NU 311 Clinical Nursing Skills Exam 4
Questions and CORRECT 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.
- Make "I" statements
- State facts, avoid judgments
- Ask directly for what you need; don't make another guess as what
you want.
- Use body language (eye contact and speak clearly)
-____________ people look for win-win solutions. Some confuse being __________ with being
aggressive. An aggressive person looks for a win- lose solution.
-Commonly, nurses begin early in their career by being passive (not speaking up) and move over
time towards becoming passive-aggressive (quietly sabotage). Beware, don't fall prey to these type
behaviors.
Restate/Reflection - CORRECT ANSWERS -Part of therapeutic communication
- Use patient's own words to ask for the patient to elaborate.
Clarify - CORRECT ANSWERS -Part of therapeutic communication
- Use when a patient's words or messages are ambiguous or confusing. "Do I understand you
correctly when you say...."
Use silence - CORRECT ANSWERS -Part of therapeutic communication
-Very uncomfortable for most, but respectful and highly effective in promoting communication
Questions and CORRECT 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.
- Make "I" statements
- State facts, avoid judgments
- Ask directly for what you need; don't make another guess as what
you want.
- Use body language (eye contact and speak clearly)
-____________ people look for win-win solutions. Some confuse being __________ with being
aggressive. An aggressive person looks for a win- lose solution.
-Commonly, nurses begin early in their career by being passive (not speaking up) and move over
time towards becoming passive-aggressive (quietly sabotage). Beware, don't fall prey to these type
behaviors.
Restate/Reflection - CORRECT ANSWERS -Part of therapeutic communication
- Use patient's own words to ask for the patient to elaborate.
Clarify - CORRECT ANSWERS -Part of therapeutic communication
- Use when a patient's words or messages are ambiguous or confusing. "Do I understand you
correctly when you say...."
Use silence - CORRECT ANSWERS -Part of therapeutic communication
-Very uncomfortable for most, but respectful and highly effective in promoting communication
