Therapeutic Relationship Phases
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Questions and Answers

What is the first phase of the therapeutic relationship?

  • Working phase
  • Termination phase
  • Pre-interaction phase (correct)
  • Introduction phase
  • What is primarily reviewed during the pre-interaction phase?

  • Patient's treatment plan
  • Patient's family dynamics
  • Medical and social history (correct)
  • Nurse's experience
  • Why is social history considered important in the pre-interaction phase?

  • It provides the patient's medication history.
  • It determines the patient's insurance coverage.
  • It helps in approaching patients individually. (correct)
  • It often reveals the patient's financial stability.
  • Which competency is utilized during the pre-interaction phase according to QSEN?

    <p>Patient-centered care</p> Signup and view all the answers

    What action does the nurse take before introducing themselves to the patient?

    <p>Review the patient's chart.</p> Signup and view all the answers

    In which phase of the therapeutic relationship do the nurse and patient actually begin to work together?

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

    What is the final phase of the therapeutic relationship?

    <p>Termination phase</p> Signup and view all the answers

    What should a nurse focus on while planning their interaction with the patient during the pre-interaction phase?

    <p>The patient’s background and individual needs.</p> Signup and view all the answers

    What does aggressive communication prioritize?

    <p>The value of one's own self</p> Signup and view all the answers

    Which scenario best exemplifies passive communication?

    <p>A nurse delaying tasks out of fear of upsetting a patient</p> Signup and view all the answers

    What is a defining feature of assertive communication?

    <p>It balances self-respect with respect for others</p> Signup and view all the answers

    How might a nurse demonstrate aggressive communication?

    <p>Demanding the patient comply with immediate orders</p> Signup and view all the answers

    Which of the following is NOT a goal of assertive communication?

    <p>To prioritize one's own needs above the patient's</p> Signup and view all the answers

    Which statement most accurately reflects the nature of passive communication?

    <p>It often leads to self-neglect.</p> Signup and view all the answers

    What characteristic does NOT typically define aggressive communication?

    <p>Expressing thoughts and feelings clearly</p> Signup and view all the answers

    What is a potential outcome of assertive communication in a healthcare setting?

    <p>Enhanced understanding and cooperation</p> Signup and view all the answers

    What is a recommended action if a patient's TV is too loud during a conversation?

    <p>Ask the patient if the TV can be muted or turned off.</p> Signup and view all the answers

    Which component is described as using all senses while listening?

    <p>Active listening</p> Signup and view all the answers

    What does physical attending involve?

    <p>Being actively present while listening.</p> Signup and view all the answers

    How should a nurse position themselves to practice effective physical attending?

    <p>Face the patient squarely and maintain open posture.</p> Signup and view all the answers

    Why is it important for the nurse to be at eye level with the patient?

    <p>To create an equal and comfortable communication space.</p> Signup and view all the answers

    What does good eye contact during a conversation indicate?

    <p>Engagement and attentiveness.</p> Signup and view all the answers

    Which of the following best describes the ideal posture for effective communication?

    <p>Leaning slightly forward with open body language.</p> Signup and view all the answers

    What should a nurse practice during a conversation to ensure effective listening?

    <p>Allowing for pauses when needed.</p> Signup and view all the answers

    What is the purpose of asking a patient about their feelings regarding upcoming surgery?

    <p>To gather information about their emotional state</p> Signup and view all the answers

    What type of question could effectively assess a patient's feelings of loneliness in the hospital?

    <p>I see you have not had any family visiting you while you have been in the hospital, how do you feel about that?</p> Signup and view all the answers

    Which communication aspect is crucial when encouraging a patient?

    <p>Both verbal and non-verbal cues</p> Signup and view all the answers

    What is the main goal when inquiring about a patient's feelings regarding their surgery?

    <p>To build rapport and understanding</p> Signup and view all the answers

    Which of the following is an example of a closed-ended question?

    <p>Are you feeling anxious about your surgery?</p> Signup and view all the answers

    Which action should a nurse avoid when interacting with a patient?

    <p>Giving advice</p> Signup and view all the answers

    Which of the following is NOT a key goal of communication in nursing?

    <p>Agreeing or disagreeing with the patient</p> Signup and view all the answers

    What should a nurse prioritize when a patient shares their diagnosis?

    <p>Listening and understanding the patient's feelings</p> Signup and view all the answers

    Which behavior could be detrimental to communication with a patient?

    <p>Failing to listen</p> Signup and view all the answers

    Which method can help in facilitating patient insight during communication?

    <p>Encouraging the patient to express their feelings</p> Signup and view all the answers

    Why should a nurse avoid using 'why' questions?

    <p>They may lead to passing judgment.</p> Signup and view all the answers

    What is an example of false reassurance when communicating with a patient?

    <p>Saying everything will be alright</p> Signup and view all the answers

    Which of the following actions is considered minimizing the patient's feelings?

    <p>Saying, 'It's not that serious'</p> Signup and view all the answers

    Which practice should be avoided in therapeutic communication to maintain professionalism?

    <p>Placing personal needs above patient needs</p> Signup and view all the answers

    What is the best way for a nurse to provide support to a patient expressing anxiety?

    <p>Validating their feelings and listening carefully</p> Signup and view all the answers

    Study Notes

    The Four Phases of the Therapeutic Relationship

    • The therapeutic relationship has four phases: pre-interaction, introductory, working, and termination.

    Pre-Interaction Phase

    • The pre-interaction phase involves reviewing patient information and planning the interaction.
    • It's important to review medical and social history, even if it seems insignificant, to understand the patient's individual needs and apply patient-centered care.
    • Nurses can use communication styles like aggressive, passive, or assertive.
      • Aggressive communication: Respects the value of one's self over others. An example is a nurse demanding a patient do something without considering the patient's feelings.
      • Passive communication: Respects others' values over one's own. An example is a nurse who repeatedly apologizes or delays tasks in fear of upsetting the patient.
      • Assertive communication: Respects both the value of self and others. An example is a nurse telling the patient what needs to be done and asking when it would be appropriate to carry out the task.

    Assertive Communication

    • The goal of effective communication is to use an assertive communication style.
    • Assertive communication includes characteristics such as being able to express needs and feelings respectfully, being direct and honest, and respecting the opinions and feelings of others.

    Active Listening

    • Active listening is a vital communication component, using all senses to understand the message.

    Physical Attending

    • Physical attending in communication demonstrates active presence and involvement while listening.
    • It involves being at eye level with the patient, facing them squarely, maintaining an open posture, leaning slightly forward, making good eye contact, using natural relaxed gestures, and allowing pauses when needed.

    Encouraging in Communication

    • Encouraging is essential in communication, utilizing both verbal and non-verbal cues to support the patient while they are speaking.

    Tips for Answering Communication Questions

    • Avoid thinking about what you would say in a situation.
    • Avoid distractions.
    • Choose the BEST response.
    • Remember the key goals of communication:
      • Listen
      • Understand the patient
      • Promote patient insight
      • Facilitate verbalization of feelings
      • Convey understanding and acceptance
      • Assist in identifying problems and goals.

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    Description

    Explore the four important phases of the therapeutic relationship: pre-interaction, introductory, working, and termination. This quiz focuses on the significance of the pre-interaction phase, emphasizing the importance of patient-centered care and different communication styles. Assess your understanding of these crucial concepts in nursing.

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