NUR 224 Final Exam Questions and Correct
Answers
MH COMMUNICATION
4 phases of a nurse-patient relationship
✓ ~~~ the preinteraction phase
✓ the orinetiation/introductory phase
✓ the working phase
✓ the termination phase
the preinteraction phase of a nurse-patient relationship
✓ ~~~ prepare for the 1st encounter
✓ obtain available patient information
✓ examine ones *own feelings* and fears
the orientation phase of a nurse-patient relationship
✓ ~~~ meet patient
✓ trust and rapport is established
✓ identify patient strengths and weaknesses
✓ development of a realistic plan of action
the working phase of a nurse-patient relationship
✓ ~~~ maintain established trust and rapport
✓ promote patient's insight, reality perception and problem solving
✓ overcome resistance barriers
the termination phase of a nurse-patient relationship
, ✓ ~~~ goals are met; discharge commences
plan for continuing of care
examine own feelings, summarize learning
empathy is..
✓ ~~~ the ability to see beyond the displayed behavior and to understand the situation
from the patient's perspective
*to remain emotionally separate from the patient*
sympathy is..
✓ ~~~ identifying and sharing what the patient is feeling and experiencing a need to
alleviate distress
*the nurse is not emotionally separate - taking on the patients needs and problems
as if they were his/her own*
sympathy is often making the situation about..
✓ ~~~ you not the patient
transference is
✓ ~~~ a patient displaces feelings and behaviors from the past onto a nurse
example of transference
✓ ~~~ patient feels angry toward the nurse as the nurse reminds him of his abusive
mother
,countertransference is
✓ ~~~ the nurse displaces feelings and behaviors from the past onto the patient
example of countertransference
✓ ~~~ nurse over identifies with a patient's feelings, feels the need to rescue the
patient and has a difficult time setting limits
if a patient asks you to keep a secret, what is a good response?
✓ ~~~ "i can't guarantee that i can keep your secret"
therapeutic interaction skills
silence
✓ ~~~ allows the opportunity for both patient and nurse to collect and organize
thoughts
therapeutic interaction skills
silence EXAMPLE
✓ ~~~ leaning in
therapeutic interaction skills
accepting
✓ ~~~ convey reception and positive regard
therapeutic interaction skills
, accepting EXAMPLE
✓ ~~~ "i understand what you said"
therapeutic interaction skills
giving recognition EXAMPLE
✓ ~~~ "i noticed that you attended group today"
therapeutic interaction skills
giving recognition
✓ ~~~ indicating awareness, not the same as complimenting
therapeutic interaction skills
offering self
✓ ~~~ making oneself available
therapeutic interaction skills
offering self EXAMPLE
✓ ~~~ "ill stay here with you"
therapeutic interaction skills
giving broad openings
✓ ~~~ allowing the patient to take an active role in the conversation
Answers
MH COMMUNICATION
4 phases of a nurse-patient relationship
✓ ~~~ the preinteraction phase
✓ the orinetiation/introductory phase
✓ the working phase
✓ the termination phase
the preinteraction phase of a nurse-patient relationship
✓ ~~~ prepare for the 1st encounter
✓ obtain available patient information
✓ examine ones *own feelings* and fears
the orientation phase of a nurse-patient relationship
✓ ~~~ meet patient
✓ trust and rapport is established
✓ identify patient strengths and weaknesses
✓ development of a realistic plan of action
the working phase of a nurse-patient relationship
✓ ~~~ maintain established trust and rapport
✓ promote patient's insight, reality perception and problem solving
✓ overcome resistance barriers
the termination phase of a nurse-patient relationship
, ✓ ~~~ goals are met; discharge commences
plan for continuing of care
examine own feelings, summarize learning
empathy is..
✓ ~~~ the ability to see beyond the displayed behavior and to understand the situation
from the patient's perspective
*to remain emotionally separate from the patient*
sympathy is..
✓ ~~~ identifying and sharing what the patient is feeling and experiencing a need to
alleviate distress
*the nurse is not emotionally separate - taking on the patients needs and problems
as if they were his/her own*
sympathy is often making the situation about..
✓ ~~~ you not the patient
transference is
✓ ~~~ a patient displaces feelings and behaviors from the past onto a nurse
example of transference
✓ ~~~ patient feels angry toward the nurse as the nurse reminds him of his abusive
mother
,countertransference is
✓ ~~~ the nurse displaces feelings and behaviors from the past onto the patient
example of countertransference
✓ ~~~ nurse over identifies with a patient's feelings, feels the need to rescue the
patient and has a difficult time setting limits
if a patient asks you to keep a secret, what is a good response?
✓ ~~~ "i can't guarantee that i can keep your secret"
therapeutic interaction skills
silence
✓ ~~~ allows the opportunity for both patient and nurse to collect and organize
thoughts
therapeutic interaction skills
silence EXAMPLE
✓ ~~~ leaning in
therapeutic interaction skills
accepting
✓ ~~~ convey reception and positive regard
therapeutic interaction skills
, accepting EXAMPLE
✓ ~~~ "i understand what you said"
therapeutic interaction skills
giving recognition EXAMPLE
✓ ~~~ "i noticed that you attended group today"
therapeutic interaction skills
giving recognition
✓ ~~~ indicating awareness, not the same as complimenting
therapeutic interaction skills
offering self
✓ ~~~ making oneself available
therapeutic interaction skills
offering self EXAMPLE
✓ ~~~ "ill stay here with you"
therapeutic interaction skills
giving broad openings
✓ ~~~ allowing the patient to take an active role in the conversation
