Psychiatric Nursing Chapter 6 Quiz

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

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

Flashcards

Therapeutic Relationship

A connection between two individuals, where both contributions create an atmosphere for healing, growth, or illness prevention. It focuses on learning and improvement.

Therapeutic Use of Self

A nurse's ability to consciously use their personality to build a meaningful connection.

Acceptance of Others

The ability to accept individual values and differences in others without judgment.

Belief

An idea or belief that a person holds to be true.

Signup and view all the flashcards

Attitude

A frame of reference that shapes how someone organizes their knowledge about the world.

Signup and view all the flashcards

Value

Abstract standards that represent a person's ideal mode of conduct.

Signup and view all the flashcards

Johari Window

A tool used to understand the different aspects of ourselves and our interactions with others.

Signup and view all the flashcards

Rapport

A sense of connection and understanding between a nurse and patient.

Signup and view all the flashcards

Trust

The belief in the honesty and reliability of another person.

Signup and view all the flashcards

Respect

Treating someone with respect and acknowledging their worth.

Signup and view all the flashcards

Preexisting Conditions

Factors that can shape how someone perceives and communicates, including personal values, attitudes, beliefs, religious background, social standing, gender, age, and cultural heritage.

Signup and view all the flashcards

Nonverbal Communication

The transmission of messages without using spoken or written words.

Signup and view all the flashcards

Therapeutic Communication Techniques

Communication techniques that are helpful for healthcare professionals to build rapport, promote healing, and encourage positive change.

Signup and view all the flashcards

Non-Therapeutic Communication Techniques

Communication patterns that can hinder effective communication, creating barriers between healthcare providers and patients.

Signup and view all the flashcards

Open- ended questions

Using open-ended questions to encourage patients to share their thoughts and feelings.

Signup and view all the flashcards

Empathy

Expressing empathy and understanding towards patients' experiences.

Signup and view all the flashcards

Active Listening

Focusing on the patient's perspective without interrupting or making judgments.

Signup and view all the flashcards

Reflection of Feelings

Repeating what the patient said to demonstrate understanding and encourage further conversation.

Signup and view all the flashcards

Transactional Model of Communication

The transactional model of communication describes communication as a two-way process where both the sender and receiver are actively involved in sending and receiving messages.

Signup and view all the flashcards

Environmental Factors

Territoriality refers to personal space and the boundaries individuals maintain around themselves. Density relates to the number of people in a given space, which can influence communication. Distance refers to the physical space between individuals, and different cultures have different norms for personal space.

Signup and view all the flashcards

Therapeutic Verbal Communication

Therapeutic verbal communication techniques are used to build rapport, encourage self-expression, and facilitate patient understanding. Examples include active listening, empathy, and clarification.

Signup and view all the flashcards

Nontherapeutic Verbal Communication

Nontherapeutic verbal communication techniques hinder communication and can be harmful. Examples include offering advice, interrupting, and minimizing feelings.

Signup and view all the flashcards

Motivational Interviewing

Motivational interviewing is a communication strategy that helps individuals overcome resistance to change and find their own motivation to take action.

Signup and view all the flashcards

Process Recording

Written records used to improve communication skills by analyzing interactions and identifying areas for improvement.

Signup and view all the flashcards

Feedback

Provides information about a patient's behavior to help them consider modifying it.

Signup and view all the flashcards

Group

A collection of two or more individuals interacting with a shared purpose.

Signup and view all the flashcards

Therapeutic Factors in Groups

Factors that contribute to the effectiveness and therapeutic value of a group, such as self-disclosure, universality, and catharsis.

Signup and view all the flashcards

Phases of Group Development

Different stages a group goes through, including forming, storming, norming, performing, and adjourning.

Signup and view all the flashcards

Role of the Nurse in Group Therapy

The role of the nurse in a group therapy setting, including providing support, facilitating communication, and ensuring a safe environment.

Signup and view all the flashcards

What is a group?

A group of individuals sharing common interests, values, norms, or purpose. Membership can be accidental, chosen, or circumstantial.

Signup and view all the flashcards

What are the functions of a group?

Socialization, support, task completion, camaraderie, information sharing, setting norms, empowerment, and governance.

Signup and view all the flashcards

What is group therapy?

A form of psychosocial treatment where multiple clients meet to share experiences, gain insights, and develop interpersonal coping mechanisms.

Signup and view all the flashcards

What are the phases of group development?

Initial, middle, and final phases. The initial phase focuses on orientation and introductions. The working phase involves active participation and problem-solving. The final phase focuses on closure and consolidation of learning.

Signup and view all the flashcards

What is anxiety?

A feeling of discomfort and apprehension related to fear of an impending threat. It's a natural response to danger, but it can become problematic when it interferes with daily life.

Signup and view all the flashcards

When does anxiety become problematic?

When anxiety escalates to a level that hinders the ability to function normally. This can include difficulty meeting basic needs, such as sleeping, eating, or working.

Signup and view all the flashcards

What is grief?

A deep emotional response to loss, often characterized by intense sadness, grief, and longing. It's a natural part of the human experience.

Signup and view all the flashcards

What is psychological adaptation to stress?

Psychological reactions to stressors, including anxiety and grief. These are natural responses that help us cope with challenging situations.

Signup and view all the flashcards

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

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Davis Advantage for Psychiatric Mental Health Nursing, Tenth Edition PDF

More Like This

Use Quizgecko on...
Browser
Open
Browser
Browser