Block 6 Therapeutic Relationship and Enviroment Flashcards
an intervention that places a client in a one to two day treatment setting where balance can be reestablished is called
crisis stabilization
the primary reason that clients may return to the inpatient environment is due to
noncompliance
for setting limits with the client two important therapeutic interventions may be used…
reinforce the established structure and provide consistency
an effective tool for assessing how the therapeutic environment meets human needs is
maslows hierarchy of needs
two concept of space related directly to client care are
territory and distance
one of the most important factors in prevention recidivism is the availability of adequate..
community resources
noise levels at what frequency can lead to distorted perceptions, altered thinking, and sensory overload?
high
what, in the mental health context, means that caregivers acknowledge clients as human beings worthy of dignity and respect?
acceptance
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
emotional state
this person described settings or environments designed to help clients replace inappropriate behaviors with more effective personal and psychosocial skills…
Maxwell jones
inpatient services are provided for what three main groups of people?
those experiencing crisis. those with acute mental or emotional problems. those with chronic mental illness.
the chronically troubled person may feel that life in the inpatient facility is…
better than a lonely existence in the community.
recidivism=
repeated inpatient admissions
primary reason for return to the inpatient environment is clients…
refusal to take their prescribed psychotropic medications
what are the three goals of a therapeutic ENVIROMENT?
provide protection, support, and education.
a therapeutic environment allows clients to learn to replace their maladaptive behavior with
more effective actions
if clients are unable to do their ADL’s then teach them…
their adaptive needs (eating, etc.)
if a client has suspicions of food then…
give them pre packaged food
basic physical needs must be met before higher level needs=
maslows hierarchy of needs
to breathe, nourishment, hygiene, and environment=
physiological needs
feeling of physical safety and the ability to feel secure with others=
safety and security and this also includes safety from self harm
the need to be accepted and find ones place within a group=
love and belonging
how can a client in a facility meet the love and belonging needs?
form a relationship with the other clients
you must love and respect yourself before others can love and respect you=
self esteem needs
how can clients meet self esteem needs?
encourage them to participate in group therapy
the needs to achieve ones full potential=
self-actualization needs
noncompliance happens most often in which clients?
outpatient clients
this focuses on the client…
dynamics of the therapeutic relationship
a flow that moves clients toward constructive ways of thinking and effective ways of coping=
therapeutic relationship
what are the five components of the therapeutic relationship?
trust, empathy, autonomy, caring, and hope.
autonomy=
ability to direct and control ones activities and destiny
an ex. of caring for a client=
putting on their favorite movie
expectation of achieving a future goal=
hope
connect with clients=
rapport
to be open, honest, and sincere in the relationship=
genuinesness
who is the primary focus in a therapeutic relationship?
the client, NOT YOURSELF
what are the four phases of a therapeutic relationship?
preparation phase, orientation phase, working phase, and termination phase.
the caregiver gather data and prepares for the relationship in this phase…
preparation phase
in this phase the caregiver and client agree to work with each other and establish the purpose for the relationship…
orientation phase
what is the first step in the orientation phase?
identify self and then explain your role
in this phase the client and caregiver work toward the goals…
working phase
in this phase the goals are completed and there is a sense of accomplishment…
termination phase
some patient may do this when they do not want the relationship to end…
regress or withdraw
name six environmental problems of a therapeutic relationship…
lack of privacy, inappropriate meeting place, uncomfortable furniture, lighting, temperature, and noise and frequent interruptions.
what are three barriers related to care providers in the therapeutic relationship?
difficulties with attitudes, setting of helping boundaries, counter-transference.
when do barriers related to care providers within the relationship usually occur?
when the caregivers needs get in the way.
the care giver cannot
rescue or own their clients problems
what are two problems related to the client in the relationship?
resistance and noncompliance
the therapeutic relationship is an exchange between two people that helps clients to…
find constructive way of thinking and effective coping strategies
genuineness is…
an open and honest attitude
ones ability to control his or her own activities and destiny is…
autonomy
