CNUR 201 Week 5 Prep Exam Questions And All Correct Answers.
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Course
CNUR 201
Institution
CNUR 201
How do many health care workers view resistance as? - Answer the patient pulling in one direction and the caregiver pulling in another direction.
what should we do when we encounter resistance - Answer we should look at what we're doing that might be in fact creating or building the resist...
CNUR 201 Week 5 Prep Exam Questions
And All Correct Answers.
How do many health care workers view resistance as? - Answer the patient pulling in one direction and
the caregiver pulling in another direction.
what should we do when we encounter resistance - Answer we should look at what we're doing that
might be in fact creating or building the resistance
-trying to force a person to do what they do not want to do build more reistance
-nurse's task is to examine their approach and try to find a more collaborative way of working with the
client
-observations from working with pts is that they all too often feel like "just a number" when care is done
How are resistance and ambivalence related - Answer -Learning to roll with resistance is al about
understanding the nature of ambivalence
-Ambivalence is a normal human state when a person is faced with making a significant change. In an
ambivalent state, a person feels conflicted between making the change and not changing (maintaining
the status quo)
4 Common Types of Resistance that Pts Experience when being pushed to change when they are not yet
ready to commit to change - Answer -They may display rebelliousness but saying "no one can tell me
what to do with my life"
-They may express reluctance to make the change, believing that the problem is not really "all that
serious" at this point
-They may try to rationalize their situation.
-A final common internal reaction is resignation. Person may understand that their situation is serious
but they have tried to change in the past and have failed each time.
How to support someone demonstrating rebelliousness - Answer -best response would be to agree
with them that they are right; that they and only they have the right and power to make decisions about
how to live their life
how to support someone expressing reluctance - Answer -may need more information
, -you need to respect their autonomy
-always ask permission to offer information
how to support someone rationalizing their behaviour - Answer -might explore with them what the
situation would look like for it to be a real problem that required change
-this allows them the autonomy to decide for themselves
how to support someone expressing resignation - Answer -will require a lot of support and affirmation
-help them to explore their past attempts and while doing so help them to identify what they learned
from their attempts that would help them to better prepare for their next attempt and increase the
likelihood of success
How to react to sustain talk - Answer -rather than asking another question or debating with the patient
the wisdom of their choice, it is better to use reflective listening.
-3 types of reflective responses that will help you avoid getting into a"tug of war" with the patient
1. Simple/Straught Reflection
2. Amplified Reflection
3. Double-Sided Reflection
Aspects of positive engagement - Answer 1. Establishment of a trusting and mutually respectful
wokring relationship
2. Agreement on treatment goals
3. Collaboration on mutually negotiated tasks to reach these goals
Defination of engaging in MI - Answer the process of establishing a mutually trusting and respectful
helping relationship
largest threat to active engaging - Answer is the communication of nonmutuality. This means the nurse
is demanding the conversation and choosing where it goes, this is not pt centered.
Early traps that promote disengagement - Answer -The Assessment Trap
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