Fundamentals of Nursing, Communication

What phase of the therapeutic relationship is characterized by gathering information before meeting the client? - Answer-Phase 1 - Pre-Interaction phase What phase of the therapeutic relationship is characterized by meeting clients, making conversation, and establishing rapport? - Answer-Phase 2 - Orientation phase What phase of the therapeutic relationship is characterized using techniques related to therapeutic communication and allowing the client to clarify any concerns? - Answer-Phase 3 - Working phase What phase of the therapeutic relationship is characterized by finding healthy ways to conclude a relationship? - Answer-Phase 4 - Termination phase The main purpose of the working phase of a therapeutic nurse-patient relationship is to: 1. Establish a formal or informal contract that addresses the patients problems 2. Implement nursing interventions designed to achieve expected patient outcomes. 3. Develop rapport and trust so the patient feels protected and an initial care plan can be identified 4. Clearly identify the role of the nurse and establish parameters of the professional relationship. - Answer-2. During the working phase of the therapeutic relationship, nursing interventions have a two fold purpose: assisting patients to explore and understand their thoughts and feelings and supporting patient decisions and actions. The nurse uses reflective technique when communicating with an anxious patient. The nurse uses reflective technique in this situation because it focuses on: 1. Feelings 2. Content themes 3. Clarification of information 4. Summarization of the topics discussed - Answer-1. The reflective technique requires active listening to identify the underlying emotional concerns or feelings contained in a patient's messages. These feelings are then referred back to the patients to promote a clearer understanding of what they have said. A patient says, "I don't know if I'll make it through this surgery." Which response by the nurse may block further communication by the patient? 1."You sound scared" 2."You think you will die" 3."Surgery can be frightening" 4."Everything will be alright" - Answer-4. This response is false reassurance. It denies the patient's concerns about survival and does not invite the patient to elaborate. The patient states "My wife is going to be very upset that my prostate surgery probably is going to leave me impotent." What is the best response by the nurse?