NU 311 Clinical Nursing Skills Exam
|\ |\ |\ |\ |\
4 with answers
|\ |\ |\
Goal of therapeutic communication - CORRECT ANSWERS ✔✔•to
|\ |\ |\ |\ |\ |\ |\ |\
promote wellness and personal growth in patients
|\ |\ |\ |\ |\ |\
Therapeutic communication - CORRECT ANSWERS ✔✔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. |\ |\ |\
Phases of the therapeutic relationship - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔•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. |\ |\ |\ |\
Pre-interactive phase - CORRECT ANSWERS ✔✔-1st phase of the |\ |\ |\ |\ |\ |\ |\ |\ |\
therapeutic relationship |\
- Here the nurse gathers information about the patient prior to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
having direct contact. |\ |\
Orientation phase - CORRECT ANSWERS ✔✔-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.
Working phase - CORRECT ANSWERS ✔✔-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. |\
,Termination phase - CORRECT ANSWERS ✔✔-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.
|\ |\ |\
Characteristics of Therapeutic Communication - CORRECT |\ |\ |\ |\ |\ |\
ANSWERS ✔✔• 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.
|\ |\
Empathy - CORRECT ANSWERS ✔✔-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.) |\
, Genuineness - CORRECT ANSWERS ✔✔-Characteristic of |\ |\ |\ |\ |\ |\
therapeutic communication - Be honest. Be authentic |\ |\ |\ |\ |\ |\
Concreteness and Confrontation - CORRECT ANSWERS ✔✔- |\ |\ |\ |\ |\ |\
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. |\ |\
Active listening - CORRECT ANSWERS ✔✔-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. |\ |\ |\
Establish Trust - CORRECT ANSWERS ✔✔-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.
|\ |\ |\ |\ |\
Be Assertive - CORRECT ANSWERS ✔✔-Part of therapeutic
|\ |\ |\ |\ |\ |\ |\ |\
communication
-Is the expression of beliefs or feelings without infringing on
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
another's right. |\
|\ |\ |\ |\ |\
4 with answers
|\ |\ |\
Goal of therapeutic communication - CORRECT ANSWERS ✔✔•to
|\ |\ |\ |\ |\ |\ |\ |\
promote wellness and personal growth in patients
|\ |\ |\ |\ |\ |\
Therapeutic communication - CORRECT ANSWERS ✔✔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. |\ |\ |\
Phases of the therapeutic relationship - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔•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. |\ |\ |\ |\
Pre-interactive phase - CORRECT ANSWERS ✔✔-1st phase of the |\ |\ |\ |\ |\ |\ |\ |\ |\
therapeutic relationship |\
- Here the nurse gathers information about the patient prior to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
having direct contact. |\ |\
Orientation phase - CORRECT ANSWERS ✔✔-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.
Working phase - CORRECT ANSWERS ✔✔-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. |\
,Termination phase - CORRECT ANSWERS ✔✔-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.
|\ |\ |\
Characteristics of Therapeutic Communication - CORRECT |\ |\ |\ |\ |\ |\
ANSWERS ✔✔• 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.
|\ |\
Empathy - CORRECT ANSWERS ✔✔-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.) |\
, Genuineness - CORRECT ANSWERS ✔✔-Characteristic of |\ |\ |\ |\ |\ |\
therapeutic communication - Be honest. Be authentic |\ |\ |\ |\ |\ |\
Concreteness and Confrontation - CORRECT ANSWERS ✔✔- |\ |\ |\ |\ |\ |\
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. |\ |\
Active listening - CORRECT ANSWERS ✔✔-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. |\ |\ |\
Establish Trust - CORRECT ANSWERS ✔✔-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.
|\ |\ |\ |\ |\
Be Assertive - CORRECT ANSWERS ✔✔-Part of therapeutic
|\ |\ |\ |\ |\ |\ |\ |\
communication
-Is the expression of beliefs or feelings without infringing on
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
another's right. |\
