EXAM | QUESTIONS & 100% VERIFIED CORRECT ANSWERS |
OBJECTIVE ASSESSMENT | PRE ASSESSMENT INCLUDED |
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MH COMMUNICATION
4 phases of a nurse-patient relationship - ANSWER the pre interaction phase
the orientation/introductory phase
the working phase
the termination phase
the pre interaction phase of a nurse-patient relationship - ANSWER prepare
for the 1st encounter
obtain available patient information
examine ones *own feelings* and fears
the orientation phase of a nurse-patient relationship - ANSWER 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 - ANSWER 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 - ANSWER goals are
met; discharge commences
plan for continuing of care
examine own feelings, summarize learning
empathy is.. - ANSWER 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.. - ANSWER actually identifying and sharing what the patient is
feeling and experiencing a need to alleviate distress
*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.. - ANSWER you not the patient
transference is - ANSWER a patient displaces feelings and behaviors from the
past onto a nurse
example of transference - ANSWER patient feels angry toward the nurse as
the nurse reminds him of his abusive mother
countertransference is - ANSWER the nurse displaces feelings and behaviors
from the past onto the patient
, example of countertransference - ANSWER 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? - ANSWER "i
can't guarantee that i can keep your secret"
therapeutic interaction skills
silence - ANSWER allows the opportunity for both patient and nurse to collect
and organize thoughts
therapeutic interaction skills
silence EXAMPLE - ANSWER leaning in
therapeutic interaction skills
accepting - ANSWER convey reception and positive regard
therapeutic interaction skills
accepting EXAMPLE - ANSWER "i understand what you said"
therapeutic interaction skills
giving recognition EXAMPLE - ANSWER "i noticed that you attended group
today"
therapeutic interaction skills
, giving recognition - ANSWER indicating awareness, not the same as
complimenting
therapeutic interaction skills
offering self - ANSWER making oneself available
therapeutic interaction skills
offering self EXAMPLE - ANSWER "ill stay here with you"
therapeutic interaction skills
giving broad openings - ANSWER allowing the patient to take an active role in
the conversation
therapeutic interaction skills
giving broad openings EXAMPLE - ANSWER "where would you like to
begin?"
therapeutic interaction skills
offering general leads - ANSWER encouraging the patient to continue
therapeutic interaction skills
offering general leads EXAMPLE - ANSWER "and then" "i see.."
therapeutic interaction skills