Therapeutic relationships

Question 1

Caregiver verbal and nonverbal techniques that focus on the care receiver’s needs and advance the promotion of healing and change.; encourages exploration of feelings and fosters understanding of behavioral motivation; nonjudgmental , discourages defensiveness and promotes trust.

Answer 1

Therapeutic communication

Question 2

Nurse faces patient, make eye contact, and says, “My name is Mary Day, and I
will be your nurse today.”

Answer 2

example of Congruence - (Verbal and nonverbal components match.)

Question 3

1. Verbal
2. Non-verbal
3. Accuracy
4. Congruency

Answer 3

Concepts of communication

Question 4

Nurse sits next to patient, makes eye contact, leans forward, and says, “Rosie,
I am glad we have this opportunity to work on some of your problems together.”

Answer 4

example of Positive regard - (Verbal and

nonverbal components provide the patient with a message of personal regard.)

Question 5

Patient shakes nurse’s hand very hard. Nurse says, in a normal tone of voice, “Tom, I’m always pleased to shake hands when we meet, but you don’t need to squeeze so hard!”

Answer 5

example of acceptance - (lets patient know nurse likes to meet him, but places boundary)

Question 6

Paraphrasing, restating, reflecting, and exploring are techniques used for the purpose of …

Answer 6

clarifying

Question 7

Is descriptive rather than evaluative and focuses on the behavior rather than on the client ; specific; directed toward behavior that the client has the capacity to modify ; should impart information rather than offer advice; given at earliest appropriate opportunity

Answer 7

Feedback

Question 8

expressing uncertainty as to the reality of the clients perceptions; used with clients experiencing delusional thinking

Answer 8

Voicing doubt vs disagreeing

Question 9

I see you have put on a clean dress and combed your hair.

Answer 9

Giving recognition vs complimenting

Question 10

” Do you think I should tell my husband about my affair ? - N: “ Do you think you should tell him ?

Answer 10

Reflecting vs giving advice

Question 11

Involves directing the conversation toward specific information but allowing the client provide personal input divulging the needed information; this type of interpersonal communication plays major role in psychiatric nursing

Answer 11

Facilitative communication

Question 12

The ability to see beyond outward behavior and to understand the situation from the client point of view

Answer 12

Empathy

Question 13

Representation of the self and a tool that can be used to increase self-awareness

1. The open or public self (Susan -nurse, adult child of alcoholic - volunteer at AA)
2. The unknowing self ( Susan’s detox pts think she is cold and judgmental ; she is unaware)
3. The private self ( Susan prefer not to take care of detox pts , but she doesn’t want anyone to know)
4. The unknown self ( Susan and pts are unaware that she is satisfying unfulfilled personal needs)

Answer 13

The Johari Window

Question 14

Nurse actually shares what the client is feeling and experiences a need to alleviate distress

Answer 14

Sympathy - non therapeutic

Question 15

1. rapport
2. trust
3. respect
4. genuineness
5. empathy

Answer 15

essential to development of a therapeutic relationship

Question 16

1. Observe for escalation of anger
2. Ensure that sufficient stuff are available
3. Talking down
4. Physical outlets (punching pillow)
5. Offer client choice of taking medication voluntary
6. Call for assistance
7. Restrains (order within an hour)

Answer 16

Dealing with Aggression