Mental Health Chapter 8: Therapeutic
Communication
How can a nurse avoid the possibility of finding the client's behavior
unacceptable or distasteful?
By being aware of the client's behavior and background before
beginning the relationship, and exploring with a colleague the possibility
of a conflict.
A psychiatric-mental health nurse has noticed a client's use of
unconscious defense mechanisms. Which of the following would be
classified as defense mechanisms? Select all that apply.
- affiliation
- denial
- devaluation
- idealization
Defense mechanisms include
acting out, affiliation, altruism, anticipation, autistic fantasy, denial,
devaluation, displacement, dissociation, help-rejecting, complaining,
humor, idealization, intellectualization, isolation of affect, omnipotence,
passive aggression, projection, projective identification, rationalization,
reaction formation, repression, self-assertion, self-observation, splitting,
sublimination, suppression, and undoing. Validation and reassurance are
communication techniques, not defense mechanisms.
Which statement would be an empathetic response in a client
interaction?
"You must have been embarrassed when your father yelled at you in the
grocery store."
The nurse is talking with a married client just diagnosed with syphilis.
The nurse talks with the client about disclosing the information to the
, spouse and/or any other sexual partners. The client cries and asks the
nurse, "Have you ever had an affair?" The nurse states, "Yes, it usually
doesn't turn out well." The nurse proceeds to answer other questions
about the affair. By answering these personal questions the nurse is
divulging what?
self- disclosure
A client diagnosed with borderline personality disorder is pitting one
nurse against the other, calling one a best friend and declaring that the
other is horrible. The client is using which defense mechanism?
splitting
-Splitting is compartmentalizing opposite affect states, and failing to
integrate the positive and negative qualities of the self or others into
cohesive images.
Sublimation is the
channeling of potentially maladaptive feelings or impulses into socially
acceptable behavior.
Self-observation is the
reflecting of feelings, thoughts, motivation, and behavior and responding
to them appropriately.
Suppression is
intentionally avoiding thoughts about disturbing problems, wishes,
feelings, or experiences.
The nurse wears a cross and has a Facebook page displaying pictures
of the family, home and updates on what the nurse is currently doing.
These actions are examples of what?
self-disclosure
Communication
How can a nurse avoid the possibility of finding the client's behavior
unacceptable or distasteful?
By being aware of the client's behavior and background before
beginning the relationship, and exploring with a colleague the possibility
of a conflict.
A psychiatric-mental health nurse has noticed a client's use of
unconscious defense mechanisms. Which of the following would be
classified as defense mechanisms? Select all that apply.
- affiliation
- denial
- devaluation
- idealization
Defense mechanisms include
acting out, affiliation, altruism, anticipation, autistic fantasy, denial,
devaluation, displacement, dissociation, help-rejecting, complaining,
humor, idealization, intellectualization, isolation of affect, omnipotence,
passive aggression, projection, projective identification, rationalization,
reaction formation, repression, self-assertion, self-observation, splitting,
sublimination, suppression, and undoing. Validation and reassurance are
communication techniques, not defense mechanisms.
Which statement would be an empathetic response in a client
interaction?
"You must have been embarrassed when your father yelled at you in the
grocery store."
The nurse is talking with a married client just diagnosed with syphilis.
The nurse talks with the client about disclosing the information to the
, spouse and/or any other sexual partners. The client cries and asks the
nurse, "Have you ever had an affair?" The nurse states, "Yes, it usually
doesn't turn out well." The nurse proceeds to answer other questions
about the affair. By answering these personal questions the nurse is
divulging what?
self- disclosure
A client diagnosed with borderline personality disorder is pitting one
nurse against the other, calling one a best friend and declaring that the
other is horrible. The client is using which defense mechanism?
splitting
-Splitting is compartmentalizing opposite affect states, and failing to
integrate the positive and negative qualities of the self or others into
cohesive images.
Sublimation is the
channeling of potentially maladaptive feelings or impulses into socially
acceptable behavior.
Self-observation is the
reflecting of feelings, thoughts, motivation, and behavior and responding
to them appropriately.
Suppression is
intentionally avoiding thoughts about disturbing problems, wishes,
feelings, or experiences.
The nurse wears a cross and has a Facebook page displaying pictures
of the family, home and updates on what the nurse is currently doing.
These actions are examples of what?
self-disclosure
