Podcast
Questions and Answers
What type of distance is considered appropriate for conversations with acquaintances?
What type of distance is considered appropriate for conversations with acquaintances?
Which location is most suitable for meeting a patient exhibiting hostility?
Which location is most suitable for meeting a patient exhibiting hostility?
Which component of nonverbal communication involves how a person appears physically?
Which component of nonverbal communication involves how a person appears physically?
What therapeutic communication technique involves allowing the patient to take control of the discussion?
What therapeutic communication technique involves allowing the patient to take control of the discussion?
Signup and view all the answers
Which distance is used for speaking to someone from a significant distance away?
Which distance is used for speaking to someone from a significant distance away?
Signup and view all the answers
Which therapeutic communication technique focuses on acknowledging a patient's presence?
Which therapeutic communication technique focuses on acknowledging a patient's presence?
Signup and view all the answers
What body language sign relates closely to a person's posture and movements?
What body language sign relates closely to a person's posture and movements?
Signup and view all the answers
Which of the following is NOT considered a component of nonverbal communication?
Which of the following is NOT considered a component of nonverbal communication?
Signup and view all the answers
What therapeutic communication technique involves asking a patient to compare similarities and differences?
What therapeutic communication technique involves asking a patient to compare similarities and differences?
Signup and view all the answers
Which technique involves putting into words what the patient has only implied?
Which technique involves putting into words what the patient has only implied?
Signup and view all the answers
Which therapeutic communication technique focuses on clarifying misconceptions expressed by the patient?
Which therapeutic communication technique focuses on clarifying misconceptions expressed by the patient?
Signup and view all the answers
Which technique encourages a patient to verbalize their thoughts or experiences further?
Which technique encourages a patient to verbalize their thoughts or experiences further?
Signup and view all the answers
Which communication method is used to validate and clarify vague statements made by a patient?
Which communication method is used to validate and clarify vague statements made by a patient?
Signup and view all the answers
What technique directs the patient's feelings back to them for recognition?
What technique directs the patient's feelings back to them for recognition?
Signup and view all the answers
Which therapeutic technique assists patients in acknowledging their feelings expressed indirectly?
Which therapeutic technique assists patients in acknowledging their feelings expressed indirectly?
Signup and view all the answers
What does 'focusing' in therapeutic communication entail?
What does 'focusing' in therapeutic communication entail?
Signup and view all the answers
What is the primary foundation of psychiatric nursing?
What is the primary foundation of psychiatric nursing?
Signup and view all the answers
Which of the following best describes the therapeutic nurse-patient relationship?
Which of the following best describes the therapeutic nurse-patient relationship?
Signup and view all the answers
In therapeutic relationships, goals are typically achieved through which model?
In therapeutic relationships, goals are typically achieved through which model?
Signup and view all the answers
What is the role of 'therapeutic use of self' in nursing?
What is the role of 'therapeutic use of self' in nursing?
Signup and view all the answers
Which is NOT a step in the problem-solving model used in therapeutic relationships?
Which is NOT a step in the problem-solving model used in therapeutic relationships?
Signup and view all the answers
Why is it important for both the nurse and patient to view each other as unique individuals?
Why is it important for both the nurse and patient to view each other as unique individuals?
Signup and view all the answers
What is a potential outcome when positive feedback is provided to a patient during treatment?
What is a potential outcome when positive feedback is provided to a patient during treatment?
Signup and view all the answers
What is a key aspect of promoting growth in therapeutic relationships?
What is a key aspect of promoting growth in therapeutic relationships?
Signup and view all the answers
Which nontherapeutic communication technique can make a patient feel insignificant?
Which nontherapeutic communication technique can make a patient feel insignificant?
Signup and view all the answers
What is the effect of defending a patient's criticism?
What is the effect of defending a patient's criticism?
Signup and view all the answers
Which technique involves pushing for answers to topics a patient is unwilling to discuss?
Which technique involves pushing for answers to topics a patient is unwilling to discuss?
Signup and view all the answers
What impact do closed-ended questions have during a patient assessment?
What impact do closed-ended questions have during a patient assessment?
Signup and view all the answers
Why should a nurse avoid requesting an explanation from a patient?
Why should a nurse avoid requesting an explanation from a patient?
Signup and view all the answers
What is a potential consequence of introducing an unrelated topic during a discussion with a patient?
What is a potential consequence of introducing an unrelated topic during a discussion with a patient?
Signup and view all the answers
Which of the following techniques helps the nurse to gather comprehensive information from the patient?
Which of the following techniques helps the nurse to gather comprehensive information from the patient?
Signup and view all the answers
What is the main drawback of making stereotyped comments and clichés during patient interactions?
What is the main drawback of making stereotyped comments and clichés during patient interactions?
Signup and view all the answers
What is the primary focus during the working phase of the nurse-patient relationship?
What is the primary focus during the working phase of the nurse-patient relationship?
Signup and view all the answers
Which of the following best describes transference in a therapeutic nurse-patient relationship?
Which of the following best describes transference in a therapeutic nurse-patient relationship?
Signup and view all the answers
What is a primary goal in the termination phase of the nurse-patient relationship?
What is a primary goal in the termination phase of the nurse-patient relationship?
Signup and view all the answers
In the context of countertransference, which of the following accurately describes the nurse's behavior?
In the context of countertransference, which of the following accurately describes the nurse's behavior?
Signup and view all the answers
What should the nurse focus on in the preinteraction phase of the nurse-patient relationship?
What should the nurse focus on in the preinteraction phase of the nurse-patient relationship?
Signup and view all the answers
Which action is NOT appropriate for the nurse to take when dealing with resistance behaviors in patients?
Which action is NOT appropriate for the nurse to take when dealing with resistance behaviors in patients?
Signup and view all the answers
When a patient expresses threats of self-harm and harm to others, what should be prioritized in the nurse-patient relationship?
When a patient expresses threats of self-harm and harm to others, what should be prioritized in the nurse-patient relationship?
Signup and view all the answers
In the therapeutic relationship, how should ongoing progress toward goal achievement be approached?
In the therapeutic relationship, how should ongoing progress toward goal achievement be approached?
Signup and view all the answers
What is the most supportive response a nurse can give to a patient expressing fear for their safety?
What is the most supportive response a nurse can give to a patient expressing fear for their safety?
Signup and view all the answers
Which communication technique involves downplaying a patient's feelings and could discourage them from expressing further emotions?
Which communication technique involves downplaying a patient's feelings and could discourage them from expressing further emotions?
Signup and view all the answers
What does the technique of 'rejecting' imply in nurse-patient communication?
What does the technique of 'rejecting' imply in nurse-patient communication?
Signup and view all the answers
Which statement exemplifies 'giving advice' in nontherapeutic communication?
Which statement exemplifies 'giving advice' in nontherapeutic communication?
Signup and view all the answers
Which nursing action exemplifies a nontherapeutic approach by passing judgment on a patient's behavior?
Which nursing action exemplifies a nontherapeutic approach by passing judgment on a patient's behavior?
Signup and view all the answers
What impact does agreeing or disagreeing have on the nurse-patient relationship?
What impact does agreeing or disagreeing have on the nurse-patient relationship?
Signup and view all the answers
Which therapeutic technique is aimed at promoting a patient's self-direction?
Which therapeutic technique is aimed at promoting a patient's self-direction?
Signup and view all the answers
What is the effect of a nurse using 'approving or disapproving' techniques with a patient?
What is the effect of a nurse using 'approving or disapproving' techniques with a patient?
Signup and view all the answers
Study Notes
Chapter 5: Relationship Development and Therapeutic Communication
- Psychiatric nursing is built on the nurse-patient relationship.
- A therapeutic interpersonal relationship is the process where nurses provide care for patients needing psychosocial intervention.
- Mutual learning occurs in this relationship.
- Therapeutic use of self is the instrument for delivering psychosocial care.
- Interpersonal communication techniques are the tools of psychosocial intervention.
The Therapeutic Nurse-Patient Relationship
- Therapeutic relationships only occur when both participants view each other as unique human beings.
- Both participants' needs are met within the relationship.
- These relationships are goal-oriented and focus on learning and growth promotion.
- Goals are achieved through the problem-solving model.
The Problem-Solving Model
- Identify the patient's concerns.
- Encourage discussion of desired changes.
- Discuss aspects that can't realistically be changed and adaptive coping strategies.
- Discuss alternative strategies for creating desired change.
- Weigh the benefits and consequences of each alternative.
- Guide the patient to select an alternative.
- Encourage the patient to implement the change.
- Provide positive feedback for the patient's change attempts.
- Help the patient evaluate the change's outcome and adjust as needed.
Therapeutic Use of Self
- Using one's personality consciously and with full awareness to create relatedness.
- Nurses must demonstrate self-awareness, self-understanding, and their philosophy of life, death and the human condition.
Conditions Essential to Development of a Therapeutic Relationship
- Rapport
- Trust
- Respect
- Genuineness
- Empathy
Phase 1: Preinteraction Phase
- Gather information about the patient from the chart, significant others, or other health team members.
- Examine one's own feelings, fears, and anxieties about working with a particular patient.
Phase 2: Orientation Phase
- Create an environment for trust and rapport.
- Establish a contract for intervention.
- Gather assessment data.
- Identify the patient's strengths and limitations.
- Formulate nursing diagnoses.
- Set mutually agreeable goals.
- Develop a realistic plan of action.
- Explore the feelings of both the patient and the nurse.
Phase 3: Working Phase
- Maintain trust and rapport.
- Promote the patient's insight and perception of reality.
- Follow the problem-solving model for goal achievement.
- Overcome resistance behaviors.
- Continuously evaluate progress toward goal attainment.
- Transference: Patient unconsciously displaces feelings from the past onto the nurse.
- Countertransference: The nurse's response (behavioral and emotional) to the patient.
Phase 4: Termination Phase
- Therapeutic conclusion of the relationship occurs when progress has been made towards goals, a plan is in place for continued care and coping during stressful situations, and feelings about termination are acknowledged and explored..
Clicker Question 1
- The primary nursing goal when establishing a therapeutic relationship with a patient is to promote patient growth.
Clicker Question 2
- The appropriate preinteraction action for a patient threatening self-harm is to explore personal thoughts and feelings that may affect care provision.
Clicker Question 3
- The most appropriate location for a meeting with a patient exhibiting hostility is a quiet corner of the day room.
Clicker Question 4
- The most supportive nursing statement for a battered wife fearing a move-out is to formulate a plan for her safety.
Clicker Question 5
- When obtaining patient data, open-ended questions facilitate accurate and complete information.
Interpersonal Communication
- A transaction between sender and receiver, both participating simultaneously.
- Both participants perceive and listen to each other and engage in creating meaning in the relationship.
Impact of Preexisting Conditions
- Values, attitudes, and beliefs, shaped by learned ways of thinking, influence communication.
- Culture and religion provide a foundation for thought and action.
- Social status, gender, age, and developmental level can shape communication style.
- Communication is also affected by the environment, with territory, density, and distance playing roles. (Intimate distance, personal distance, social distance, public distance)
Nonverbal Communication
- Components of nonverbal communication include physical appearance, body movement/posture, touch, facial expressions, eye behavior, and vocal cues/paralanguage.
Therapeutic Communication Techniques
- Using silence, accepting, giving recognition, offering self, giving broad openings.
- Offering general leads, placing events in time, making observations, encouraging perceptions description, encouraging comparisons, restating, reflecting.
- Focusing, exploring, seeking clarification and validation, presenting reality, voicing doubt, verbalizing the implied, attempting to translate words into feelings, formulating a plan of action.
Nontherapeutic Communication Techniques
- Giving false reassurance, rejecting, approving/disapproving, agreeing/disagreeing, giving advice, probing, defending, requesting explanation, indicating external power, belittling feelings, making stereotyped comments.
- Using denial, interpreting, introducing unrelated topics
Active Listening
- Active listening involves paying attention to both verbal and nonverbal cues.
- Nonverbal behaviors, such as sitting squarely facing the patient, observing an open posture, leaning forward, establishing eye contact, and relaxing, facilitate listening.
Motivational Interviewing
- A patient-centered style of communication promoting behavioral changes.
- It guides the patient to explore their motivation and the advantages/disadvantages of their decisions.
- It uses active listening and therapeutic communication techniques.
Process Recordings
- Written reports of verbal nurse-patient interactions.
- Used as a tool to improve communication techniques.
Feedback
- Descriptive rather than evaluative.
- Specific rather than general.
- Directed toward modifiable behavior.
- Imparts information rather than offers advice.
- Well-timed.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on the principles of relationship development and therapeutic communication in psychiatric nursing. This quiz covers key aspects like the therapeutic nurse-patient relationship and the problem-solving model. Assess your understanding of interpersonal communication techniques that facilitate psychosocial care.
