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Questions and Answers
What is a common barrier to communication mentioned in the text?
How does the text suggest a nurse should handle giving advice to a patient?
What is the term used for denying that a problem exists with a patient after the patient identifies a problem?
What are defense mechanisms classified as, according to the text?
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Which defense mechanism involves a patient temporarily postponing feelings to avoid emotional distress?
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What is the defense mechanism where a patient transforms a negative emotion into a positive emotion?
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Which defense mechanism involves a patient expressing destructive behavior in an effort to gain attention due to inability to cope with reality?
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What is the primary goal of therapeutic communication?
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How should a nurse handle a patient's identification of a problem according to the text?
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What type of response does the psychiatric nurse need to consciously modify into a therapeutic communication response?
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What does the nurse risk when giving advice to the patient?
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What should the nurse do when the patient identifies a problem?
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What is the term used to describe a patient who suddenly exhibits physiologic symptoms with no known medical reason?
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Which defense mechanism involves a patient expressing destructive behavior in an effort to gain attention due to their inability to cope with reality?
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In which defense mechanism does a patient temporarily postpone feelings to avoid emotional distress?
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What is the term for the defense mechanism where a patient has delusions of being persecuted?
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Which defense mechanism involves transforming a negative emotion into a positive emotion?
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Study Notes
Communication Barriers
- A common barrier to communication is defensiveness.
Giving Advice
- When giving advice, a nurse should avoid being judgmental and instead, help the patient identify their own strengths and resources.
- Giving advice can lead to the patient becoming dependent on the nurse, rather than taking responsibility for their own actions.
Defense Mechanisms
- Defense mechanisms are classified as conscious or unconscious coping mechanisms.
- Regression involves a patient expressing destructive behavior in an effort to gain attention due to their inability to cope with reality.
- Denial involves denying that a problem exists with a patient after the patient identifies a problem.
- Displacement involves transforming a negative emotion into a positive emotion.
- Repression involves a patient temporarily postponing feelings to avoid emotional distress.
Therapeutic Communication
- The primary goal of therapeutic communication is to help the patient identify and explore their feelings, thoughts, and behaviors.
- A nurse should handle a patient's identification of a problem by acknowledging and exploring the patient's feelings, rather than giving advice.
Patient Behavior
- A patient who suddenly exhibits physiologic symptoms with no known medical reason is experiencing conversion.
- A patient who has delusions of being persecuted is experiencing persecution.
Nurse Response
- A nurse should consciously modify a sympathetic response into a therapeutic communication response.
- A nurse risks the patient becoming dependent on them when giving advice, rather than taking responsibility for their own actions.
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Description
This quiz explores the common barriers to therapeutic communication in psychiatry, focusing on how these barriers can impair the transmission and reception of messages between psychiatric nurses and patients. It also discusses the goal of therapeutic communication and the challenge of consciously modifying natural responses for effective communication.
