Block 6 Therapeutic Relationship and Enviroment Flashcards

1
Q

an intervention that places a client in a one to two day treatment setting where balance can be reestablished is called

A

crisis stabilization

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2
Q

the primary reason that clients may return to the inpatient environment is due to

A

noncompliance

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3
Q

for setting limits with the client two important therapeutic interventions may be used…

A

reinforce the established structure and provide consistency

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4
Q

an effective tool for assessing how the therapeutic environment meets human needs is

A

maslows hierarchy of needs

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5
Q

two concept of space related directly to client care are

A

territory and distance

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6
Q

one of the most important factors in prevention recidivism is the availability of adequate..

A

community resources

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7
Q

noise levels at what frequency can lead to distorted perceptions, altered thinking, and sensory overload?

A

high

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8
Q

what, in the mental health context, means that caregivers acknowledge clients as human beings worthy of dignity and respect?

A

acceptance

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9
Q

at the time of admission, the factor that most likely would make it difficult for the client to understand or remember anything is the client’s

A

emotional state

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10
Q

this person described settings or environments designed to help clients replace inappropriate behaviors with more effective personal and psychosocial skills…

A

Maxwell jones

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11
Q

inpatient services are provided for what three main groups of people?

A

those experiencing crisis. those with acute mental or emotional problems. those with chronic mental illness.

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12
Q

the chronically troubled person may feel that life in the inpatient facility is…

A

better than a lonely existence in the community.

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13
Q

recidivism=

A

repeated inpatient admissions

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14
Q

primary reason for return to the inpatient environment is clients…

A

refusal to take their prescribed psychotropic medications

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15
Q

what are the three goals of a therapeutic ENVIROMENT?

A

provide protection, support, and education.

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16
Q

a therapeutic environment allows clients to learn to replace their maladaptive behavior with

A

more effective actions

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17
Q

if clients are unable to do their ADL’s then teach them…

A

their adaptive needs (eating, etc.)

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18
Q

if a client has suspicions of food then…

A

give them pre packaged food

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19
Q

basic physical needs must be met before higher level needs=

A

maslows hierarchy of needs

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20
Q

to breathe, nourishment, hygiene, and environment=

A

physiological needs

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21
Q

feeling of physical safety and the ability to feel secure with others=

A

safety and security and this also includes safety from self harm

22
Q

the need to be accepted and find ones place within a group=

A

love and belonging

23
Q

how can a client in a facility meet the love and belonging needs?

A

form a relationship with the other clients

24
Q

you must love and respect yourself before others can love and respect you=

A

self esteem needs

25
Q

how can clients meet self esteem needs?

A

encourage them to participate in group therapy

26
Q

the needs to achieve ones full potential=

A

self-actualization needs

27
Q

noncompliance happens most often in which clients?

A

outpatient clients

28
Q

this focuses on the client…

A

dynamics of the therapeutic relationship

29
Q

a flow that moves clients toward constructive ways of thinking and effective ways of coping=

A

therapeutic relationship

30
Q

what are the five components of the therapeutic relationship?

A

trust, empathy, autonomy, caring, and hope.

31
Q

autonomy=

A

ability to direct and control ones activities and destiny

32
Q

an ex. of caring for a client=

A

putting on their favorite movie

33
Q

expectation of achieving a future goal=

A

hope

34
Q

connect with clients=

A

rapport

35
Q

to be open, honest, and sincere in the relationship=

A

genuinesness

36
Q

who is the primary focus in a therapeutic relationship?

A

the client, NOT YOURSELF

37
Q

what are the four phases of a therapeutic relationship?

A

preparation phase, orientation phase, working phase, and termination phase.

38
Q

the caregiver gather data and prepares for the relationship in this phase…

A

preparation phase

39
Q

in this phase the caregiver and client agree to work with each other and establish the purpose for the relationship…

A

orientation phase

40
Q

what is the first step in the orientation phase?

A

identify self and then explain your role

41
Q

in this phase the client and caregiver work toward the goals…

A

working phase

42
Q

in this phase the goals are completed and there is a sense of accomplishment…

A

termination phase

43
Q

some patient may do this when they do not want the relationship to end…

A

regress or withdraw

44
Q

name six environmental problems of a therapeutic relationship…

A

lack of privacy, inappropriate meeting place, uncomfortable furniture, lighting, temperature, and noise and frequent interruptions.

45
Q

what are three barriers related to care providers in the therapeutic relationship?

A

difficulties with attitudes, setting of helping boundaries, counter-transference.

46
Q

when do barriers related to care providers within the relationship usually occur?

A

when the caregivers needs get in the way.

47
Q

the care giver cannot

A

rescue or own their clients problems

48
Q

what are two problems related to the client in the relationship?

A

resistance and noncompliance

49
Q

the therapeutic relationship is an exchange between two people that helps clients to…

A

find constructive way of thinking and effective coping strategies

50
Q

genuineness is…

A

an open and honest attitude

51
Q

ones ability to control his or her own activities and destiny is…

A

autonomy