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Psych > Chapter 9 - Therapeutic Communication > Flashcards

Chapter 9 - Therapeutic Communication Flashcards

(76 cards)

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1
Q

Self exam

A

a willingness to be introspective

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2
Q

Verbal communincation

A

Spoken word
Underlying emotion
Context
Connotation

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3
Q

Nonverbal communincation

A

Gestures
Expressions
Body Language

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4
Q

Therapeutic communincation

A

Ongoing process of interaction through which meaning emerges

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5
Q

What is the #1 principle of therapeutic communication?

A

The patient is the primary focus

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6
Q

Interventions should come from ___ based

A

Theory based

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7
Q

How can the nurse track the pt’s verbal communication using therapeutic communication?

A

Clarification

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8
Q

Avoid ___, ___, and ___

A

Avoid giving advice, social relationships, and changing the subject

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9
Q

What is a very important therapeutic communication principal to follow when conversing w/ pt?

A

Limit self disclosure

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10
Q

Acceptance

A

Encouraging and receiving info in a nonjudgemental and interested manner

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11
Q

The use of acceptance is usefully when:

A

Establishing a rapport and trust

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12
Q

Confrontation

A

Presenting the pt. with a different reality of the situation

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13
Q

Doubt

A

Expressing/voicing doubt when a pt. relates a situation

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14
Q

Why would the nurse use doubt?

A

To guide the pt. toward other explanations

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15
Q

Interpretation

A

Putting into words what the pt. is implying/feeling

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16
Q

Why would the nurse use Interpretation?

A

Help the pt. identify underlying thoughts or feelings?

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17
Q

Observation

A

Stating to the pt. what the nurse is observing

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18
Q

Open-ended questions

A

Introducing an idea and letting the pt. respond

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19
Q

Reflection

A

Redirecting the idea back to the pt. for classification about what is important
It gives pt. permission to have feelings they may not realize they have

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20
Q

The pt. is explaining ideas about getting a job and ask the nurse what the nurse thinks the pt. should do. What therapeutic techniques is useful here?

A

Reflection - when the pt. is asking for the nurse’s approval or judgement

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21
Q

Restatement

A

Repeating the main idea expressed

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22
Q

Silence

A

remaining quiet but nonverbally expressing interest during an interaction

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23
Q

Validation

A

Clarifying the nurse’s understanding of the situation

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24
Q

Why would the nurse use validation?

A

When the nurse is trying to understand the situation the pt. is trying to describe

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25
Communication blocks
``` Advice (#1) Agreement Challenges (disputing pt. beliefs) Reassurance Disapproval ```
26
The pt. is very anxious while the nurse is interviewing her. The nurse notices that her own speech is becoming faster and shaky. What is this called?
Empathetic linkage- direct communication of feelings
27
Intimate zone
whispering | embracing
28
Personal zone
Close friends
29
Social zone
For acquaintances
30
Public zone
Interacting with strangers
31
Defense Mechanisms
Psychological mechanisms that help an individual respond to and cope with emotional conflicts and external stressors
32
Acting out
Using actions rather than reflections/feelings during periods of emotional conflict
33
Affiliation
Turing to other for help or support
34
Altruism
dedicating life to meeting the needs of others - receives gratification from others
35
Anticipation
Experiencing emotional reactions in advance or anticipating consequences of possible future events and considering realistic alternative solutions
36
Autistic Fantasy
Excessive daydreaming as a substitute for human relationships, more effective action or problem-solving
37
Devaluation
Attributing exaggerated negative qualities to self or others Ex. A boy has been rejected by his long-time girlfriend. He tells his friends that he realizes that she is stupid and ugly.
38
Displacement
Transferring a feeling about or a response to one object onto another Ex. A child is mad at her mother for leaving for the day but says she is really mad at the sitter for serving her food she does not like.
39
Denial
Refusing to acknowledge some painful aspect of external reality or subjective experience
40
Dissociation
An adult relates severe sexual abuse experienced as a child but does it without feeling. She says that the experience was as if she were outside her body watching the abuse.
41
Help-rejecting/Complaining
Complaining or making repeated requests for help. Rejecting suggestions or advice
42
Humor
Emphasizing the amusing or ironic aspects of the conflict or stressor
43
Idealization
Attributing exaggerated positive qualities to others
44
An adult falls in love and fails to see the negative qualities of their significant other, is an example of:
Idealization
45
Intellectualization
Excessive use of abstract thinking or the making of generalizations to control or minimize disturbing feelings
46
Isolation of affect
Separation of ideas from the feelings originally associated with them
47
An individual looses touch with the feelings associated with rape while remaining aware of the details is an example of:
Isolation of affect
48
Omnipotence
Feeling or acting as if one possesses special powers or abilities and is superior to others
49
Passive aggression
Indirectly and unassertively expressing aggression toward others
50
Projection
Falsely attributing to another one's own unacceptable feelings, impulses, or thoughts
51
Projective identification
Falsely attributing to another's own unacceptable feelings, impulses, or thoughts.
52
A child is angry at a parent but the child accuses the parent of being angry is an example of:
Projection
53
A child is angry at a parent who in turn becomes angry at the child but not sure why. The child then feels justified at being angry at the parent is an example of:
Projective identification
54
Rationalization
Concealing the true motivations for one's own thoughts, actions, or feelings through elaboration of reassuring or incorrect explanations
55
Reaction formations
Substituting behavior, thoughts, or feelings that are opposite from one own's unacceptable thoughts or feelings
56
Reaction formation usually occur with ___
Repression
57
A wife find out her husband is having an affair. She tells her friend she thinks the affairs are perfectly appropriate. She truly does not have any anger or hurt. Is an example of:
Reaction formation
58
Repression
Expelling disturbing wishes, thoughts, or experiences from conscious awareness
59
A woman does not remember the experience of being raped is an example of:
Repression
60
Self-assertion
Expressing feelings and thoughts directly in a way that is not coercive or manipulative
61
A woman reaffirms that going to a ball game is not what she wants to do is an example of:
Self-assertion
62
Self-observation
Reflecting feelings, thoughts, motivation, and behavior and responding to them appropriately Ex. An individual notices an irritation at his friend’s late arrival and decides to tell the friend of the irritation.
63
Splitting
Compartmentalizing opposite affect states and failing to integrate the positive and negative qualities to the self or others in cohesive images
64
Sublimination
Channeling potentially maladaptive feelings or impulses into socially acceptable behavior
65
An adolescent boy is very angry with his parents he channeling this by hitting someone very hard in football practice is an example of:
Sublimination
66
Suppression
Internally avoiding thinking about disturbing problems, wishes, feelings, or experiences
67
A student is anxiously awaiting a test result but goes to a movie to stop thinking about it is an example of:
Suppression
68
Undoing
Words or behaviors designed to negate or to make amends symbolically for unacceptable thoughts, feelings, or actions
69
Symbolism
The use of a word or phrase to represent an object, event, or feeling
70
Which theorist suggests building a nurse-patient relationship?
Hildegarde Peplau
71
Orientation phase
First meeting Confidentiality is addressed The pt. may test the relationship
72
Working Phase
Identification of problems | Problem solving
73
Resolution phase
Problem resolve | Relationship ends
74
Transference
Unconscious assignment to others of the feelings and attitudes that the pt. originally associated with important figures
75
Countertransference
The provider's emotional reaction to the pt. based on unconscious needs and conflicts
76
The nurse and pt. are in the termination phase of their relationship. The nurse noticed the pt. keeps bringing up problems that have previously been solved. What does the nurse interpret the pt. is doing?
The pt. is attempting to prolong the relationship and avoid it ending Nurse should reassure that they have already solved these problems

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