Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
43 Cards in this Set
- Front
- Back
What/who is the focus of therapeutic communication?
|
The patient
|
|
What are the goals of therapeutic communication? (5)
|
1. Establish therapeutic relationship
2. Identify most important patient concern 3. Facilitate patient's expression of emotions 4. Implement interventions 5. Guide patient toward plan of action |
|
What is the nurse attempting to accomplish with therapeutic communication?
|
1. interpersonal relationship with the patient
2. understand and empathize with the patient 3. accomplish the 5 goals |
|
What are the 3 types of relationships?
|
1. Social
2. Intimate 3. Therapeutic |
|
What defines a social relationship?
|
Friendship, socialization and companionship
|
|
People who are emotionally committed to each other are said to have a _____ relationship.
|
Intimate
|
|
This type of relationship focuses on needs, experiences, feelings and ideas of the patient?
|
Therapeutic
|
|
In verbal communication,what do spoken words convey?
|
1. Thoughts/feelings
2. Beliefs, values, attitudes and culture 3. Perceptions and meanings |
|
What are the 4 types of nonverbal communication?
|
1. Facial expressions
2. Body language 3. Vocal cues 4. Eye contact |
|
What must the nurse look/listen for in terms of vocal cues related to non-verbal communication?
|
1. Volume
2. Tone 3. Intensity 4. emphasis 5. rate |
|
If two people are standing 18-37 inches apart, they are thought to be in the _____ zone?
|
Personal
|
|
What distance relates to the intimate zone?
|
6-18 inches
|
|
What is an appropriate distance for individuals to maintain in a social setting?
|
37 inches - 3 yards
|
|
What is proxemics? What must be considered for its use?
|
the study of use of proximity for therapeutic use.
Must take into consideration the patients culture |
|
What factor in therapeutic communication is desirable but not always possible?
|
Privacy
|
|
What are the two ways touch can be interpreted?
|
1. comforting/therapeutic
2. invasion of space |
|
How can a nurse accomplish active listening and observation?
|
1. refrain from other mental activities
2. pay attention to nonverbal cues |
|
If a nurse asks her patient, "where would you like to begin?" what therapeutic communication technique is she using?
|
Broad openings
|
|
Give an example of exploring?
|
"Tell me more about that."
|
|
If a nurse says "And then? or Go on.." she is using what technique?
|
General lead
|
|
If a nurse tells her patient that she will sit with them for a while, and then does so quietly, what techniques is she using?
|
Offering of self and use of silence.
|
|
What is a proper "reflecting" response to the question, "do you think I should tell the doctor?"
|
"Do you think you should?"
|
|
What technique should the nurse use who wants to present a different reality of the situation at hand to the patient?
|
Confrontation
|
|
To put to words what the patient is implying it what technique of therapeutic communication?
|
Interpretation
|
|
A nurse that has acknowledged what the patient has said just used the therapeutic technique of ____?
|
validation
|
|
What is the technique of repeated the patient's main idea?
|
restatement
|
|
List the 8 barriers to communication.
|
1. Failure to listen
2. Judgemental atitude 3. Disagreement or criticism 4. Asking excessive question 5. giving advice 6. belittling feelings expressed 7. Changing the subject 8. False reassurance |
|
What are 8 defense mechanisms that a patient can use?
|
1. Denial
2. Displacement 3. Idealization 4. Projection 5. Rationalization 6. Reaction formation 7. Repression 8. Undoing |
|
A patient that refuses to accept reality is said to be in _____?
|
Denial
|
|
What is the term for directing anger toward a substitute?
|
Displacement
|
|
What is idealization?
|
attributing exaggerated positive qualities to another
|
|
Define projection.
|
Attributing unacceptable thoughts/feeling to others
|
|
If a patient is constantly finding justification of ideas, action or feelings, what defense mechanism is he/she using?
|
Rationalization
|
|
What is the defense mechanism, reaction formation?
|
Expressing the opposite feeling
|
|
What is repression?
|
Defense mechanism of expelling disturbing wishes, thoughts, experiences
|
|
What is the defense mechanism undoing defined as?
|
Ritualistic negating intolerable thoughts/feelings
|
|
What is required of the patient to achieve self-awareness?
|
They must be introspective
|
|
What does self-awareness allow the patient to ultimately do?
|
Change his or her learned behaviors
|
|
What is self-awareness?
|
Understanding one's own beliefs, thoughts, motivations, biases and physical and emotional limitations, and recognizing how they affect others.
|
|
What is transference?
|
The unconscious displacement or transfer of the feelings of the patient that are directed towards some one or some situation, onto the nurse.
|
|
Describe countertransference.
|
The behavioral and emotional responses nurse has to the patient. Can be unconscious or the nurse may be partially aware.
|
|
What are boundaries?
|
The line or limit between therapeutic and non-therapeutic relationship
|
|
What are the guidelines for establishing boundaries?
|
1. Define parameters of relationship
2. Maintain confidentiality 3. Avoid self-disclosure 4. Manage social relationships or encounters |