Therapeutic Communication Techniques in Nursing
31 Questions
5 Views

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 type of response involves indicating to the client that there is no cause for anxiety?

  • Rejecting the client's ideas
  • Encouraging formulation of a plan of action
  • Summarizing the conversation
  • Reassuring the client (correct)
  • Which type of response involves refusing to consider or showing contempt for the client's ideas or behavior?

  • Giving approval
  • Suggesting collaboration
  • Summarizing the conversation
  • Disapproving the client's ideas (correct)
  • In which type of response is the nurse sanctioning the client's behavior or ideas?

  • Giving approval (correct)
  • Reassuring the client
  • Summarizing the conversation
  • Rejecting the client's ideas
  • Which response involves asking the client to consider appropriate behaviors in future situations?

    <p>Encouraging formulation of a plan of action</p> Signup and view all the answers

    What kind of response involves organizing and summing up the conversation thus far?

    <p>Summarizing the conversation</p> Signup and view all the answers

    Which type of response involves offering to work together with the client for his or her benefit?

    <p>Suggesting collaboration</p> Signup and view all the answers

    What is the technique used when a nurse seeks mutual understanding and accord in the meaning of the client's words?

    <p>Seeking consensual validation</p> Signup and view all the answers

    When a nurse asks a client, 'Are you suggesting that you feel lifeless?' What technique is being used?

    <p>Attempting to translate into feelings</p> Signup and view all the answers

    Which technique involves expressing uncertainty about the reality of the client's perceptions?

    <p>Voicing doubt</p> Signup and view all the answers

    When a nurse asks, 'Does this contribute to your discomfort?' which technique is being utilized?

    <p>Encouraging expression</p> Signup and view all the answers

    In which technique does the nurse voice what the client has hinted at or suggested?

    <p>Verbalizing the implied</p> Signup and view all the answers

    When a nurse asks, 'Are you using the word to convey the idea that...?' which technique is being demonstrated?

    <p>Seeking consensual validation</p> Signup and view all the answers

    What is the purpose of 'agreeing' in the given context?

    <p>To indicate accord with the client</p> Signup and view all the answers

    Which of the following is an example of 'challenging'?

    <p>&quot;But how can you be President of the United States?&quot;</p> Signup and view all the answers

    What is the purpose of 'testing' in the given context?

    <p>To appraise the client's degree of insight</p> Signup and view all the answers

    Which of the following is an example of 'advising'?

    <p>&quot;I think you should...&quot;</p> Signup and view all the answers

    What should a nurse do when caring for a delusional client?

    <p>Present a factual account of the situation as observed</p> Signup and view all the answers

    How should a nurse handle a paranoid client?

    <p>Avoid joking or discussing controversial issues</p> Signup and view all the answers

    What is the recommended approach for dealing with hypersexual and seductive clients?

    <p>Maintain a non-judgmental attitude and set limits on inappropriate behavior</p> Signup and view all the answers

    How should a nurse respond to an aggressive, violent client?

    <p>Use a calm, quiet tone of voice and encourage verbalization of feelings</p> Signup and view all the answers

    What is an essential aspect of the passive ID approach in patient care according to the text?

    <p>Showing genuine interest by spending time with the patient</p> Signup and view all the answers

    In conducting a psychosocial assessment, what is the main purpose according to the text?

    <p>To form the basis for plan of care</p> Signup and view all the answers

    Which factor influences the assessment process according to the text?

    <p>The client's health status</p> Signup and view all the answers

    When caring for a hypersexual client, what is important for nurses to avoid according to the text?

    <p>Placing oneself in a compromising position</p> Signup and view all the answers

    What is an important aspect of the Demands Attitude - ID according to the text?

    <p>Setting limits and not allowing manipulation.</p> Signup and view all the answers

    What is the term used when a client eventually answers a question but only after giving excessive unnecessary detail?

    <p>Circumstantial thinking</p> Signup and view all the answers

    Which of the following is a delusional belief that others can hear or know what the client is thinking?

    <p>Thought broadcasting</p> Signup and view all the answers

    What is the term used to describe a flow of unconnected words that convey no meaning to the listener?

    <p>Word salad</p> Signup and view all the answers

    Which of the following describes a client's recognition of person, place, and time?

    <p>Orientation</p> Signup and view all the answers

    What is the term used when a client stops abruptly in the middle of a sentence or train of thought, sometimes unable to continue the idea?

    <p>Thought blocking</p> Signup and view all the answers

    Which of the following describes disorganized thinking that jumps from one idea to another with little or no evident relation between the thoughts?

    <p>Loose associations</p> Signup and view all the answers

    Study Notes

    Communication with Challenging Clients

    • Approach delusional clients by presenting a factual account of the situation without accepting their delusions as reality and avoiding arguments
    • When dealing with hallucinating clients, focus on the feelings surrounding the hallucination, closely observe the client to ensure their safety, and avoid conversations with the voices
    • For paranoid clients, be non-threatening, answer questions directly, and avoid whispering or discussing controversial issues, while setting limits on behavior and not arguing about delusions
    • With hypersexual or seductive clients, maintain a non-judgmental attitude, acknowledge sexual feelings, and set limits on inappropriate behavior
    • When dealing with aggressive or violent clients, avoid isolation, give them space, use a calm tone, and encourage verbalizing feelings instead of acting out aggressions

    Five Code Active Friendliness

    • ID (Independent Doing): encourage socialization, initiate activities, recognize small wins, and spend time with the patient
    • Passive ID: make the patient feel that you are available, present, and willing to help, but let them initiate actions
    • Kind Firmness ID: use sympathy and distractions for depressed clients, while maintaining consistency and rules
    • Matter of Fact Attitude ID: set firm limits, avoid being plastic, and focus on positive aspects
    • No Demand Attitude ID: be firm, consistent, and non-judgmental, avoiding argumentation and verbalizing client feelings

    Psychosocial Assessment

    • The purpose of assessment is to construct a picture of the client's emotional state, mental capacity, and behavioral functions
    • The mental status exam focuses on the client's cognitive abilities, including orientation, ability to interpret proverbs, math calculations, and memorization
    • Factors influencing assessment include client participation, health status, previous experiences, and the nurse's attitude and approach

    Therapeutic Communication Techniques

    • Suggesting Collaboration: offer to share and work together with the client for their benefit
    • Summarizing: organize and summarize the conversation to ensure understanding
    • Encouraging Formulation of a Plan of Action: ask the client to consider appropriate behaviors for future situations

    Non-Therapeutic Responses

    • Reassuring: indicating that there is no cause for anxiety
    • Giving Approval: sanctioning the client's behavior or ideas
    • Rejecting: refusing to consider the client's ideas or behavior
    • Disapproving: denouncing the client's behavior or ideas
    • Voicing Doubt: expressing uncertainty about the reality of the client's perceptions
    • Seeking Consensual Validation: searching for mutual understanding of the meaning of words
    • Verbalizing the Implied: voicing what the client has hinted at or suggested
    • Encouraging Expression: asking the client to appraise the quality of their experiences
    • Attempting to Translate into Feelings: verbalizing feelings that are only expressed indirectly
    • Agreeing: indicating accord with the client
    • Disagreeing: opposing the client's ideas
    • Advising: telling the client what to do
    • Probing: persistent questioning of the client
    • Challenging: demanding proof from the client
    • Testing: appraising the client's degree of insight

    Studying That Suits You

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

    Quiz Team

    Description

    Explore techniques used in therapeutic communication in nursing, such as voicing doubt, seeking consensual validation, and verbalizing the implied. Practice examples like expressing uncertainty about clients' perceptions and searching for mutual understanding.

    More Like This

    Therapeutic Communication in Nursing
    10 questions

    Therapeutic Communication in Nursing

    SufficientWilliamsite1357 avatar
    SufficientWilliamsite1357
    Nursing Week 6: Therapeutic Communication
    24 questions
    Use Quizgecko on...
    Browser
    Browser