.G. ANGER, LOSS, ANXIETY, AND SADNESS) AND
    RELATED BEHAVIOURS
22
Q

What are some communication skills?

A

-open ended questions
-presenting reality
-general lead
-exploring
-theme identification
-clarification
-restating
-reflection of feelings
-focusing
-informing