NUR210CH10

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Author:
TomWruble
ID:
199205
Filename:
NUR210CH10
Updated:
2013-03-11 10:47:48
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nur210e1 Communication Clinical Interview
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Description:
Communication and the Clinical Interview
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  1. Communication technique that can have beneficial impact for psychiatric nursing...
    Restating
  2. What is said is the AAA of the communication, while BBB is how it is said, i.e. the nonverbal cues a person gives tom substantiate (or contradict) the verbal message
    • A) Content
    • B) Process
  3. When content and process are in agreement, we have a AAA message. if not, then we have BBB message.
    • A) "Healthy"
    • B) confusing
  4. When content and process are conflicting, we have AAA or BBB messages.
    • A) mixed
    • b) double
  5. Therapeutic communication techniques include:
    • Use of silence
    • Active listening
    • Clarifying techniques
  6. Clarifying (i.e. making sure you are understanding the Pt) techniques include:
    • Paraphrasing - restating content, often in fewer words.
    • Restating - uses same key words that Pt used plus puts into words, the information the Pt conveyed by "process".
    • Reflecting - could be a question or a statement, but it is a means of keeping the Pt talking on a specific subject.
    • Exploring - How is this different than "reflecting"?
  7. When to use Closed-ended questions?
    • Sparingly to get specific need information.
    • Most useful during initial assessment t or intake interviews.
  8. Ideal seating
    90-120 degree angle, so nurse and Pt can look away w/o discomfort.

    Avoid face-to-face.

    Neither person should be or feel trapped, i.e. never have the Pt between the nurse and the door, nor vice versa.

    Avoid a desk between the nurse and the Pt.
  9. Introductions...
    Ask the Pt how they would like to be addressed.
  10. Two elements of Body Language
    Kinesics - body movements and postures, facial expression, etc.

    • Proxemics - personal space. In U.S.
    • intimate: 0-18"
    • personal: (friends & colleagues) 18-40"
    • social: (strangers & acquaintances) 4-12'
    • public: (public speaking) 12+'
  11. Process Recordings
    notes made after the interview which
  12. What is the focus during clinical supervision? 

    A. The nurse's behavior in the nurse-client relationship
    B. Devising alternative strategies for client growth
    C. Assisting the client to develop increased independence
    D. Analysis of the client's motivation for transferences
    A. The nurse's behavior in the nurse-client relationship

    Clinical supervision helps the nurse look at his or her own behavior and determine more effective approaches to working with clients. Text pages: 190, 191
    (this multiple choice question has been scrambled)
  13. Two main principles that can guide the communication process during the nurse-client interview are 

    A. clarity and giving recognition.
    B. personal and environmental factors.
    C. passive listening and cultural caution.
    D. interpreting and speculating on client meaning.
    A. clarity and giving recognition.

    Clarity refers to mutual understanding of communication, and giving recognition indicates awareness of change and personal efforts (Note: this is DIFFERENT than "giving approval, agreeing). Both are desirable. Text pages: 181-183
    (this multiple choice question has been scrambled)
  14. A client shares that, "I can't stand his controlling ways. I would be better off alone. At least I would be able to come and go as I please and not have to be interrogated all the time." What therapeutic communication technique is the nursing using when responding, "Are you saying that things would be better if you left your husband?" 

    A. Clarification
    B. Reflection
    C. Focusing
    D. Restating
    A. Clarification

    Clarification verifies the nurse's interpretation of the client's message. Text page: 188
    (this multiple choice question has been scrambled)
  15. With which client would making direct eye contact help further the nurse-client relationship? 

    A. Mrs. A, a recent immigrant from Korea
    B. Ms. B, a recent immigrant from Mexico
    C. Mr. C, a recent immigrant from Japan
    D. Mr. D, a recent immigrant from Germany
    D. Mr. D, a recent immigrant from Germany

    Eye contact conveys interest to most northern European individuals. Eye contact would be considered intrusive to the others. Text page: 187
    (this multiple choice question has been scrambled)

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