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NSG 310 - Therapeutic Communication Exam Questions with Correct Answers
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NSG 310 - Therapeutic Communication Exam Questions with Correct Answers
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NSG 310 - Therapeutic CommunicationExam Questions with Correct Answers
What are the 6 c's of caring? - Answer-Competence - knowledge, wisdom, skills,
judgment, experience and motivation.
Compassion - a shared awareness and connectedness with the experiences of others.
Commitment - a deliberate choice to act in accordance with beliefs and obligations.
Conscience - a state of moral awareness.
Confidence - the internal belief that one will act in a right, proper, or effective way which
fosters trusting relationships.
Comportment - demeanor, conduct, personal bearing, behavior
Behaviors that demonstrate caring - Answer-providing presence, touch, listening,
knowing the client, spiritual caring, family care
barriers to caring - business, hold back for fear of getting attached and losing patients,
differing beliefs and values, technology(focus on this instead of patient), understaffing
therapeutic communication - Answer-Verbal and nonverbal communication techniques
that encourage patients to express their feelings and to achieve a positive relationship.
-It is all about the patient.
-Goal: help the patient explore their thoughts and feelings.
-The nurse is an instrument in the process.
-There is not a reciprocal relationship--Boundaries
-The relationship is limited.
Confidential
-Empathy vs. Sympathy
Empathy - putting yourself in their shoes and through their eyes - doesn't involve
feelings.
Sympathy can cause you to internalize
Building Rapport - Answer-your impression of the patient:
Bias
Obese
Uneducated
"Diabetic"
Frequent Flyer
Report: angry, lazy, unmotivated, non-compliant
, the patient's impression of you:
Personal appearance
Male vs. female
Old vs. young
Professional?
Nonverbal communication
Values/Perceptions/ attitude
Angry, uncaring, uninterested
-Instead of saying "diabetic patient" think patient with diabetes
-instead of saying "a non-compliant patient" could saying, they haven't been taken their
meds as prescribed - get your message across without painting a negative picture
- these help build rapport
How do you build rapport? - Answer-Come up to them directly - introduce yourself - ask
them how they are doing ex. How was your night last night?
-it can be quick but will really start you off on the right track
Nonverbal Communication
-About 90% nonverbal
Malcom Gladwell - example about doctors getting sued
-vocal tone and inflections, pointing, facial expression, eye contact, gestures, body
language
Trust-With the intimacy - caring for them - bathing them, knowing all of their info -
powerful and take this seriously - don't abuse this power
Environmental Influences - Answer-Not conducive
-Busy nurse
-Noisy
-no privacy
How can you create an environment that is conducive?
Active Listening - Answer-Active listening, reflect back, non-judgemental
"The biggest communication problem is we do not listen to understand. We listen to
reply"
Therapeutic Approaches - Opening Remarks - Answer-Patient didn't eat their breakfast
Nontherapeutic "why didn't you eat?" "you have to eat or you won't get better"
Therapeutic - could use observation - "I notice that you haven't eaten anything"
In other situations could say "how did your condition start"
-get to know the unique part of each patient
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