Psych - Unit 1 - Chapter 6: Therapeutic
Communication
The nurse therapist calls a client to reschedule their appointment for the
following week. When the client arrives at the appointment, the client is
uncommunicative and avoids eye contact with the nurse. When asked
how things have been going, the client answers, "Fine." How should the
nurse confront this behavior?
"You seem angry, and I understand that you have been depressed, but I
feel like you are avoiding speaking to me. Can you explain why you're
acting this way?"
"You appear to be angry. Perhaps you are angry with me for
rescheduling our appointment or something else has happened. Tell me
more about what you are feeling."
"You seem angry. Would you like to talk more about how you're feeling?"
"I'm sorry I had to reschedule our appointment. It really couldn't be
helped. Is that what's bothering you?"
"You appear to be angry. Perhaps you are angry with me for
rescheduling our appointment or something else has happened. Tell me
more about what you are feeling."
Confrontation is the skill of pointing out, in a caring way, the
discrepancies between what clients say and do. This can be done using
a three-step formula called a perception check: describe the inconsistent
or confusing behavior, offer at least two possible interpretations of that
behavior, and ask for feedback.
The client tells the nurse, "My mom is coming in to see me today," while
sighing and looking out the window. The nurse states, "You don't seem
very excited about the visit, is everything OK?" The client affirms. Using
therapeutic communication, how should the nurse respond?
,"Why are you sad about your mother's visit?"
"I'm concerned that you are not exicited about your mother's visit, We
can talk if you want."
"I need to know why you are sad."
"Is your mother giving you trouble for being here?"
"I'm concerned that you are not exicited about your mother's visit, We
can talk if you want."
Therapeutic communication is an interpersonal interaction between the
nurse and the client during which the nurse focuses on the client's needs
to promote an effective exchange of information. Skilled use of
therapeutic communication techniques helps the nurse understand and
empathize with the client's experience. "Why are you sad about your
mother's visit?," "I need to know why you are sad" and "Is your mother
giving you trouble for being here?" are not examples of therapeutic
communication.
A psychiatric-mental health is completing a self-reflection with the goal of
"know thyself" in order to care for their clients better. What is a question
that the nurse can reflect on that encourages self-reflection?
What careers did you do before becoming a nurse?
How do you feel about working long shifts?
What significant traumatic life events have you experienced?
How do you get along with your colleagues?
What significant traumatic life events have you experienced?
Knowing thyself as a nurse provides the necessary space to be
accepting and respectful of other's choices, beliefs, and practices.
Questions for self-reflection include asking what physical problems or
illnesses have you experienced; what significant traumatic life events
have you experienced; what prejudiced or embarrassing beliefs and
,attitudes about groups different from yours can you identify from your
family, significant others, and yourself; what sociocultural factors in your
background could contribute to being rejected by members of other
cultures; and how would the above experiences affect your ability to care
for clients. Therefore, exploring the question "what significant traumatic
life events have you experienced?" would encourage knowing thyself.
The questions, "What careers did you do before becoming a nurse?",
"How do you feel about working long shifts?", and "How do you get along
with your colleagues?" are not questions of self-exploration to know
thyself.
Which statement by the nurse is an example of assertive
communication?
"You are so rude; I just won't tolerate that in my group."
"I'm so happy that you finally decided to join us here in group."
"Oh, you must be really busy to be this late getting to group."
"I understand that group can be difficult to attend but coming late is
disruptive."
"I understand that group can be difficult to attend but coming late is
disruptive."
Assertive communication is the ability to express positive and negative
ideas and feelings in an open, honest, and direct way. It recognizes the
rights of both parties. Losing one's temper is an example of aggressive
communication. The other options demonstrate passive-aggressive and
passive communication.
A client is speaking to the nurse and expressing dissatisfaction about the
care that was provided to the client during a hospital stay. The nurse tells
the client, "This is the best hospital in the state. You could not expect
better care anywhere else." Which type of communication does this
indicate?
, Agreeing
Challenging
Defending
Belittling
Defending
The nurse's statement conveys that the nurse is trying to defend the
hospital from the client's criticism. The nurse's statement may not
change the client's feelings toward the hospital but may make the client
shy away from communicating further. Agreeing is a type of
communication technique through which the nurse indicates accord with
the client. Challenging is a type of communication technique through
which the nurse tries to obtain proof from the client. Belittling is a type of
nontherapeutic conversation in which the nurse misjudges the degree of
the client's discomfort.
When providing information about anorexia to a client, the nurse can
ensure that the client can accurately comprehend the information by
doing what?
Presenting the information using language and terms the client will
understand
Interacting with the client in a nonthreatening, respectful manner
Being careful not to overload the client with too much information at one
time
Giving the client ample opportunity to ask questions
Presenting the information using language and terms the client will
understand
Being careful not to use technical terms and language that will confuse
or intimidate the client will assist the client in grasping and applying the
Communication
The nurse therapist calls a client to reschedule their appointment for the
following week. When the client arrives at the appointment, the client is
uncommunicative and avoids eye contact with the nurse. When asked
how things have been going, the client answers, "Fine." How should the
nurse confront this behavior?
"You seem angry, and I understand that you have been depressed, but I
feel like you are avoiding speaking to me. Can you explain why you're
acting this way?"
"You appear to be angry. Perhaps you are angry with me for
rescheduling our appointment or something else has happened. Tell me
more about what you are feeling."
"You seem angry. Would you like to talk more about how you're feeling?"
"I'm sorry I had to reschedule our appointment. It really couldn't be
helped. Is that what's bothering you?"
"You appear to be angry. Perhaps you are angry with me for
rescheduling our appointment or something else has happened. Tell me
more about what you are feeling."
Confrontation is the skill of pointing out, in a caring way, the
discrepancies between what clients say and do. This can be done using
a three-step formula called a perception check: describe the inconsistent
or confusing behavior, offer at least two possible interpretations of that
behavior, and ask for feedback.
The client tells the nurse, "My mom is coming in to see me today," while
sighing and looking out the window. The nurse states, "You don't seem
very excited about the visit, is everything OK?" The client affirms. Using
therapeutic communication, how should the nurse respond?
,"Why are you sad about your mother's visit?"
"I'm concerned that you are not exicited about your mother's visit, We
can talk if you want."
"I need to know why you are sad."
"Is your mother giving you trouble for being here?"
"I'm concerned that you are not exicited about your mother's visit, We
can talk if you want."
Therapeutic communication is an interpersonal interaction between the
nurse and the client during which the nurse focuses on the client's needs
to promote an effective exchange of information. Skilled use of
therapeutic communication techniques helps the nurse understand and
empathize with the client's experience. "Why are you sad about your
mother's visit?," "I need to know why you are sad" and "Is your mother
giving you trouble for being here?" are not examples of therapeutic
communication.
A psychiatric-mental health is completing a self-reflection with the goal of
"know thyself" in order to care for their clients better. What is a question
that the nurse can reflect on that encourages self-reflection?
What careers did you do before becoming a nurse?
How do you feel about working long shifts?
What significant traumatic life events have you experienced?
How do you get along with your colleagues?
What significant traumatic life events have you experienced?
Knowing thyself as a nurse provides the necessary space to be
accepting and respectful of other's choices, beliefs, and practices.
Questions for self-reflection include asking what physical problems or
illnesses have you experienced; what significant traumatic life events
have you experienced; what prejudiced or embarrassing beliefs and
,attitudes about groups different from yours can you identify from your
family, significant others, and yourself; what sociocultural factors in your
background could contribute to being rejected by members of other
cultures; and how would the above experiences affect your ability to care
for clients. Therefore, exploring the question "what significant traumatic
life events have you experienced?" would encourage knowing thyself.
The questions, "What careers did you do before becoming a nurse?",
"How do you feel about working long shifts?", and "How do you get along
with your colleagues?" are not questions of self-exploration to know
thyself.
Which statement by the nurse is an example of assertive
communication?
"You are so rude; I just won't tolerate that in my group."
"I'm so happy that you finally decided to join us here in group."
"Oh, you must be really busy to be this late getting to group."
"I understand that group can be difficult to attend but coming late is
disruptive."
"I understand that group can be difficult to attend but coming late is
disruptive."
Assertive communication is the ability to express positive and negative
ideas and feelings in an open, honest, and direct way. It recognizes the
rights of both parties. Losing one's temper is an example of aggressive
communication. The other options demonstrate passive-aggressive and
passive communication.
A client is speaking to the nurse and expressing dissatisfaction about the
care that was provided to the client during a hospital stay. The nurse tells
the client, "This is the best hospital in the state. You could not expect
better care anywhere else." Which type of communication does this
indicate?
, Agreeing
Challenging
Defending
Belittling
Defending
The nurse's statement conveys that the nurse is trying to defend the
hospital from the client's criticism. The nurse's statement may not
change the client's feelings toward the hospital but may make the client
shy away from communicating further. Agreeing is a type of
communication technique through which the nurse indicates accord with
the client. Challenging is a type of communication technique through
which the nurse tries to obtain proof from the client. Belittling is a type of
nontherapeutic conversation in which the nurse misjudges the degree of
the client's discomfort.
When providing information about anorexia to a client, the nurse can
ensure that the client can accurately comprehend the information by
doing what?
Presenting the information using language and terms the client will
understand
Interacting with the client in a nonthreatening, respectful manner
Being careful not to overload the client with too much information at one
time
Giving the client ample opportunity to ask questions
Presenting the information using language and terms the client will
understand
Being careful not to use technical terms and language that will confuse
or intimidate the client will assist the client in grasping and applying the
