Nursing 101 Exam 3 UPDATED ACTUAL
Questions and CORRECT Answers
The use of one's personality and communication skills - CORRECT ANSWER -Hildegard Peplau's
"therapeutic use of self"
Helpful with relating to patients, their families and other healthcare professionals
Traditional nurse-patient relationship phases - CORRECT ANSWER -1. Orientation-Introductory
"getting to know you", begins with developing trust
2. Working-address the tasks outlined in orientation phase; regression often precedes positive change
3. Termination -therapeutic end to relationship
*each phase builds on the previous phase
these factors are involved in self awareness - CORRECT ANSWER -Professional boundaries-
spaces between the nurse's professional power and the patient's vulnerability (NCSBN)
Boundary violations-male nurse example
Principles for determining professional boundaries - CORRECT ANSWER --nurse responsible for
maintaining boundaries
-work within a zone of helpfulness. Not too aloof and not too emotionally involved
-examine boundary crossing, aware of implications, avoid repeating
-care setting, community influences, client needs and nature of therapy affect outlining of boundaries
-actions that overstep boundaries to meet the need of nurse is violation
-avoid duel relationships (business and friendship both)
-it may be difficult to determine when nurse-client relationship is truly terminated with post-termination
relationships. (client may need additional services)
,Tips on developing self awareness: - CORRECT ANSWER -distinguish their own emotional needs
from their patients' needs
Reflective practice
No stereotypes - ANA Code of Ethics provision 1
Nonjudgemental acceptance
Patient centered care
Patient centered care - CORRECT ANSWER -caring and human relatedness
Types of Communication - CORRECT ANSWER -Verbal-all forms of speech
Nonverbal- primary means of communicating feelings and emotions.
Facial expression
Body movement
Proxemics
Personal appearance
Vocal cues
Pacing
Touch
Therapeutic communication: Bedside Manner
-connection between patient and a care provider. Ensures -patients understand their conditions and
recommend course of treatment.
, -Consciously think about word choices, body language, tone and other signals.
Effects of touch - CORRECT ANSWER -Decrease heart rate
Increase muscle relaxation
Increase rapport between caregiver and patient
Increase response to treatment
Successful communication involves - CORRECT ANSWER -Feedback-reciever relays to sender
effect of senders message
Appropriateness-when reply fits circumstances and matches message.
-may need to alter your question from "how are you" to something more specific to get an appropriate
answer.
Efficiency-simple clear words timed at a pace suitable to participants
Flexibility-base messages on immediate situation rather than preconceived expectations.
ex: nursing student who prepares to teach patient about diabetes but enters room to find them crying- first
address the immediate situation
Active listening involves: - CORRECT ANSWER -a nonjudgemental acknowledgement of feelings
where nurse communicates interest and attention
Attention: physical attending skills (most powerful single communication skill)
Reception: psychological attending; listening to all three sources of the message
Perception - putting it all together; identifying the talkers feelings that are related to their experience
Questions and CORRECT Answers
The use of one's personality and communication skills - CORRECT ANSWER -Hildegard Peplau's
"therapeutic use of self"
Helpful with relating to patients, their families and other healthcare professionals
Traditional nurse-patient relationship phases - CORRECT ANSWER -1. Orientation-Introductory
"getting to know you", begins with developing trust
2. Working-address the tasks outlined in orientation phase; regression often precedes positive change
3. Termination -therapeutic end to relationship
*each phase builds on the previous phase
these factors are involved in self awareness - CORRECT ANSWER -Professional boundaries-
spaces between the nurse's professional power and the patient's vulnerability (NCSBN)
Boundary violations-male nurse example
Principles for determining professional boundaries - CORRECT ANSWER --nurse responsible for
maintaining boundaries
-work within a zone of helpfulness. Not too aloof and not too emotionally involved
-examine boundary crossing, aware of implications, avoid repeating
-care setting, community influences, client needs and nature of therapy affect outlining of boundaries
-actions that overstep boundaries to meet the need of nurse is violation
-avoid duel relationships (business and friendship both)
-it may be difficult to determine when nurse-client relationship is truly terminated with post-termination
relationships. (client may need additional services)
,Tips on developing self awareness: - CORRECT ANSWER -distinguish their own emotional needs
from their patients' needs
Reflective practice
No stereotypes - ANA Code of Ethics provision 1
Nonjudgemental acceptance
Patient centered care
Patient centered care - CORRECT ANSWER -caring and human relatedness
Types of Communication - CORRECT ANSWER -Verbal-all forms of speech
Nonverbal- primary means of communicating feelings and emotions.
Facial expression
Body movement
Proxemics
Personal appearance
Vocal cues
Pacing
Touch
Therapeutic communication: Bedside Manner
-connection between patient and a care provider. Ensures -patients understand their conditions and
recommend course of treatment.
, -Consciously think about word choices, body language, tone and other signals.
Effects of touch - CORRECT ANSWER -Decrease heart rate
Increase muscle relaxation
Increase rapport between caregiver and patient
Increase response to treatment
Successful communication involves - CORRECT ANSWER -Feedback-reciever relays to sender
effect of senders message
Appropriateness-when reply fits circumstances and matches message.
-may need to alter your question from "how are you" to something more specific to get an appropriate
answer.
Efficiency-simple clear words timed at a pace suitable to participants
Flexibility-base messages on immediate situation rather than preconceived expectations.
ex: nursing student who prepares to teach patient about diabetes but enters room to find them crying- first
address the immediate situation
Active listening involves: - CORRECT ANSWER -a nonjudgemental acknowledgement of feelings
where nurse communicates interest and attention
Attention: physical attending skills (most powerful single communication skill)
Reception: psychological attending; listening to all three sources of the message
Perception - putting it all together; identifying the talkers feelings that are related to their experience
