TERM 3- MY NOTES MENTAL HEALTH NURSING CARE CH.5 "THE NURSE-CLIENT RELATIONSHIP AND COMMUNICATION" Flashcards Preview

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Flashcards in TERM 3- MY NOTES MENTAL HEALTH NURSING CARE CH.5 "THE NURSE-CLIENT RELATIONSHIP AND COMMUNICATION" Deck (133)
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THE NURSE CLIENT-RELATIONSHIP AND COMMUNICATION

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1

Therapeutic Use of Self

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2

The therapeutic use of self is the ability to use the self, consciously and in full awareness, to structure nursing interventions.
A)true
B)false

A

3

Nurses who are aware of their own real selves are in a better position to help their clients
A)true
B)false

A

4

If nurses are to have open, authentic communication with clients, they must be able to examine their own feelings and appreciate how their feelings interact with those of clients
A)true
B)false

A

5

Nurse-Client Relationship

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6

You talk to a friend about your troubles and she calks about hers. There is mutual satisfaction. In a social relationship there is no goal except friendship or socializing. There is no time limit. Both parties freely express feelings and opinions
A)true
B)false

A

7

The features of the professional therapeutic relationship are as follows:
• Client centered
• Goal directed
• Time limited

True

8

In the professional relationship, the nurse may take on different roles (such as socializing agent, advocate, counselor, or reacher), but the relationship always focuses on the cLient's needs. The professional relationship is also goal directed. The purpose of these relationships is to help the client meet adaptive (healthy) goals.
A)true
B)false

A

9

Unlike the social relationship, the professional relationship is time limited. The nurse and client define how much time they are willing and able to spend. When the nurse is off work or the client is discharged from the facility, the relationship is over.
A)true
B)false

A

10

The appropriate degree of objectivity (detachment or neutrality, without emotion) is also important to the professional relationship. A common but erroneous assumption is that nurses must remain completely objective. If nurses were completely objective, they would be detached from concern about clients. Nurses should be open and aware of their own feelings to be able to help clients.
A)true
B)false

A

11

Sometimes what the client needs is a social conversation. People with chronic mental illnesses often have poor social skills and need practice. People in long-term care may have few social contacts. In these situations, the nurse uses social interaction with clients as a nursing intervention to meet client needs. This is not the time for nurses to discuss their own personal problems.
A)true
B)false

A

12

PHASES OF THE RELATIONSHIP

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13

The nurse-client relationship has three phases: the orientation phase, the working phase, and the termination phase.
A)true
B)false

A

14

In the orientation phase, the nurse and the client set the stage for the relationship to follow. They introduce themselves and set goals for the interaction. In the medical-surgical setting, a goal may be to learn about a new medication or treatment, or perhaps to discuss how the client feels about a surgical procedure. In the psychiatric setting, a goal may be to explore feelings or to develop problem-solving strategies. The time limit of the relationship is stated during this phase.
A)true
B)false

A

15

In the working phase, the nurse implements interventions to reach the goals set during the orientation phase. The nurse and client work together to achieve the client's optimal level of functioning and self-care, based on the client's strengths and challenges. One important possible nursing intervention in this phase is therapeutic communication.
A)true
B)false

A

16

After the work of the working phase is done, the termination phase begins. In this phase the nurse and the client summarize their progress and evaluate the achievement of the client's goals. The nurse learns from this process about which interventions are effective and which are not. The client then moves on to other relationships.
A)true
B)false

A

17

ELEMENTS OF THE NURSE-CLIENT RELATIONSHIP

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18

The qualities of trustworthiness, caring , empathy, genuineness, respect, and concreteness empower the nurse to excel in the art of nursing.
A)true
B)false

A

19

Elements of the Therapeutic Nurse-Client Relationship

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20

Trustworthiness
Trustworthiness is behavior that is predictable, competent, and in the client's best interest. Trust is the foundation of the nurse-client relationship.

Caring
Caring is the concern for the well-being of another. It includes commitment, compassion, competence, confidence, and conscience. Caring is the basis for nursing itself.

Empathy
Empathy is the ability to understand a situation from the client's point of view and to communicate this understanding to the client. Empathy is necessary for the client to feel understood.

Genuineness
Genuineness is honesty, sincerity, openness, and congruence in verbal and nonverbal messages.

Respect
The nurse gives respect (unconditional positive regard without judgment, regardless of the client's situation or past behavior). This does not imply that the nurse condones inappropriate behavior, but assumes that the nurse will accept the client as a person, exactly as she/he is.

Concreteness
Concreteness is the use of realistic language, rather than jargon or medical terminology. The client is assisted to do realistic problem solving and to develop insight.

True

21

Communication Process

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22

Communication involves sending and receiving a message. This seemingly simple process is really very complex. The sender of the message may express spoken or written words, body gestures or movements, music, art, or touch.

The way the receiver accepts the message depends on the receiver's culture, language, gender, sensory function, cognitive abilities, experiences, and expectations.

The sending and receiving of messages are affected by the environment and by the circumstances in which the message is sent .

True

23

Feedbctck is the response of the receiver to the message. The receiver's feedback alerts the sender to how the receiver perceived the message. Feedback may be verbal or nonverbal. Assessing the client's feedback is important for the nurse, because it allows the nurse to clarify misunderstandings or unclear messages as soon as possible.
A)true
B)false

A

24

TYPES OF COMMUNICATION

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25

Written communication includes handwriting, typing, pictures, and inanimate messages, without interpersonal contact. The Internet has shown us how much can be communicated in this way.
A)true
B)false

A

26

Verbal communication includes spoken messages. lt includes both what we say and how we say it. Cultural Pulse Points provides an explanation of how factors such as rare and loudness of speech can affect its meaning. Think about the limitation of messages transmitted by radio or what can be sent and received by telephone.
A)true
B)false

A

27

Nonverbal communication refers to all of the messages that are sent without words and makes up the majority of the communication process. Yes, most communication is nonverbal. Nonverbal communication includes body movements, actions, posture, and gestures; body position and closeness; and facial expressions, and touch
A)true
B)false

A

28

Touch is an important aspect of nonverbal communication. Touch is frequently used by nurses to convey reassurance, support, and caring. Like other forms of communication, the meaning of touch lies not only in the sender's intentions but also in the receiver's perception. For this reason nurses must use touch carefully.
A)true
B)false

A

29

Touch can be professional/functional (client care), social/polite (a handshake), friendship/warmth (hugs between friends or a pat on the back), loving/intimate (kissing or hugging relatives or close friends), or sexual/ arousing (between lovers). Considering all the potential errors in communication, it is possible that the sender could intend one meaning of touch and the receiver could perceive a different meaning
A)true
B)false

A