Test 1 - Therapeutic communication techniques and individual therapy phases

Question 1

A child is in the dying phase. What type of TCT should you use?

Answer 1

silence.

After a few minutes leave the room

Question 2

Yes I understand what you said. Nod.

Answer 2

acceptance

Question 3

I notice you combed your hair today

Answer 3

Giving recognition

Question 4

I’ll go to group therapy with you. I will sit here with you awhile.

Answer 4

Offering self

Question 5

What would you like to talk about today?

Answer 5

broad opening

Question 6

Yes, I see. Go on. Continue…

Answer 6

offering general leads

Question 7

What lead up to you smacking that guy?

Answer 7

placing event in time and sequence

Question 8

You seem tense.

You are pacing a lot

Answer 8

Making observations

Question 9

Are you hearing voices? What are the voices saying?

Answer 9

encourage description of perceptions

Question 10

How does this compare with the time….?

Answer 10

encouraging comparison

Question 11

Pt: I can’t study my mind is wandering
RN:You have trouble concentrating.

Answer 11

restating

Question 12

Pt: What do you think I should do?
RN: What do YOU think you should do?

Answer 12

reflecting

Question 13

Patient lists ten things that are bugging them. You say, “which bothers you the most?”

Answer 13

focusing

Question 14

Please explain the situation in more detail

Answer 14

exploring

Question 15

I am not sure I understand what you are saying. Would you please explain?

Answer 15

seeking clarification/validation

Question 16

Pt with dementia: Mom what are you doing here

RN: I am your nurse and this is a hospital. Perhaps I remind you of your mother

Answer 16

presenting reality

Question 17

I understand that you believe that to be true, but I see it differently

Answer 17

voicing doubt

Question 18

PT: It’s a waste of time to be here. I can’t talk to you or anyone.

RN: Are you feeling that no one understands you?

Answer 18

verbalizing the implied

Question 19

Pt: I am way out in the ocean
RN: You must be feeling lonely

Answer 19

attempting to translate words into feelings.

Question 20

What could you do to let your anger out harmlessly?

Answer 20

Formulating a plan of action

Question 21

What is the first phase of individual therapy

Answer 21

preinteraction

RN assesses feelings about the patient, gathers info about patient (family, charts, etc)

Question 22

what is the second phase of individual therapy

Answer 22

orientation

get to know the patient, build trust and rapport
establish goals and contracts

Question 23

what is the third phase of individual therapy

Answer 23

working phase

problem solve, evaluation of progress,

Question 24

what is the final phase of ind. therapy?

Answer 24

termination phase

ask patient if they are ready to terminate the relationship
beware of manipulation