NURA 311 Exam 1 Study Guide UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
therapeutic communication purposeful use of communication to build and maintain helping relationships to
clients, family, and significant others; client-centered, purposeful, planned, goal-
oriented, caring, empathy, verbal/nonverbal
touch essential, the dominant component of physical exam
, clarifying techniques helps the nurse distinguish accuracy of message conveyed; restatement,
reflection, paraphrase, and elaboration
restatement uses the clients exact words
reflection directs the focus back to client so they can examine their feelings
paraphrase restates the clients thoughts for them to confirm
elaboration using terms like "yes", or nodding your head, or "tell me more"
silence and active listening purposefully allows patient time to gather thoughts and provide accurate answers
presenting reality helps client distinguish real vs fault beliefs
focusing redirecting patients to pertinent topic being discussed
summarizing reviewing and condensing important information into 2 or 3 most important
findings
offering self relevant self-disclosure by the nurse shows shared experience
nontherapeutic responses False reassurance
Sympathy
Unwanted advice
Biased questions
Changes of subject
Distractions
Technical or overwhelming language
Interrupting
cultural awareness involves self-awareness for the nurse, examining personal attitudes related to
various aspects of culture, to identify possible bias
cultural sensitivity means that nurses are knowledgeable about the cultures prevalent in their area of
practice
cultural appropriateness nurses apply their knowledge of a client's culture to their care delivery
cultural competence means that nurses understand and address the entire cultural context of each
client within the realm of the care they deliver; it's developed over a lifetime as the
nurse continues to attain knowledge and develop cultural skill through varied
encounters
cultural imposition (cultural blindness) similar to ethnocentrism and occurs when a nurse imposes the rules of their
culture onto another person
cultural barriers language barrier, ethnocentrism, prejudice, discrimination, and health disparities
pre-interaction, beginning, working, and closing 4 phases of the interview process
ANSWERS
therapeutic communication purposeful use of communication to build and maintain helping relationships to
clients, family, and significant others; client-centered, purposeful, planned, goal-
oriented, caring, empathy, verbal/nonverbal
touch essential, the dominant component of physical exam
, clarifying techniques helps the nurse distinguish accuracy of message conveyed; restatement,
reflection, paraphrase, and elaboration
restatement uses the clients exact words
reflection directs the focus back to client so they can examine their feelings
paraphrase restates the clients thoughts for them to confirm
elaboration using terms like "yes", or nodding your head, or "tell me more"
silence and active listening purposefully allows patient time to gather thoughts and provide accurate answers
presenting reality helps client distinguish real vs fault beliefs
focusing redirecting patients to pertinent topic being discussed
summarizing reviewing and condensing important information into 2 or 3 most important
findings
offering self relevant self-disclosure by the nurse shows shared experience
nontherapeutic responses False reassurance
Sympathy
Unwanted advice
Biased questions
Changes of subject
Distractions
Technical or overwhelming language
Interrupting
cultural awareness involves self-awareness for the nurse, examining personal attitudes related to
various aspects of culture, to identify possible bias
cultural sensitivity means that nurses are knowledgeable about the cultures prevalent in their area of
practice
cultural appropriateness nurses apply their knowledge of a client's culture to their care delivery
cultural competence means that nurses understand and address the entire cultural context of each
client within the realm of the care they deliver; it's developed over a lifetime as the
nurse continues to attain knowledge and develop cultural skill through varied
encounters
cultural imposition (cultural blindness) similar to ethnocentrism and occurs when a nurse imposes the rules of their
culture onto another person
cultural barriers language barrier, ethnocentrism, prejudice, discrimination, and health disparities
pre-interaction, beginning, working, and closing 4 phases of the interview process
