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