Health Nursing 5th Edition Fosbre Test Bank Chapter 1
- 28 Updated 2023
Therapeutic Relationship - ANSWER Is the process by which nurses provide care
for patients in need of psychosocial intervention
Genuineness - ANSWER Ability to be open, honest and real in interactions with pt
Empathy - ANSWER Seeing beyond outward behavior and understanding the
situation from the pt's point of view
Orientation (Introductory) phase - ANSWER Environment of trust/rappport
Expectations/Responsibilities of nurse and pt
Building strong database
identifying pt strengths and limitations
formulating nursing diagnosis
setting goals that we are mutually agreeable
plan of action
exploring feeling
Working phase - ANSWER Maintain trust and rapport
promote insight and reality
problem solving
overcoming resistant behaviors
evaluating the process
Transference - ANSWER Occurs when the pt unconsciously displaces or transfers
to the nurse feeling formed towards a person of their past. Can be anger hostility or
even affection
Countertransference - ANSWER the nurse's response to the pt that is
unconsciously displaces or transfers feeling formed towards a person of their past.
Termination Phase - ANSWER The termination phase of the relationship is the
discharge phase.
Progress has been made
plan for continuing of care at home
feelings about the termination/discharge should be explored
Nonverbal communication - ANSWER It has been estimated that 70-80% of all
effective communication is nonverbal
Therapeutic communication include - ANSWER Silence
, accepting
giving recognition
offering self
giving broad openings
offering general leads
placing event in time or sequence
making observation
encouraging comparison
restating
reflecting
focusing
exploring
seeking clarification/validation
presenting reality
voicing doubt
verbalizing the implied
attempting to translate words into feelings
formulating a plan of action
SOLAR - ANSWER S- Sit facing squarely
O - Observe an open posture
L- Lean forward
E- Establish eye contact
R- relax
Non-therapeutic Communication - ANSWER Giving false reassurance
rejecting
approving/disapproving
agreeing/disagreeing
giving advice
defending
requesting an explanation
indicating the existence of an external source of power
belittling feelings expressed
making stereotypes comments
using denial
interpreting
introducing unrelated topics
Exploring - ANSWER delving further into a subject, experience, relationship or idea
Restating focusing - ANSWER lets the client know if the topic/statement has been
understood or not
Reflecting - ANSWER directs questions or feelings back to client so that they may
be recognized and accepted
Probing - ANSWER inquiring closely into something, searching