Review Quiz 2 Communication Quizlet Gestures When Example of Unspoken Communication True or False

Therapeutic communication is a skill that nurses should master not only in psychiatric areas of practice. It is a skill that would enable the nurse to employ its principles beyond all intendance settings because communication also happens in other patient intendance situations.

A nurse must know the barriers and the proper technique to help ensure that the purpose of communicating with the patient is met and able to bring a positive experience for the nurse and patient.

These NCLEX-RN review notes will help you lot to hurdletherapeutic communication questions and pass your exams.

Communication: The Nuts

Communication is 1 of the most important facets of the human interactive process. In nurse-patient interaction, the employ of communication also helps both parties to:

• Send messages;
• Convey emotions;
• Share information;
• Understand i some other; and
• Assist in the successful enforcement of a intendance plan.

Communication can exist verbal and non-verbal. Verbal communication uses words, whether written or spoken, to ship a bulletin from one person to another. In contrast, non-verbal communication relies on a dissimilar attribute to gain more insight into what is being said. These include:

• Tone of voice
• Facial expressions
• Stance- how the person stands or sits
• Gestures
• Eye movements

Communicating well means that both verbal and non-exact cues of communication match one another. The facial expression, tone of voice, and gestures should as well match the words existence said. For example, a person who tells some other that he is happy should besides bear witness in his facial expressions that he is happy.

The same is true for nurses who are interacting with their patients. However, when information technology comes to communicating with patients, nurses must practise the apply oftherapeutic communication.

Therapeutic Advice and Techniques

Therapeutic advice is the mode in which the nurse uses a set of techniques and strategies to help her patient maintain or attain mental or emotional well-existence past using words, gestures, and other body movements. In using this, the nurse is able to provide support and even valuable information while ensuring that the relationship between her and the patient remains purely professional and objective.

           In implementing therapeutic communication, the nurse must never forget that it is important for her to maintain therapeutic utilize of the cocky,maintainunconditional positive regardfor the patient andbe consequent. In these instances, the best therapeutic tool is ordinarily the nurse.

The success of the interaction depends on how well she can direct the flow and tone of the interaction to gain deeper insight into the issues or problems faced by the patient.

This should also be done to empower the patient and let them realize that but they tin resolve their issues, and the nurse would only guide them to arrive at the best possible solution.

The following techniques tin be used when using therapeutic communication:

 ane. Use of Silence. This technique is effective when the nurse wants to allow the patient to recollect most what he is proverb or experiencing or when she wants to straight him to speak about the topic on paw. Silence tin can also be used to announce that the patient has the nurse's attention.

ii. Accepting . Not being entirely the same with the agreement, accepting is used to assistance assert and admit what is being said. It is used to convey that the nurse has heard the patient, and she understands what was being said. In some cases, the following responses may besides be used:

a. Yes, I understand yous.
b. Aye, I am listening.
c. Yes, I follow.

three. Providing recognition. Recognizing means that the behavior of the patient is being acknowledged without having to compliment information technology. This is more virtually objectively telling the patient what he was able to reach. Examples of its would exist:

a. I noticed you lot made your bed today.
b. I saw that y'all were able to finish your meal.
c. You had a haircut.
d. Nosotros saw you lot wear a new tie today.

4. Offering the cocky/Offering oneself. In this particular technique, the nurse offers the patient her presence, peculiarly in nigh trying or stressful situations. Offering the self may come from staying with the patient while watching TV, sitting with them as they go through a trying time, or just being present.

5. Providing broad openings. Giving broad openings allows the patient to choose a topic that he wants to talk over or explore more. Openings such equally, "What practise you want to talk virtually?" or "What's on your mind?" are examples of this.

6. Active Listening. Using non-verbal cues to send to the patient signals that the nurse is interested in the chat. Agile listening involves nodding, paying close attention to what the patient says, or even showing signs to the patient that he has her total attention.

vii. Seeking clarification. When using this technique, the nurse usually provides cues to the patient about wanting to gain more precise information from him. Comments such as,"I am not sure that I follow you lot." Or "Can you explain this ane to me?" are some of the most common phrases used when this technique is employed.

eight. Placing things or events in sequence. This technique compels patients to think well-nigh the order or sequence of events that he is talking almost, especially when the nurse wants to become a clear motion picture of what happened. This is helpful when the topic being discussed is of import to aid the nurse understand how an event has impacted the patient.

9. Making observations. While it may be similar in the sense of providing recognition, making observation also includes giving clear and objective comments or suggestions about the patient's behavior, advent, or demeanor. This can be done by the nurse telling or asking the patient nigh what is seen without sounding overly concerned. Examples of this would exist:

a. I see night circles around your optics this morning.
b. You have a new hair bush-league.
c. You seem to exist agitated today.

10. Asking for Descriptions. Sensory perceptions experienced by the patient, peculiarly those who have hallucinations, need to be explained and described in detail to the nurse. When asking for descriptions, this should be done with the goal of agreement what is going on and not to encourage hallucinations.

11. Encouraging Comparisons. Encouraging comparisons help the nurse guide the patient to look into his experience to deal with a current issue that he is facing. This technique often leads the patient to realize that his past experiences tin can provide solutions to his current situation.

12. Summarizing. During the entire nurse-patient interaction, several topics may be covered or discussed prior to its finish or pause. The nurse may use this technique to summarize what has transpired and allow the patient know she is listening.

thirteen. Reflecting. In some cases, the patient asks the nurse for advice on what to do in a particular situation. However, giving advice is not recommended. What the nurse must do is to encourage the patient to be accountable for his deportment and what they should do. This also helps them gain a sense of control in terms of coming upwardly with solutions themselves. Examples of this would be:

a. What practice you think you should exercise?
b. How do yous plan to go on with that?
c. What can y'all suggest we plan for?

fourteen. Confronting. Although this is not normally washed on routine nurse-patient interactions, confronting tin can be employed when the nurse has established trust and rapport with the patient. This is unremarkably done when there is a need to present reality or break a patient'due south destructive routines to aid them find a solution to their problems.

fifteen. Voicing Doubt. Used to telephone call attention to words and thoughts of the patient that may be delusional, voicing doubt may aid guide the patient to reexamine their thoughts. This allows them to realign their thinking to reality.

16. Offering Promise and Sense of humor. In instances where the patient is faced with something stressful and overwhelming, offering hope and humor tin can help lighten up the mood and lift his spirit. This allows him to refocus on what is at hand, finding solutions to his issues and concerns. While offering hope can sometimes be helpful, information technology is of import to remember that false reassurances must be avoided.

Barriers to Therapeutic Communication

If there are techniques that aid the nurse in establishing good nurse-patient interaction, there are too measures that should be avoided because they close the channels of communication between the nurse and the patient. These likewise brand it virtually impossible for the nurse to proceeds valuable insight into the patient's bug and problems and, therefore, must be avoided.

ane. Challenging. Challenging involves forcing the patient to take a stand on their views, beliefs, words, and actions. It compels him to be defensive, trying to make the nurse understand his feelings, thoughts, or actions past justifying them. It as well makes them feel less credible and non respected—usual questions showtime with the word why.

ii. Probing. This technique is considered a bulwark to therapeutic communication considering it makes the patient feel less secure and uncomfortable. Probing typically happens when the nurse asks questions that the patient finds too invasive or personal to answer and may not exist relevant to the problem beingness discussed. For example, when the patient told the nurse nigh a recent breakdown, and instead of focusing on the feelings and perceptions of the patient, she asked the details almost the identify where the split happened.

3. Changing the bailiwick. Showing a lack of regard for what the patient is saying or wanting to share, irresolute the subject is unacceptable and unremarkably happens when the nurse prioritizes their thoughts and feelings rather than the patients.

4. Beingness Defensive. A barrier that is oftentimes committed by the nurse, being defensive, happens when the nurse feels the need to defend her behavior in front of the patient. This displays her focus on herself rather than her patient.

5. Providing false reassurances.  These are comments that tend to give the patients cliched communication or responses to the patient. Examples of this include:

a. Everything will be fine.
b. The doctors are going to cure yous.
c. Null wrong will happen.

6. Disagreeing. This happens when the nurse tends to correct words or data shared by the patient. Disagreeing with the patient may make them feel defensive, sad, and even angry because the nurse does non believe or concord. Statements using disagreeing normally beginning with no.

vii. Making/Passing judgment. Contrary of providing unconditional positive regard, making judgments happen when the nurse gives positive or negative comments about words or behaviors of the patient. This makes them feel like they take to say or do what the nurse would agree on or the contrary to go the attending they seek.

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Practice Test

The following NCLEX-RN questions will test your skills intherapeutic communication and apply knowledge on establishing nurse-patient interaction. Read each detail carefully, and choose the best possible answer/s from the set of options provided.

Always retrieve to time your practice test to stimulate the fourth dimension-bound NCLEX-RN examinations. After answering, y'all may check the answers and rationale provided in the next page.

1. A client diagnosed with depression attempted suicide says to the nurse, "I should have died. I've e'er been a failure. Nada ever goes right for me." Which response by the nurse demonstrates therapeutic advice?

A. "You have everything to live for."
B. "Why exercise you see yourself as a failure?"
C. "Feeling similar this is all role of being depressed."
D. "You've been feeling similar a failure for a while?"

2. A immature customer diagnosed with paranoid schizophrenia is talking with the nurse. "You know, when I idea everyone was out to get me, I was staying in my apartment all the time. Now, I'd like to get out and do things once again." What is the best initial response by the nurse?

A. "With whom do y'all want to do things?"
B. "What activities did you enjoy in the past?"
C. "What kind of transportation do yous use?"
D. "How much money can you spend?"

3. A client experiencing disturbed thought processes believes that his food is beingness poisoned. Which advice technique should the nurse employ to encourage the customer to eat?

A. Using open-concluded questions and silence
B. Sharing personal preference regarding nutrient choices
C. Documenting reasons why the client does non want to eat
D. Offering opinions about the necessity of adequate diet

four. The nurse should programme which goals of the termination phase of grouping development? Select all that apply.

A. The group evaluates the experience.
B. The real work of the group is accomplished.
C. Group interaction involves superficial conversation.
D. Group members get acquainted with i another.
E. Some structuring of group norms, roles, and responsibilities takes place.
F. The group explores members' feelings well-nigh the group and the impending separation.

5. A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish my family unit would finish hoping for a cure! I become so angry when they carry on similar this. Subsequently all, I'm the one who's dying." Which response past the nurse is therapeutic?

A. "Accept you shared your feelings with your family?"
B. "I think we should talk more about your anger with your family unit."
C. "You're feeling aroused that your family continues to promise for y'all to be cured?"
D. "Y'all are probably very depressed, which is understandable with such a diagnosis."

six. A client reports having thoughts of being followed by strange agents who are after his underground papers. Which response past the nurse is most advisable when responding to the client's disturbed thought procedure?

A. "I don't come across any strange agents."
B. "I think these thoughts are frightening to you."
C. "I don't know what you mean."
D. "I'd like y'all to come to the group with me right now."

7. A client admitted voluntarily to treat an feet disorder demands to be released from the infirmary. Which action should the nurse take initially?

A. Contact the client's health care provider (HCP).
B. Call the customer's family unit to accommodate for transportation.
C Endeavour to persuade the client to stay "for only a few more days."
D. Tell the customer that leaving would probable result in an involuntary delivery.

8. When reviewing the access assessment, the nurse notes that a client was involuntarily admitted to the mental health unit. Based on this type of access, the nurse should provide which intervention for this client?

A. Monitor closely for harm to cocky or others.
B. Assistance in completing an application for admission.
C. Supply the client with written information near their mental illness.
C. Provide an opportunity for the family to discuss why they felt the admission was needed.

9. A patient is presenting with behaviors that indicate anger. When approached, the patient states harshly, "I'1000 fine! Everything's great." Which response should the nurse provide to the patient?

A. "Okay, but we are all here to assistance y'all, and then come get one of the staff if you lot need to talk."
B. "I'm glad everything is good. I am going to give you your schedule for the day, and we can hash out how the groups are going."
C. "I don't believe you. Y'all are non truthful with me."
D. "It looks as though you are proverb one matter but feeling some other. Can you tell me what may be upsetting you?"

10. The parents of a 20-year-erstwhile female person customer diagnosed with paranoid schizophrenia was admitted 4 days ago attended a family psychoeducation group in the hospital. Which of the following statements by the female parent indicates that she understands her daughter'southward disease and management?

A. "I know that I'll accept to do everything for my daughter when she comes home."
B. "Tasks as simple as getting out of bed and showering in the morning may be difficult for her."
C. "I know that visits from her friends at home should be discouraged for a while."
D. "She won't experience a relapse equally long as she takes her prescribed medication."

11. The nurse employed in a mental wellness clinic is greeted by a neighbor in a local grocery shop. The neighbour says to the nurse, "How is Carol doing? She is my best friend and is seen at your clinic every week." Which is the nigh advisable nursing response?

A. "I cannot discuss whatever client state of affairs with you lot."
B. "If you want to know about Carol, you demand to ask her yourself."
C. "Merely because you're worried most a friend, I'll tell you that she is improving."
D. "Beingness her friend, you know she is having a difficult time and deserves her privacy."

12. The nurse calls security and has physical restraints applied to a client, who was admitted voluntarily when the customer becomes verbally abusive, demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? Select all that apply.

A. Libel
B. Battery
C. Assault
D. Slander
East. False imprisonment

13. The nurse in the mental wellness unit of measurement plans to utilise , which therapeutic communication techniques when communicating with a client? Select all that apply.

A. Restating
B. Listening
C. Asking the customer, "Why?"
D. Maintaining neutral responses
East. Providing acknowledgment and feedback
F. Giving communication and approving or disapproval

14. A patient is sitting with arms crossed over their chest, their left leg is rapidly moving up and down, and there is an angry expression on their face. When approached by the nurse, the patient states harshly, "I'm fine! Everything's bang-up." Which statement related to communication should the nurse focus on when working with this patient?

A. Exact communication is always more authentic than nonverbal communication.
B. Exact advice is more than straightforward, whereas nonverbal communication does not portray what a person is thinking.
C. Nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to go an accurate message.
D. Nonverbal communication is about 10% of all communication, and verbal communication is about 90%.

15. A client participates in a therapy group and focuses on viewing all team members as every bit important in helping the clients meet their goals. The nurse is implementing which therapeutic approach?

A. Milieu therapy
B. Interpersonal therapy
C. Behavior modification
D. Support grouping therapy

Answers and Rationale

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Source: https://rnspeak.com/therapeutic-communication-questions/

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