answers graded A+ updated
Communication - correct answer ✔✔The exchange of information (verbal and nonverbal)
between two or more people Any means of exchanging information or feelings between two or
more individuals
Therapeutic Communication - correct answer ✔✔The way in which the nurse communicates
with patients and families
For a purpose: to influence others to respond or to obtain information. Always for the benefit of
the patient
The communication is: patient and goal directed
Sender - correct answer ✔✔Encoding - selecting the information, formulating the message and
sending the message
Message - correct answer ✔✔Content of the communication Channel - the way the message is
delivered Nonverbal communication very important - Congruency/Congruent
Receiver - correct answer ✔✔listener, observer of the message
Decoding: Sorts out the meaning of the message
Must accurately interpret the message
Verbal - correct answer ✔✔The words used in the message
Pace and Intonation Use of commonly understood words Clarity & Brevity
Timing & Relevance, Adaptability, Credibility, Humor
,Feedback/Response - correct answer ✔✔Message that the receiver returns to the sender
Nonverbal communication - correct answer ✔✔will reinforce or contradict (disagree) with the
verbal communication
unspoken communication; body language
Personal appearance, Posture and gait, Facial expressions, Eye contact, Gestures,
Sounds/Paralanguage
Relationship - correct answer ✔✔an interpersonal process that involves two or more people.
Often there is a connection between the involved persons for an "established or discoverable
reason.
Therapeutic Relationship - correct answer ✔✔Caring relationship between a nurse and a
patient. Based on Trust, Respect, Sensitivity, Nurturing, Acceptance
Nurses role in the Therapeutic Relationship - correct answer ✔✔Direct administration of
physical care
Advocacy on behalf of patients and families Psychosocial support Health education and
counseling
Caring - correct answer ✔✔the act of giving freely and willingly of oneself to another through
expressions of warmth, compassion, kindness, consideration, and interest
Developing the Therapeutic Relationship - correct answer ✔✔Listen actively Caring/Altruism
Trust
Empathy
Honesty
Be aware of cultural differences
Maintain patient confidentiality
, Know your role and limitations
Sympathy - correct answer ✔✔The actual sharing of another's feelings Usually accompanies
responses of sadness or pity
Objectivity may be lost
Four Goal Directed Phases of the Nurse Patient Relationship - correct answer
✔✔Preinteraction/Preorientation. Orientation, Working, Termination/Closure
Preinteraction/Preorientation Phase - correct answer ✔✔Before meeting the patient
Review and gather data/information Information may include: The patient's name, age, marital
status, cultural background, medical history, and/or social history
Obtain report from caregivers that have information about the patient
Anticipate health concerns or issues
Plan for the encounter
Plan enough time for this phase
Self-awareness - correct answer ✔✔Examine own feelings, fears, anxieties
Introductory (Orientation) Phase - correct answer ✔✔Nurse and patient meet
Get to know each other Introduce yourself
Ask the patient how they wish to be addressed
Clarify purpose of interaction
Set the tone - first impressions
Working Phase - correct answer ✔✔Patient and nurse work together to identify and solve
problems and take action to set and accomplish goals