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In which phase of the nurse-patient relationship would the nurse appropriately use the communication technique of confrontation?
WORKING PHASE. - the nurse must first establish a working relationship with the patient so the patient trusts and accepts the nurse's feedback about discrepancies in behavior. Promoting patient insight is a task of the working relationship. *wrong: introduction. orientation. termination.
Which of the following actions would negate the principle of genuineness of the nurse?
THE NURSE'S BEHAVIOR IS INCONSISTENT WITH HER WORDS.- genuineness and sincerity are demonstrated by consistency in words and actions. wrong: the nurse smiles at a joke the patient has told. wrong: the nurse shows unconditional positive regard.*wrong: the nurse self-discloses.
Therapeutic communication differs from social communication in that therapeutic communication requires the nurse to do which of the following actions?
EXAMINE THE PATIENT'S BEHAVIOR FROM A THEORETICAL PERSPECTIVE. -EXAMINING THE PATIENT'S BEHAVIOR FROM A THEORETICAL PERSPECTIVE IS A PROFESSIONAL OBLIGATION AND HAS NO PLACE IN A SOCIAL INTERACTION. wrong: limit activities with the patient to therapeutic endeavors. wrong: focus on mutual sharing so as to not intimidate the patient. *wrong: avoid setting expectations as the part of the contract.
Using cliches in therapeutic communication leads the patient toward:
FEELING DISCOUNTED.: the use of cliches is commonly construed by the patient as the nurse's lack of understanding,involvement and caring, and thus the patient may feel demeaned and discounted.
In assessing the patient, the nurse begins by asking questions that encourage the patient to describe problematic behaviors and situations. The next step is to elicit the patient's:
THOUGHTS ABOUT WHAT HAS BEEN DESCRIBED- questions should be asked in a precise order, specifically from the most simple description to the more difficult disclosure of feelings. When the problem has been described, eliciting the patient's thought about the dilemmas provides further assessment data as well as the patient's interpretation of what has happened. wrong: feelings about what has been described- feelings are more complex processes, especially if the patient is highly anxious or out of touch with reality. wrong: possible solutions to the problem- solutions are more complex process, especially is the patient is extremely anxious or out of touch with reality. *wrong: intent on sharing the description- articulating intent is more complex process, especially if the patient is highly anxious or out of touch with reality.
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