CNUR 201 Final Exam

Question 1

Therapeutic skills for nurses and strategies

Answer 1

warmth, respect, empathy, silence, recognizing strengths , making observations

Question 2

What does therapetuic silence do

Answer 2

-Helps transmit and receive messages
-No need to fill every gap with something leave time for thought
-slowly process thoughts

Question 3

Important principles of active listening

Answer 3

• Answer is inside patient
• Everything you hear is modified by the patients filters
• Everything you hear is modified by your own filter
• Its okay to be confused or uncertain
• Listen to yourself too

Question 4

Clarifying

Answer 4

-Paraphrase
-Restate
-reflecting
-Exploring

Question 5

Non therpeutic

Answer 5

Giving premature advice, minimize feelings, falsely reassure, ask why, ask excessive questions, disapprove or disagree, change subject

Question 6

areas that are different between cultures

Answer 6

1. Communication style
2. Use of eye contact
3. Perception of touch
   Cultural filters

Question 7

seating for an interview

Answer 7

same height, 90-120 degrees, avoid desk barrier

Question 8

Introduction of interview

Answer 8

introduce yourself, purpose of meeting, who you are, how long and what time you will meet

Question 9

Components of the transtheoretical model

Answer 9

• Precontemplation ,
• Contemplation
• Preparation
• Action
• Maintenance/adaption
  Evaluation/Termination

Question 10

Group content

Answer 10

all that is said in the group

Question 11

Group process

Answer 11

the dynamics of interactions among the member

Question 12

Group norms

Answer 12

Expectation for behaviour

Question 13

Group themes

Answer 13

members expressed ideas or feelings that recur and have common thread (the leader can clarify the theme more fully)

Question 14

Things to think about as forming a group

Answer 14

Name and objective, common concern, group schedule, methods and mean

Question 15

What is a good size for a therapeutic group

Answer 15

5-12

Question 16

Phases of a group

Answer 16

Orientation, working, termination

Question 17

The orientation phase

Answer 17

involves structure and atmosphere, getting to know one another

Question 18

Working phase

Answer 18

involves guide and support conflict resolution

Question 19

Termination phase

Answer 19

involves reflection on process evaluation and follow up

Question 20

What is the transtheoretical model used for

Answer 20

Helps people take steps toward changing at their own pace

Question 21

Precontemplation

Answer 21

At this time the person is unaware of the need to change and are content with their actions

Question 22

What should the nurse do for a pateint in pre contemplation

Answer 22

Validate lack of readiness, ensourage re evaluation, encourage self exploration, explain personal risk

Question 23

Contemplation stage

Answer 23

In this stage the client is not considering making a change but is stuck in whether to make it or not

Question 24

Nurses role in contemplation stage

Answer 24

Encourage the client to make a pros and cons list, re evaluate group image through activities, identify and promoting new positive outcome

Question 25

Preparation stage

Answer 25

In this stage the client has made the decision to change and is now preparing for this

Question 26

Nurses role in preparation stage

Answer 26

encourage evaluation of pros and cons, identify and promote positive outcomes expected, offering referrals to and support of action-orientation programs such as smoking cessation

Question 27

Action phase

Answer 27

This is when the client begins to work toward the change. These actions may involve changing self awareness, emotions, self imaging, and thinking.

Question 28

What is the nurses role for action

Answer 28

help the patient with restructuring cues and triggers and solidifying socail support, enhancing self-efficacy for dealing with obstacles, helping to guard against feeling of loss and frustration especally if a laspe occurs

Question 29

Maintenance/adaption stage

Answer 29

In this stage they are in the process of making change and are now trying to maintain the changes

Question 30

Maintenance stage nurses role

Answer 30

PLanning for follow up support, reinforcing internal reward, discussing strategies for coping with triggers and relapse, pulling out positivity from situations

Question 31

Evaluation/Termination stage

Answer 31

The client is now looking back on teh changes that they have made and evaluating what they have done well on and things they need to work on going forward

Question 32

Nurses role in evaluation and termination

Answer 32

Evaluate triggers for relapse, reassessing motivation and barriers, planning and rehearse new and stronger coping strategies.

Question 33

What is motivational intervewing

Answer 33

a breif pateint centered conceptualized method of enhancing change in intrinsic motivation by exploring and resolving patients' ambivalence by using empathy, attribution, cognitive dissonance and self efficacy

Question 34

Autocratic leader

Answer 34

controls tje group and does not encourage much interaction among members

Question 35

Democratic leader

Answer 35

Supports extensive group interaction in the process of problem solving

Question 36

The dominator

Answer 36

tries to control others in the group

Question 37

The aggressor

Answer 37

criticizes and attacks others thought and opinions

Question 38

Blocker

Answer 38

oppositional, disagrees with the group

Question 39

playboy

Answer 39

acts as if they do not care

Question 40

Transference

Answer 40

Orginally idetified by sigmund freud. The patient inappropriately and unconsciously transfers negative thoughts and feelings related to personal life onto the nurse

Question 41

Counter transference

Answer 41

The nurse is transferring unconscious negative thoughts onto the client

Question 42

Orientation stage includes

Answer 42

establing rapport, parameters of the relationship, formal or onformal contract, confidentiality

Question 43

What is involved in the working phase

Answer 43

maintain the relationship, gather further data, faciliate behavioural chang, overcome resistance behaviours, evaluate problems and goals, and define them as necaary, promote practice and alternative adaptive behaviours

Question 44

what is involved in the termination phase

Answer 44

Summarize goals and objectives, discuss way for pateint to incorporate into daily life, review situations that occured during the nurse pateint relationship. Change memories which can help validate the experince for both the nurse and ht pateint relationship

Question 45

genuineness

Answer 45

conveyed by listening to and comunicating with patients without disorting their messaged and being clear and concrete in communication

Question 46

Empathy

Answer 46

Nonjudgemental or uncritical of the patient's choice. Temporarily living in the others life, moving about delicatly without judgement.

Question 47

Empathy vs sympathy

Answer 47

Empathy is understanding, sympathy is knowing how that person is feeling.

Question 48

What is self care

Answer 48

Self-care includes the key component of awareness, or "becoming consciously alert to one’s physical, mental, and emotional reactions in different situations, especially the ones that are stressful” (Crane & Ward, 2016, p. 389). Nurses can begin their self-care journey by accepting their personal responsibility to monitor and work towards enhanced wellness

Question 49

Key policy and principles for trauma and informed approaches

Answer 49

1. Understand trauma and violence, and their impacts on peoples' lives and behaviours 2. Create emotionally and physically safe environments 3. Foster opportunities for choice, collaboration, and connection 4. Provide a strengths-based and capacity-building approach to support client coping and resilience

Question 50

what is the goal of trauma informed care

Answer 50

to minimize harm not treat it

Question 51

Three important reasons to implement trauma and violence informed care approaches

Answer 51

1. To increase attention on the impact of violence on people's lives and well-being 2. To reduce harm 3. To improve system responses for everyone

Question 52

How are trauma and violence connected

Answer 52

Trauma occurs when people experience an overwhelmingly negative event or series of events, including violence violence can take many different forms and can be experienced once or many times. Violence is often the result of intentional actions to control or abuse someone, but can also have unintended consequences, such as when children are exposed to intimate partner violence.

Question 53

4 principles for implementing trauma and violence informed approach

Answer 53

1. Understand trauma and violence and their impacts on peoples' lives and behaviours 2. Create emotionally and physically safe environment 3. Foster oppurtunities for choice, collabortation, and connection

Question 54

The four essential approaches of trauma-informed care can be found in a program, organization, or system that:

Answer 54

-Realizes the widespread impact of trauma and understands potential paths for recovery. -Recognizes the signs and symptoms of trauma in clients, families, staff, and others. -Responds by fully integrating knowledge about trauma into policies, procedures, and practices. -Seeks to actively resist retraumatization.

Question 55

The six key principles of trauma-informed care include

Answer 55

1. Safety – make sure your patient and family members feel safe, both physically and psychologically. 2. Trustworthiness and transparency – trust between patients, staff, and management is vital in building strong relationships. 3. Peer support – identify individuals with similar experiences of trauma helps to create safety, builds trust, enhances collaboration, and promotes recovery and healing. 4. Collaboration and mutuality – emphasize that all members of the team, including patients, are equal. 5. Empowerment, voice, and choice – identify individual strengths and differences and utilize them as the foundation for recovery and healing. Provide the patient with choices and an opportunity to share in the decision-making process, which results in a sense of control. 6. Recognition of cultural, historical, and gender issues – set aside cultural stereotypes and biases.

Question 56

What is MBI's

Answer 56

mindful based interventions

Question 57

Types of formal meditation practice

Answer 57

-breath-based concentration meditation (attention is focused on the breath and sensations of breathing for a set period of time) , the body scan (lie on back and think of every part of the body), choiceless awareness, ( being prsent within and accepting of whatever emerges in awareness without holding) walking mediation (A practice in which walking around paying attention to the small details)