Topic 7

Question 1

what are the guidelines for conducting an interview

Answer 1

speak briefly
when you do not know what to say, say nothing
when in doubt, focus on feelings
avoid advice
avoid relying on question
pay attention to nonverbal cues
keep the focus on the client

Question 2

therapeutic communication

Answer 2

refers to a dynamic interactive process entered into by health care providers with their patient and the significant others for the purpose of achieving identified health realted goals
help build rapport with the patient

Question 3

what are the phases of the interview process

Answer 3

phase 1: orientation
phase 2: working
phase 3: termination

Question 4

phase 1

Answer 4

orientation: assessment phase, what is their health status based or their view (goals set) MOST IMPORTANT AS YOU ARE BUILDING TRUST WITH THE PATIENT

Question 5

phase 2

Answer 5

working: planning and implementation of interventions needed

Question 6

phase 3

Answer 6

termination: goals are accomplished (discharged) relationship with the client ends

Question 7

nonverbal communication

Answer 7

eye contact
active listening
personal space (1.5-3or4 feet)
touch
facial expressions
gestures
body language
personal appearance

Question 8

verbal communications

Answer 8

words: to clarify beliefs and values; communicate perception and meanings (tone, speed, pauses, ect.)
clairifying techniques
honest

Question 9

therapeutic communication across cultures

Answer 9

communication styles (hand gestures, facial expressions, ect)
use of eye contact
perception of touch
cultural filters

Question 10

what are cultural filters

Answer 10

a format of cultural bias or prejudice

Question 11

stereotyping

Answer 11

a bias believing every member of a selective group is like all the rest

Question 12

what are the communication techniques?

Answer 12

use of silence
active listening
clarifying techniques
“what if” or miracle questions

Question 13

use of silence

Answer 13

silence can be influencing as it helps encourage the client to think; respond when they are ready; to know that you are there for them

Question 14

active listening

Answer 14

observe the clients nonverbal communication, listen to the message; understand; listen fro false notes; provide feedback

Question 15

what are the clarifying techniques

Answer 15

paraphrasing
restating
reflecting
exploring

Question 16

paraphrasing

Answer 16

restating in few words what was said

Question 17

restating

Answer 17

echoing feelings; saying the same KEY WORDS that the client used

Question 18

reflecting

Answer 18

may be a question or mirroring back to the clients feelings

Question 19

exploring

Answer 19

away to elicit more information such as “tell me more, describe, give me an example”

Question 20

what if to miracle questions

Answer 20

help establish the client to envision where they are going in the future (clients may want to know their future but as the nurse you cannot predict the future!!)

Question 21

what are some non therapeutic techniques

Answer 21

excessive questioning
giving approval or disapproval
giving advice
asking “why” questions
changing the subject

Question 22

excessive questioning may suggest…

Answer 22

you aren’t understanding them

Question 23

giving approval or disapproval may suggest..

Answer 23

that you think the client is correct or incorrect, so you are judging them

Question 24

giving advice suggests…

Answer 24

clients decisions are not valid

Question 25

asking "why" questions suggests...

Answer 25

comes across as an attack and that you dot believe them

Question 26

changing the subject suggests...

Answer 26

no interest in the clients opinion or what the client has to say

Question 27

Dr. Charles Lewien

Answer 27

how to talk to different age groups

Question 28

what are some considerations when providing effective therapeutic communication skills

Answer 28

lifetime experiences conditioning predisposition and inherited characteristics life cycle and life span relationship to others abilities and disabilites vocation (what they do for a living) cultural background communication styles across the lifespan

Question 29

age range for infant

Answer 29

newborn to 12 mo

Question 30

infant communication techniques

Answer 30

totally dependent on caregiver communicate through CRYING OR SMILING

Question 31

infant therapeutic respinse

Answer 31

provide for infants physical and emotion needs by 12 months, infants say 3-5 words with meaning swaddle and hold infant in arms take time to listen and address caregiver

Question 32

children communication overview

Answer 32

do not fully understand what is happening to them no comprehension of how medications or treatments work and how it will make them feel better think meds are punishment fear of the unknown and understanding

Question 33

age range of toddler

Answer 33

1-3 years

Question 34

toddler communication techniques

Answer 34

regress to infantile behaviors when stressed (they think its safer) LITERAL with interpretation of word (take BP, they think you are actually taking something from them)

Question 35

toddler therapeutic response

Answer 35

use consistency; routines are important explain using very basic words approach slowly

Question 36

preschooler age range

Answer 36

3-5 years old

Question 37

preschooler communication techniques

Answer 37

follow simple commands but only ONE AT A TIME LITERAL with interpretation of words

Question 38

preschooler therapeutic response

Answer 38

eye contact sit down at their level approach slowly

Question 39

school age range

Answer 39

6-12

Question 40

School age lifespan considerations

Answer 40

transition from home to school

Question 41

school age therapeutic response

Answer 41

use terms understandable to child give choices provide encouragement and praise be honest

Question 42

adolescent age range

Answer 42

13-18 years

Question 43

adolescent lifespan considerations

Answer 43

transitioning from childhood to adulthood -fight for independence -need comfort and security difficult time -demands from family school peers society body changes (puberty need something to feel good about acne difficult time for parents -transition -opposing views

Question 44

adult lifespan considerations

Answer 44

recognize characteristics -working toward career goals -earning a living -establish primary relationships -making a place in their community -raising a family STRESS -info and assistance in parenting and daily living -extended psychological adolescent period -still pursuing education -still living with parents (boomerang generation)

Question 45

older adult lifespan considerations

Answer 45

fewer acute illnesses (chronic illness management) more freedom (empty nest, retirement) final stage (no longer needed, bored, lack of energy to participate in activities, fear off loss) interests in younger years tend to remain the same (active vs non active social vs nonsocial)

Question 46

2010 census bureau

Answer 46

number of people >85 had increased to more than 1.9 million expect to quadruple

Question 47

"young old"

Answer 47

65-74

Question 48

"old"

Answer 48

74-84

Question 49

"oldest-old"

Answer 49

85+

Question 50

centenarians

Answer 50

100+