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NU 311 Clinical Nursing Skills Exam 4 | University of South Alabama | Questions with 100% Verified Answers | Latest Update

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NU 311 Clinical Nursing Skills Exam 4 | University of South Alabama | Questions with 100% Verified Answers | Latest Update

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NU 311 Clinical Nursing Skills Exam 4 | University of South Alabama |
Questions with 100% Verified Answers | Latest Update

Question: Goal of therapeutic communication
Answer:
•to promote wellness and personal growth in patients

Question: Therapeutic communication
Answer:
is patient centered, purposeful, and time limited. This differs from social communication
which is casual and comfortable. In this kind of relationship, the nurse recognizes the patient as
a unique individual and establishes a goal to help the patient. One does not form a social
relationship with the patient, such as dating, confiding personal information, etc.

Question: Phases of the therapeutic relationship
Answer:
•Pre-interactive phase - Here the nurse gathers information about the
patient prior to having direct contact.
• Orientation phase - The goal of this phase is to develop rapport and trust.
It begins with an introduction and ends when the relationship has been defined.
• Working phase - During this phase, caring is communicated, thoughts and
feelings are expressed, mutual respect is maintained, and honest verbal and nonverbal
expression occurs. The key goal is to help the patient to clarify feelings and concerns. A
professional relationship is courteous, trustworthy, and confidential and accomplished by
active listening and the use of therapeutic communication techniques.
• Termination phase - concludes the relationship. This could occur at the end of a shift or
discharge from the facility, etc. Note that therapeutic relations have an end.

Question: Pre-interactive phase
Answer:
-1st phase of the therapeutic relationship
- Here the nurse gathers information about the patient prior to having direct contact.

Question: Orientation phase
Answer:
-2nd phase of the therapeutic relationship
- The goal of this phase is to develop rapport and trust. It begins with an introduction and
ends when the relationship has been defined.

,Question: Working phase
Answer:
-3rd phase of the therapeutic relationship
- During this phase, caring is communicated, thoughts and
feelings are expressed, mutual respect is maintained, and honest verbal and nonverbal
expression occurs. The key goal is to help the patient to clarify feelings and concerns. A
professional relationship is courteous, trustworthy, and confidential and accomplished by
active listening and the use of therapeutic communication techniques.

Question: Termination phase
Answer:
-4th phase of the therapeutic relationship
- concludes the relationship. This could occur at the end of a shift or discharge from the
facility, etc. Note that therapeutic relations have an end.

Question: Characteristics of Therapeutic Communication
Answer:
• Empathy - Empathy is the desire to understand and be sensitive to the
feelings, beliefs and situations of another person (Put yourself in the other's place.)
• Respect for the patient
• Genuineness - Be honest. Be authentic.
• Concreteness and Confrontation - Offer understandable responses to a client's
questions or concerns. Construct messages in a manner that is suitable for the patient.
Conversely, if a patient is unable to express thoughts clearly, be willing and able to request
clarification or to confront the patient, as needed.

Question: Empathy
Answer:
-Characteristic of therapeutic communication
-Is the desire to understand and be sensitive to the feelings, beliefs and situations of
another person (Put yourself in the other's place.)

Question: Genuineness
Answer:
-Characteristic of therapeutic communication - Be honest. Be authentic

, Question: Concreteness and Confrontation
Answer:
-Characteristic of therapeutic communication - Offer understandable responses to a
client's questions or concerns. Construct messages in a manner that is suitable for the patient.
Conversely, if a patient is unable to express thoughts clearly, be willing and able to request
clarification or to ____________ the patient, as needed.

Question: Active listening
Answer:
-Part of therapeutic communication
- The active listener focuses on the sender and attends to both verbal and non-verbal
communication. This requires full attention and the use of all senses. This type of
comunication begins conversations with open ended questions such as "What brings you to the
hospital" and seeks clarification through more direct (closed) and probing questions.

Question: Establish Trust
Answer:
-Part of therapeutic communication
-Good communication originates with a trusting relationship. Can be enhanced through
the use of active listening, honesty, and the provision of competent, compassionate care.

Question: Be Assertive
Answer:
-Part of therapeutic communication
-Is the expression of beliefs or feelings without infringing on another's right.
- Make "I" statements
- State facts, avoid judgments
- Ask directly for what you need; don't make another guess as what
you want.
- Use body language (eye contact and speak clearly)
-____________ people look for win-win solutions. Some confuse being __________ with
being
aggressive. An aggressive person looks for a win- lose solution.
-Commonly, nurses begin early in their career by being passive (not speaking up) and
move over time towards becoming passive-aggressive (quietly sabotage). Beware, don't fall
prey to these type behaviors.

Question: Restate/Reflection
Answer:
-Part of therapeutic communication
- Use patient's own words to ask for the patient to elaborate.

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