Ch. 6 Relationship Development and therapeutic Communication

Question 1

Preinteraction phase

Answer 1

• first encounter
• obtain info from patient chart, significant others, or health team members.
• examine ones feelings, fears, and anxieties

Question 2

Orientation (introductory) phase

Answer 2

• become acquainted
• create environment for trust and rapport
• establish a contract for intervention that details the expectations and responsibilities of nurse/client
• gather assessment info to build strong client base
• identify client’s strengths and limitation
• formulating nursing diagnosis
• setting goals mutually agreeable with nurse and client
• develop plan of action that is realistic for meeting established goals
• exploring feelings of client and nurse

Question 3

Working phase

Answer 3

• maintaining trust and rapport
• promote client’s insight and perception of reality
• problem solving
• overcome resistance behaviors
• continuously evaluate progress toward goal attainment

Question 4

Termination phase

Answer 4

• progress has been made toward attainment of mutually set goals
• plan for continuing care during stressful life experiences is mutually established by nurse and client
• nurse and client might feel sadness (client experiences growth

Question 5

when client unconsciously displaces to the nurse feelings formed towards a person from past

Answer 5

transference

Question 6

refers to the nurse’s behavioral & emotional response to the client

Answer 6

countertransference

Question 7

physical property that can be seen

Answer 7

material boundaries

Question 8

boundaries established within a culture and define how individuals are expected to behave in social situations

Answer 8

social boundaries

Question 9

boundaries defined for themselves; physical distance boundaries; physical space; emotional boundaries

Answer 9

personal boundaries

Question 10

allow client to control discussion; organize thoughts

Answer 10

silence

Question 11

conveys positive regard

Answer 11

accepting

Question 12

acknowledging, indicating awareness

Answer 12

giving recognition

Question 13

making oneself available

Answer 13

offering self

Question 14

allow client to select the topic

Answer 14

giving broad openings

Question 15

encourage client to continue

Answer 15

offering general leads

Question 16

clarifies the relationship of events in time
“what seemed to lead up to…?
“was this before or after..?”

Answer 16

placing the event in time or sequence

Question 17

verbalizing what is observed or percieved

Answer 17

making observations

Question 18

asking client to verbalize what is being perceived

Answer 18

encouraging description of perceptions

Question 19

asking client to compare similarities and differences in ideas

Answer 19

encouraging comparison

Question 20

let client know whether an expressed statement has or has not been understood

Answer 20

restating

Question 21

direct question or feelings back to client so they feel recognized and accepted

Answer 21

reflecting

Question 22

taking notice of a single idea or word

Answer 22

focusing

Question 23

delving further into subject

Answer 23

exploring

Question 24

striving o explain what is vague and searching for mutual understanding

Answer 24

seeking clarification and validation

Question 25

clarifying misconceptions that client may be trying to say or express

Answer 25

presenting reality

Question 26

expressing uncertainty as to the reality of client's perception

Answer 26

voicing doubt

Question 27

putting into words what client has only implied

Answer 27

verbalizing the implied

Question 28

putting into words the feelings the client has expressed only indirectly

Answer 28

attempting to translate words into feelings

Question 29

striving to prevent anger or anxiety escalating to unmanageable level whens stressor recur

Answer 29

formulating plan of action