MODULE 7

Question 1

This refers to an interpersonal interaction between the nurse and client during which the nurse focuses on the client’s specific needs to promote an effective exchange of information.

Skilled use of _____techniques helps the nurse understand and empathize with the client’s experience. All nurses need skills in ______ to effectively apply the nursing process and to meet standards of care for their clients.

Answer 1

THERAPEUTIC COMMUNICATION

Question 2

Essentials for effective therapeutic communication

Answer 2

1. Ensure privacy and respect boundaries
2. Touch
3. Active Listening
4. Active Observation

Question 3

People feel more comfortable communicating when in a private setting and with smaller distances from each other? how many feet?

Answer 3

Ensure privacy and respect boundaries

Question 4

a client can be comforting and supportive when it is welcome and permitted. The nurse should observe the client for cues that show if ____ is desired or indicated

Answer 4

Touch

Question 5

____ a client can be comforting and supportive when it is welcome and permitted. The nurse should observe the client for cues that show if ___ is desired or indicated

Answer 5

Touch

Question 6

refraining from other internal mental activities and concentrating exclusively on what the client says

Answer 6

Active Listening

Question 7

watching the speaker’s nonverbal actions as he or she communicates

Answer 7

Active Observation

Question 8

Therapeutic Communication Techniques

Answer 8

Accepting
Broad opening
Consensual validation
Encouraging comparison
Encouraging description of perceptions
Encouraging expression
Exploring
Focusing
Formulating a plan of action
General leads
Giving information
Giving recognition
Making observation
Offering self
Reflection
Restating
Seeking information

Question 9

Indicating reception

Answer 9

Accepting

Question 10

Allowing the client to take the initiative in introducing the topic

Answer 10

Broad openings

Question 11

Searching for mutual understanding for accord in the meaning of the words

Answer 11

Consensual validation

Question 12

Asking that similarities and differences be noted

Answer 12

Encouraging comparison

Question 13

Asking the client to verbalize what he or she perceives

Answer 13

Encouraging description of perceptions

Question 14

Asking client to appraise the quality of his or her experiences

Answer 14

Encouraging expression

Question 15

Delving further into a subject or idea

Answer 15

Exploring

Question 16

Concentrating on a single point

Answer 16

Focusing

Question 17

Asking the client to consider kinds of behavior likely to be appropriate in future situations

Answer 17

Formulating a plan of action

Question 18

Giving encouragement to continue

Answer 18

General leads

Question 19

Making available the facts that the client needs

Answer 19

Giving information

Question 20

Acknowledging, indicating awareness

Answer 20

Giving recognition

Question 21

Verbalizing what the nurse perceives

Answer 21

Making observation

Question 22

Making oneself available

Answer 22

Offering self

Question 23

Directing client actions, thoughts and feelings back to client

Answer 23

Reflecting

Question 24

Repeating the main idea expressed

Answer 24

Restating

Question 25

Seeking to make clear that which is not meaningful or that which is vague

Answer 25

Seeking information

Question 26

is behavior that a person exhibits while delivering verbal content. It includes facial expression. eye contact, space, time, boundaries, and body movements. Nonverbal communication is as important, if not more so than verbal communication. It is estimated that ____ of meaning is transmilted by words and _____ is communicated nonverbally

Answer 26

Nonverbial communication one-third two-third

Question 27

Nontherapeutic Communication Techniques or Blocks to Therapeutic Communication

Answer 27

Belittling Disagreeing Defending Stereotyped responses Changing the subject False Reassurance Giving advice Agreeing Focusing on self

Question 28

Statement tends to make light of the patient's fear and beliefs. Real feelings not exploited.

Answer 28

Belittling

Question 29

Response which indicates that the nurse believes the patient to be incorrect. It generally relates to the cognitive rather than affective domain

Answer 29

Disagreeing

Question 30

Used to repel a verbal attack. It conveys anxiety in the nurse. I defend nurse's ego but put patient on the defensive.

Answer 30

Defending

Question 31

Common statement made without sincerity. Patient recognized this and won't respond anymore

Answer 31

Stereotyped responses

Question 32

Different subject is introduced to prevent talking about the topic that causes anxiety

Answer 32

Changing the subject

Question 33

Some reassuring statements are not sincere and make patient loss confidence to the nurse

Answer 33

False Reassurance

Question 34

Tells the patient what the nurse thinks the patient should do. This suggests that some pressure is being placed on the patient to accept a prescribed course of action. If advice is accepted and situation is unimproved the nurse is to be blamed by the patient.

Answer 34

Giving advice

Question 35

It closes communication and belittles patient's concern It shows no understanding of patient's feeling and leaves no room for further discussion.

Answer 35

Agreeing

Question 36

Responding in a way that focuses attention to the nurse instead of the client.

Answer 36

Focusing on self