NUR 111 Theory Exam 1 Communication Part A UPDATED
ACTUAL Questions and CORRECT Answers
Identify the nurse-client relationship as a basis for Therapeutic as opposed to is social communication is essential for the
communication. establishment of a healthy nurse - client relationship. This process depends on
nurse establishing trusting relationships with the client and the caregiver
- two goals
-Key Two goal:
1. helps clients manage problems in living more effectively and develops new and
unused opportunities fully
2. help patients become better at helping themselves in their everyday life
Key: Development of trust, acceptance between nurse and client, Underlying
belief that the nurse cares about the client and wants to help the client
Influences of personl/ professional care - age, appearance, medical diagnosis,
Sex, education/ values, personalities, expectations, everything we've been talking
about
Identify communication skills needed in developing Active Listener, assist patient to identify feelings, follow through w/ promises and
therapeutic relationships. don't make unrealistic promises, be truthful, focus on patients well-being.
Developed by Hildegard Peplau
Define the four phases of a nurse-client relationship. Pre-interaction
Introductory
Working
Termination Phases
Pre-interaction Phase Similar to planning stage before an interview.
preparing before an interview; look up client information, getting ready for
meeting
This phrase process may cause feelings of anxiety within the nurse; these can be
reduced by identifying specific topics to discuss before meeting the client.
Introductory Phase "orientation" or " pretheraputic" phase
Client may display resistant behaviors - fear of exposing feelings, discomfort in
change, fear of anxiety; anxiety about discomfort involved in change; fear of
anxiety in response to nurses approach
Can overcome resistant by caring; show interest and confidence
By end of phase - develops trust of a nurse; view as honest; believe that you
respect them and honor confidentiality
, Working Phase Has two major stages
1. Exploring and understanding thoughts and feelings
2. facilitate taking action or come up with a plan to meet those goals
The purpose of the working phase is to help client meet identified goals. During
this phase, the client may express or demonstrate feelings such as anger, shame,
or self- consciousness. Nurses help clients work through these feelings by helping
the client make decisions; providing support and offering options and
information.
Termination Phase Sometimes hard for the client because you've been taking such good care of
them; feels a sense of loss
If you've established all the other steps then it should be a positive
Give them a sense of accomplishment
Summarize and review with client; encourage and emphasize on positive
Start in advance so the client has time to adjust
Don't turn your back to the client when leaving the room; one last look of the
room before you leave
Define the communication skills a nurse needs during the Nurses must possess the following skills
working phase of the nurse-client relationship -Empathetic listening and responding
-Respect
-Genuineness
-Concreteness
-Reflecting, paraphrasing, clarifying, and confronting.
Intrapersonal level self talk; individuals thoughts, a form of communication that occurs constantly
two types pf language levels you deal with as a nurse :Your own language level and the clients language level.
May have to deal with clients that speak a different language or dialect
List the SIX basic elements of the communication Sender (Source Encoder)
process. Message
Channel
Receiver (Decoder)
Response (Feedback)
TEACHBACK
Sender (Source Encoder) Person or group wishing to send message to convey information or feelings. Also
selects how to encode the message
coding selection of specific signs or symbols to transmit messages which include
language and words to use
the arrangement of words; mediums to use; tone of voice; gestures if
communication is oral
ACTUAL Questions and CORRECT Answers
Identify the nurse-client relationship as a basis for Therapeutic as opposed to is social communication is essential for the
communication. establishment of a healthy nurse - client relationship. This process depends on
nurse establishing trusting relationships with the client and the caregiver
- two goals
-Key Two goal:
1. helps clients manage problems in living more effectively and develops new and
unused opportunities fully
2. help patients become better at helping themselves in their everyday life
Key: Development of trust, acceptance between nurse and client, Underlying
belief that the nurse cares about the client and wants to help the client
Influences of personl/ professional care - age, appearance, medical diagnosis,
Sex, education/ values, personalities, expectations, everything we've been talking
about
Identify communication skills needed in developing Active Listener, assist patient to identify feelings, follow through w/ promises and
therapeutic relationships. don't make unrealistic promises, be truthful, focus on patients well-being.
Developed by Hildegard Peplau
Define the four phases of a nurse-client relationship. Pre-interaction
Introductory
Working
Termination Phases
Pre-interaction Phase Similar to planning stage before an interview.
preparing before an interview; look up client information, getting ready for
meeting
This phrase process may cause feelings of anxiety within the nurse; these can be
reduced by identifying specific topics to discuss before meeting the client.
Introductory Phase "orientation" or " pretheraputic" phase
Client may display resistant behaviors - fear of exposing feelings, discomfort in
change, fear of anxiety; anxiety about discomfort involved in change; fear of
anxiety in response to nurses approach
Can overcome resistant by caring; show interest and confidence
By end of phase - develops trust of a nurse; view as honest; believe that you
respect them and honor confidentiality
, Working Phase Has two major stages
1. Exploring and understanding thoughts and feelings
2. facilitate taking action or come up with a plan to meet those goals
The purpose of the working phase is to help client meet identified goals. During
this phase, the client may express or demonstrate feelings such as anger, shame,
or self- consciousness. Nurses help clients work through these feelings by helping
the client make decisions; providing support and offering options and
information.
Termination Phase Sometimes hard for the client because you've been taking such good care of
them; feels a sense of loss
If you've established all the other steps then it should be a positive
Give them a sense of accomplishment
Summarize and review with client; encourage and emphasize on positive
Start in advance so the client has time to adjust
Don't turn your back to the client when leaving the room; one last look of the
room before you leave
Define the communication skills a nurse needs during the Nurses must possess the following skills
working phase of the nurse-client relationship -Empathetic listening and responding
-Respect
-Genuineness
-Concreteness
-Reflecting, paraphrasing, clarifying, and confronting.
Intrapersonal level self talk; individuals thoughts, a form of communication that occurs constantly
two types pf language levels you deal with as a nurse :Your own language level and the clients language level.
May have to deal with clients that speak a different language or dialect
List the SIX basic elements of the communication Sender (Source Encoder)
process. Message
Channel
Receiver (Decoder)
Response (Feedback)
TEACHBACK
Sender (Source Encoder) Person or group wishing to send message to convey information or feelings. Also
selects how to encode the message
coding selection of specific signs or symbols to transmit messages which include
language and words to use
the arrangement of words; mediums to use; tone of voice; gestures if
communication is oral
