Complete Solutions
4 kinds of distance in interpersonal interactions Correct
Answers 1. Intimate distance is the closest distance that
individuals allow between themselves and others (0-18 in.)
2. Personal distance is the distance for interactions that are
personal in nature, such as close conversation with friends (18-
40 in.)
3. Social distance is the distance for conversation with strangers
or acquaintances (4-12 ft)
4. Public distance is the distance for speaking in public or
yelling to someone some distance away. (12 ft+)
active listening Correct Answers 1. To listen actively is to be
attentive to what client is saying, both verbally and nonverbally.
2. Several nonverbal behaviors have been designed to facilitate
attentive listening.
3. With active listening the nurse communicates acceptance and
respect for the client, and trust is enhanced.
4. A climate is established within the relationship that promotes
openness and honest expression.
5. SOLER
adaptation Correct Answers 1. The emphasis here is on change
from the existing steady state of the individual's life pattern.
2. The change can be either positive, such as outstanding
personal achievement, or negative, such as being fired from a
job.
3. Positive adaptation, particularly in response to adversity, has
also been referred to as resilience.
,4. Coping strategies are considered maladaptive when the
conflict being experienced goes unresolved or intensifies.
adaptive coping strategies Correct Answers 1. Awareness,
Relaxation, Meditation
2. Interpersonal communication
-the strength of one's available support system is an existing
condition that significantly influences his or her adaptation when
coping with stress
3. Problem-solving/decision-making model
-Assessing the facts of the situation
-Formulating goals for resolution of the stressful situation
-Studying the alternatives for dealing with the situation
-Determining the risks and benefits of each alternative
4. Pets
-Those who care for pets, especially dogs and cats, are better
able to cope with the stressors of life.
5. Music
-Studies have shown multiple benefits of listening to music.
admission to acute inpatient psychiatric care Correct Answers
1. criteria
-imminent danger of harming self
-imminent danger of harming others
-unable to care for basic needs; gross impairment of judgment
2. goals
-crisis stabilization
-initiation of treatment
-referral for outpatient follow-up care
affect Correct Answers 1. anxious
,2. inappropriate
3. wide range
4. labile/afraid/glad/sad
5. blunted/flat/constricted
6. describe:
7. *observed by interviewer*
anticipatory grieving Correct Answers 1. The experiencing of
feelings and emotions associated with the normal grief response
before the loss actually occurs
- While, conventional grief tends to diminish in intensity with
the passage of time, anticipatory grief can become more intense
as the expected loss becomes imminent.
2. Difficulty arises when family members complete the process
of anticipatory grief and detachment from the dying person
occurs prematurely.
3. Anticipatory grieving may be positive for some people and
less functional for others.
4. Anticipatory grieving may serve as a defense for some
individuals to ease the burden of loss when it actually occurs. It
may prove to be less functional for others who, because of
interpersonal, psychological, or sociocultural variables, are
unable in advance of the actual loss to express the intense
feelings that accompany the grief response.
5. being involved in the dying process is not only healing to the
person dying, but the person potentially experiencing the loss as
well
attitude Correct Answers 1. cooperative
2. guarded/suspicious/distant
3. hostile
, 4. apathetic (don't care)
5. warm/friendly
avoiding liability Correct Answers 1. Effective communication
- The SBAR model of reporting information, which stands for
situation, background, assessment and recommendations, has
been identified as a useful tool for effective communication with
caregivers. Establishing rapport with clients encourages open
and honest communication.
2. Accurate and complete documentation in the medical record
-the electronic medical record (EHR) has been identified the
best way to document and share this information. The use of
best sources for informatics is also identified as an important
standard for quality and safety in nursing education
3. Complying with the standards of care
-those established within the profession (such as ANA
standards) and those identified by specific hospital policies.
4. Knowing the client
- helping the client become involved in his or her care as well as
understanding and responding to aspects of care in which they
are dissatisfied.
5. Practice within the nurse's level of competence and scope of
practice
- not only adhering to professional standards (those of the ANA
and State Boards of Nursing) but also keeping knowledge and
nursing skills current through evidence-based literature,
inservices, and continuing education.
basic assumptions of a therapeutic milieu Correct Answers 1.
The health in each individual is to be realized and encouraged to
grow.