Nurse - Therapeutic Communication

Ch 6: Therapeutic Communication A group of students is reviewing the process of verbal communication. The students demonstrate understanding of the information when they identify which as the first component of the process? Formulation of an idea Which term is used to refer to signals that encourage effective communication? Cues Which statement by the nurse is an example of assertive commu- I understand that group can be difficult to attend but coming late nication? is disruptive." The nurse is caring for a client with cellulitis. The client responds, "I feel kind of 'blah'," after the nurse asks, "How do you feel?" After the client's reply, the nurse states, "Can you tell me what 'blah' feels like?" The client responds, "I don't have any energy, and I don't feel like doing anything." Using therapeutic communication, how should the nurse respond? Let's talk about infections and how they heal A group of nursing students is role playing situations to practice using therapeutic communication techniques. What would the students identify as verbal communication? Emotions underline the words A psychiatric-mental health nurse has been off of work for the past 4 days, as per the normal work schedule on the unit. On the nurse's first day back, a longterm client says, "I haven't seen you I've been off for the past four days. What have you done since I around here since Thursday. How was your time off?" What is the last saw you?" nurse's most appropriate response? A nurse engaged in an interaction with a client recognizes body space zones. Which would the nurse identify as the individual's personal zone? Beginning the boundary of the intimate zone and the end of a social zone A client is speaking to the nurse and expressing dissatisfaction about the care that was provided to the client during a hospital stay. The nurse tells the client, "This is the best hospital in the state.You could not expect better care anywhere else." Which type of communication does this indicate? Defending A nurse is conducting an initial assessment of a client. When the client enters the nurse's office, the client finds the nurse sitting with arms folded across the chest and an emotionless facial expression. The nurse is exhibiting which nonverbal communication technique? closed body position and impassive face When providing information about anorexia to a client, the nurse can ensure that the client can accurately comprehend the infor- Presenting the information using language and terms the client will understand mation by doing what? A client is speaking with the nurse about the client's difficult relationship with the client's father. The client states, "He never showed me love or approval unless I was perfect." Which response is most likely to encourage the client to continue elaborating? Tell me more about that Which form of nonverbal communication would be least effective for the nurse to engage in to demonstrate interest in and acceptance of the client? Sitting behind a desk A client says, "Nobody listens to me; even you don't!" Which response is most therapeutic? It sounds like you're feeling under appreciated A client who is schizophrenic is catatonic and has a mask-like face. Which facial expression is being exhibited? Impassive When providing information about anorexia to a client, the nurse can ensure that the client can accurately comprehend the information by doing what? Using language the client will understand The nurse is talking with the client and demonstrates concern for the way the client is feeling by using verbal affirmations and Active listening 1/3 Ch 6: Therapeutic Communication paraphrasing to show understanding. What communication techniques are being used by the nurse? A nursing student is caring for a client who has been arrested for child abuse. The nurse is very curious about what the client must have done to get into so much trouble, so the nurse asks the client to tell the nurse about the various activities that got the client arrested. This is an example of: Excessive probing A client has repeatedly been physically abused by the spouse. The client asks the nurse whether to leave the spouse like the mother has demanded. The nurse responds most therapeutically when answering: How would leaving your spouse make you feel Which form of messaging contain figures of speech that are difficult to interpret and can be a barrier to communication? Abstract Which verbal cue refers to accents on words or phrases that highlight the subject or give insight on the topic? Emphasis When the nurse states, "Tell me more about that," the nurse is utilizing which communication technique? Exploring A nurse is caring for a client who is experiencing a decline in the client's chronic illness. The nurse feels that the nurse should speak to the client's spouse, who is extremely worried and anxious, and provide the spouse with support. Which setting should the nurse select to speak to the spouse? Choose the best answer. The consultation room Choose the most therapeutic response to the client's statement, "All I feel like doing is screaming as loudly as I can." You look very angry this morning The nurse is using a directive role when asking a client which question? Are you thinking about hurting anybody else Which is often considered the most difficult yet most effective communication technique? Silence A client on the psychiatric mental health unit has a care plan that includes a break for cigarettes every hour during the afternoon if the client follows the behavioral plan to attend the morning group "No, Joe. Your plan says that you need to attend that group in order on anger management. The client asks, "I couldn't get to my group to have cigarette breaks." this morning because I overslept. Can I just this one time go for a cigarette now?" Which response by the nurse is mosttherapeutic? A nurse needs to encourage a client who is Hispanic and has severe depression to express the client's feelings. What distance between the nurse and the client may help facilitate therapeutic communication? 3 to 6 feet During client assessment, the nurse asks the next question as soon as the client finishes answering the previous question. Which most likely explains why the nurse is interacting with the client this The nurse is lacking confidence with therapeutic communication way? Which would be the least optimal environment for therapeutic communication for a client who has difficulty maintaining boundaries? The clients room The therapeutic communication interaction is most comfortable when the nurse and the client are how far apart? 3 to 6 feet "Get the stuff from him" is an example of which type of message? Abstract Which therapeutic communication technique is being utilized when the nurse asks the client, "Is there something you'd like to talk about?" Broad opening The nurse wears a cross and has a Facebook page displaying pictures of the family, home and updates on what the nurse is currently doing. These actions are examples of what? Self-disclosure 2/3 Ch 6: Therapeutic Communication The nurse is asking a client for feedback on the services provided in the hospital. The client responds, "Yeah. It was great." The client spoke in a disgusted and hurried tone and did not make eye contact with the nurse. What is the message conveyed here? Don't waste my time with your services Which type of touch, according to Knapp, is used in greeting, such as a handshake? Socially to polite A client begins discussing frankly the client's history of sexual abuse as a child. The nurse listens for awhile and then asks the client about the client's stressful job situation. The nurse does this for what reason? To reduce the nurses own anxiety The client tells the nurse, "My mom is coming in to see me today," while sighing and looking out the window. The nurse states, "You I'm concerned will not excited about your mothers visit. We can don't seem very excited about the visit, is everything OK?" The client affirms. Using therapeutic communication, how should the talk if you'd like nurse respond? A student nurse is preparing for a clinical placement in a psychireflect critically on the student's own life experiences, perspecatric-mental health context. In order to best prepare to engage in tives, and characteristics. therapeutic communication with clients, the student should: A nurse is meeting with a client who just attended a group therapy session. The nurse asks, "How was group for you today?" The client is silent longer than the amount of the time the nurse expected. What can the nurse assume the client needs? More time to think A nurse enters the room of a client who has been on the unit for several weeks. The client states, "I haven't seen you for a while. It's important to get a break from time to time. How have the last How were your days off?" What is the nurse's most appropriate few days been for you? response? 3/3