Therapeutic Communication
This type of question encourages the patient to expand on their feelings.
What is an open-ended question?
The domain of learning focused on emotions and values.
What is the affective domain?
“There must be a mistake.” represents this stage of grief.
What is denial?
Problem-solving and support-seeking are examples of this type of coping.
What is adaptive coping?
If a family asks the nurse not to tell the patient about a terminal diagnosis, the nurse must prioritize this ethical principle.
What is autonomy?
“You shouldn’t feel that way” is an example of this non-therapeutic technique.
What is minimizing feelings?
The most reliable way to evaluate patient understanding.
What is the teach-back method?
“If I had done more…” represents this stage.
What is bargaining?
Withdrawal and substance use are examples of this.
What is maladaptive coping?
Requesting a same-gender caregiver for modesty reflects this.
What is cultural consideration?
Reflection, restating, and clarification are examples of this.
What are therapeutic communication techniques?
Pain, fatigue, and anxiety are examples of this.
What are barriers to learning?
Persistent sadness 6 months after a loss requires the nurse to first assess for this.
What is depression?
Refusing to accept a terminal diagnosis is an example of this defense mechanism.
What is denial?
The nurse’s first step when a language barrier exists.
What is obtain a certified medical interpreter?
The best response to “I don’t know what to do anymore” demonstrates this nursing skill.
What is empathy with active listening?
A patient saying, “Can you go over the diet again with me?” indicates this.
What is readiness to learn?
Anticipatory grief occurs during this time.
What is before an expected loss?
Taking anger out on a nurse after bad news may represent this defense mechanism.
What is displacement?
Withholding a diagnosis from a competent adult without their consent violates this legal concept.
What is informed consent?
“Why did you wait so long?” is non-therapeutic because it does this.
What is places blame or creates defensiveness?
When teaching a patient with low literacy, the nurse should use this strategy.
What is simple language with demonstration and return demonstration?
Complicated grief differs from normal grief because it does this.
What is prolonged and impairs functioning?
Use of humor during illness may be classified as this type of coping style.
What is adaptive coping (when not avoiding reality)?
Supporting a patient’s right to make decisions about end-of-life care reflects this ethical principle.
What is self-determination?