Psychiatric Nursing Chapter 6 Quiz
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Questions and Answers

What is a core concept of a therapeutic nurse-patient relationship?

  • The relationship is based on the patient's individual needs and goals. (correct)
  • It is a one-sided relationship where the nurse primarily provides guidance.
  • The interaction is typically informal, focusing primarily on social connection.
  • The goal is to prevent illness from occurring in the patient. (correct)

    • Which of the following is NOT a role of the psychiatric nurse in a therapeutic relationship?

  • Surrogate
  • Technical expert
  • Leader
  • Doctor (correct)

    • What is the term used to describe the conscious and deliberate use of a nurse's personality to build a therapeutic relationship?

  • Therapeutic empathy
  • Therapeutic self-awareness
  • Therapeutic use of self (correct)
  • Therapeutic listening

    • What is the main goal of a therapeutic relationship?

    <p>To help the patient gain insight and develop coping mechanisms. (A)</p> Signup and view all the answers

    Which of these is NOT a characteristic of a therapeutic relationship?

    <p>Informal and casual (B)</p> Signup and view all the answers

    What is the role of the nurse as a 'Surrogate' in a therapeutic relationship?

    <p>To act as a temporary substitute for a figure of authority or influence. (D)</p> Signup and view all the answers

    Which of the following is NOT an essential condition for a therapeutic relationship to occur?

    <p>A structured and formal environment (B)</p> Signup and view all the answers

    What are the phases of relationship development?

    <p>Orientation, Working, Termination (D)</p> Signup and view all the answers

    What is the primary purpose of motivational interviewing? To:

    <p>Guide patients towards identifying their own motivations for change. (A)</p> Signup and view all the answers

    Process recordings are primarily used to:

    <p>Improve communication techniques and identify areas for improvement. (D)</p> Signup and view all the answers

    Which of the following is NOT a function of a group discussed in the content?

    <p>Ensuring financial stability for its members. (A)</p> Signup and view all the answers

    Which of the following is NOT a therapeutic factor that occurs in groups?

    <p>Financial security. (D)</p> Signup and view all the answers

    What is the main goal of providing feedback to patients?

    <p>To encourage the patient to consider a change in behavior. (C)</p> Signup and view all the answers

    Which of the following is NOT a leadership style discussed in the content?

    <p>Transactional (A)</p> Signup and view all the answers

    How does active listening contribute to effective communication?

    <p>By showing genuine interest and attentiveness to the patient's message. (A)</p> Signup and view all the answers

    What is the primary role of the nurse in group therapy?

    <p>To facilitate a safe and supportive environment for group members. (B)</p> Signup and view all the answers

    Which of the following behaviors indicates that professional boundaries in the nurse-patient relationship may be compromised?

    <p>Giving special attention to one patient over others (B)</p> Signup and view all the answers

    Which component is NOT identified as a factor influencing the communication process?

    <p>Gestures (C)</p> Signup and view all the answers

    What is considered an inappropriate action in the nurse-patient relationship?

    <p>Keeping secrets with the client (D)</p> Signup and view all the answers

    Which of the following statements best describes therapeutic communication?

    <p>An interactive exchange aimed at advancing the patient’s well-being (A)</p> Signup and view all the answers

    Identifying preexisting conditions that influence communication does NOT include which of the following?

    <p>Workplace policies (D)</p> Signup and view all the answers

    Which behavior is likely to indicate that a nurse is too emotionally invested in a patient's care?

    <p>Thinking frequently about the patient outside of work (C)</p> Signup and view all the answers

    Which is NOT a characteristic of nonverbal communication?

    <p>Spoken words (A)</p> Signup and view all the answers

    Which of the following describes motivational interviewing as a communication strategy?

    <p>A method encouraging patients to resolve ambivalence about change (A)</p> Signup and view all the answers

    What is one primary purpose of group therapy in mental health settings?

    <p>To improve interpersonal coping strategies (C)</p> Signup and view all the answers

    Which of the following is NOT a function of a group?

    <p>Isolation (D)</p> Signup and view all the answers

    In which phase of group development do members typically start to build relationships and establish group norms?

    <p>Initial or Orientation Phase (C)</p> Signup and view all the answers

    Anxiety becomes problematic when it interferes with an individual's ability to meet their basic needs. Which situation exemplifies this?

    <p>Someone who experiences overwhelming fear that disrupts daily activities (B)</p> Signup and view all the answers

    Which of the following correctly describes the psychological concept of 'grief'?

    <p>An emotional response to loss and pain (A)</p> Signup and view all the answers

    What type of group consists of individuals meeting in an outpatient setting for an extended period?

    <p>Outpatient setting group (A)</p> Signup and view all the answers

    Which characteristic is essential for forming a cohesive group?

    <p>Shared commonalities among members (C)</p> Signup and view all the answers

    What is a common feature of supportive groups?

    <p>Provision of emotional support among members (A)</p> Signup and view all the answers

    Which of the following is NOT considered a factor that impacts communication?

    <p>Genetics (B)</p> Signup and view all the answers

    Which of the following best describes therapeutic communication?

    <p>Focusing on the receiver's needs and promoting healing and change. (B)</p> Signup and view all the answers

    Why is nonverbal communication considered more reliable than verbal communication in expressing attitudes and feelings?

    <p>Nonverbal communication is less conscious and therefore more truthful. (D)</p> Signup and view all the answers

    Which of the following is NOT an example of nonverbal communication?

    <p>Using medical terminology (B)</p> Signup and view all the answers

    What is the primary reason why nurses should avoid using non-therapeutic communication techniques?

    <p>To ensure efficient and effective communication with patients. (B)</p> Signup and view all the answers

    Which of the following actions is a good example of therapeutic communication?

    <p>Using open-ended questions to encourage patients to share their feelings. (B)</p> Signup and view all the answers

    Which of these are factors that are considered to impact communication? Select all that apply.

    <p>Education (B), Social Status (C)</p> Signup and view all the answers

    Which of these nonverbal communication examples is most likely to be a key indicator of a person's attitude and feelings?

    <p>Vocal cues or paralanguage (C)</p> Signup and view all the answers

    What is the primary purpose of the Johari Window?

    <p>To increase self-awareness (C)</p> Signup and view all the answers

    Which of the following is NOT a characteristic essential to the development of a therapeutic relationship?

    <p>Judgment (C)</p> Signup and view all the answers

    During which phase of the therapeutic nurse-client relationship is the plan to reach patient goals developed?

    <p>Working phase (D)</p> Signup and view all the answers

    Beliefs, attitudes, and values all influence an individual's actions. Which option correctly defines 'values'?

    <p>Abstract standards representing ideal conduct (A)</p> Signup and view all the answers

    Which quadrant of the Johari Window represents things known to both the self and others?

    <p>Open or public self (A)</p> Signup and view all the answers

    What is the main difference between empathy and sympathy in the context of a therapeutic relationship?

    <p>Empathy involves understanding feelings, while sympathy involves feeling sorry for someone (B)</p> Signup and view all the answers

    Which of the following factors should NOT influence a nurse's approach in a therapeutic relationship?

    <p>Personal biases (C)</p> Signup and view all the answers

    Which aspect does NOT contribute to the formation of an individual's attitudes?

    <p>Physical appearance (A)</p> Signup and view all the answers

    Study Notes

    Book Title and Edition

    • Davis Advantage for Psychiatric Mental Health Nursing, Tenth Edition
    • Morgan Townsend

    Chapter 6 Objectives

    • Describe the relevance of a therapeutic nurse-patient relationship
    • Discuss the dynamics of a therapeutic nurse-patient relationship
    • Discuss the importance of self-awareness in the nurse-patient relationship
    • Identify goals of the nurse-patient relationship
    • Identify and discuss essential conditions for a therapeutic relationship to occur
    • Describe the phases of relationship development and the tasks associated with each phase

    Core Concepts

    • Therapeutic relationship: An interaction between two people where input from both contributes to healing, growth promotion, or illness prevention
    • Therapeutic relationships are goal-oriented and directed at learning and growth promotion

    Role of the Psychiatric Nurse

    • Stranger
    • Resource person
    • Teacher
    • Leader
    • Surrogate
    • Technical expert
    • Counselor

    Therapeutic Use of Self

    • The ability to use one's personality consciously and in full awareness to establish relatedness

    Self-Awareness

    • Recognizing and accepting one's values
    • Learning to accept the uniqueness and differences in others
    • Influences on self-awareness: beliefs, attitudes, and values

    Johari Window

    • A tool to increase self-awareness
    • Divided into four quadrants: open/public self, unknowing self, private self, unknown self

    Conditions for a Therapeutic Relationship

    • Rapport
    • Trust
    • Respect
    • Genuineness
    • Empathy (not sympathy)

    Phases of a Therapeutic Nurse-Client Relationship

    • Preinteraction: gathering information, checking feelings, exploring self-perceptions
    • Orientation: establishing trust, meeting the patient, establishing expectations
    • Working: formulating a contract, planning goals, intervening
    • Termination: evaluating goal attainment, ensuring therapeutic closure, discharge

    Transference and Countertransference

    • Transference: Patient views the nurse as someone similar to an important person in their life
    • Countertransference: Patient reminds the nurse of someone in their life
    • Nursing considerations: Assist the patient in clarifying the current nurse-client relationship

    Boundaries in the Nurse-Patient Relationship

    • Material boundaries (walls, fences)
    • Social boundaries (social expectations)
    • Personal boundaries (self-defined)
    • Professional boundaries (the space between the nurse's power and the patient's vulnerability)
    • Concerns regarding professional boundaries
    • Self-disclosure
    • Gift-giving
    • Touch
    • Friendship or romantic association
    • Warning signs that professional boundaries may be in jeopardy
    • Favoring one patient over another
    • Keeping secrets with a client
    • Changing dress style for a client
    • Special attention or treatment for a client
    • Spending free time with a patient
    • Sharing personal info with a patient
    • Continued contact after discharge

    Chapter 7 Therapeutic Communication Objectives

    • Discuss the transactional model of communication
    • Identify types of pre-existing conditions that influence the outcome of communication
    • Define territoriality, density, and distance as components of the environment
    • Identify components of nonverbal expression
    • Describe therapeutic and nontherapeutic verbal communication techniques
    • Describe motivational interviewing as a communication strategy
    • Describe active listening
    • Discuss therapeutic feedback

    Core Concepts Continued

    • Communication is an interactive process of transmitting information between two or more entities
    • Communication is achieved through interpersonal communication techniques (both verbal and nonverbal)

    Impact of Pre-Existing Conditions

    • Values
    • Attitudes
    • Beliefs
    • Religion
    • Social status
    • Gender
    • Age
    • Culture

    Nonverbal Communication

    Examples include:

    • Physical appearance and dress
    • Body movement and posture
    • Touch
    • Facial expressions
    • Eye behavior
    • Vocal cues

    Therapeutic Communication Techniques

    • Techniques focus on the needs of the receiver
    • Advances the promotion of healing and change
    • Nonjudgmental
    • Discourages defensiveness
    • Promotes trust

    Non-Therapeutic Communication Techniques

    • Nurses should recognize and eliminate the use of these patterns in their relationships with patients
    • Preventing communication barriers will enhance the effectiveness of communication and nurse-patient relationship

    Therapeutic Communication Techniques Examples

    • Using silence
    • Accepting
    • Giving recognition
    • Offering self
    • Giving broad openings
    • Offering general leads

    Therapeutic Communication Techniques (Continued)

    • Placing the event in time or sequence
    • Making observations
    • Encouraging description of perceptions
    • 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

    Chapter 9 Therapeutic Groups Objectives

    • Define a group
    • Discuss eight functions of a group
    • Identify various types of groups
    • Describe physical conditions that influence groups
    • Discuss therapeutic factors that occur in groups
    • Describe phases of group development
    • Identify various leadership styles in groups
    • Identify roles members assume in a group
    • Discuss psychodrama as a specialized form of group therapy
    • Describe the role of the nurse in group therapy

    The Group

    • A collection of individuals whose association is founded on shared commonalities
    • Membership generally happens by chance, choice, or circumstance

    Functions of a Group

    • Socialization
    • Support
    • Task completion
    • Camaraderie
    • Informational
    • Normative
    • Empowerment
    • Governance

    Group Therapy in Mental Health Settings

    • A form of psychosocial treatment where several clients meet together
    • Purposes include: sharing, gaining personal insight, improving interpersonal coping strategies

    Phases of Group Development

    • Initial or orientation phase
    • Middle or working phase
    • Final or termination phase
    • Examples of groups: inpatient setting, outpatient setting

    Psychological Adaptation to Stress

    • Four levels of anxiety: mild, moderate, severe, panic
    • Coping mechanisms
    • Ego defense mechanisms
    • Psycho-physiological responses
    • Psycho-neurotic responses
    • Psychotic responses

    Defense Mechanisms

    • Used either consciously or unconsciously, self-protective responses to stress
    • Not needed to be eliminated

    Ego Defense Mechanism Activity (Illustrations)

    Defense Mechanisms Examples

    • Compensation
    • Rationalization
    • Denial
    • Reaction formation
    • Displacement
    • Regression
    • Identification
    • Repression
    • Intellectualization
    • Sublimation
    • Introjection
    • Suppression
    • Isolation
    • Undoing
    • Projection

    Grief

    • A subjective feeling of sorrow, sadness, accompanied by emotional, physical, and social responses to the loss of a loved person or thing

    Kübler-Ross's Five Stages of Grief

    • Denial
    • Anger
    • Bargaining
    • Depression
    • Acceptance

    Anticipatory Grief and Bereavement Overload

    • Experiencing the grief process before the actual loss
    • Grief perceived as difficult or impossible to overcome

    Other Methods of Communication

    • Process recordings
    • Feedback

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    Related Documents

    Davis Advantage for Psychiatric Mental Health Nursing, Tenth Edition PDF

    Description

    Dive into Chapter 6 of 'Davis Advantage for Psychiatric Mental Health Nursing'. This quiz covers essential aspects of the therapeutic nurse-patient relationship, emphasizing dynamics, self-awareness, goals, and relationship phases. Test your understanding of the vital concepts that guide psychiatric nursing practice.

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