Chapter 8: Therapeutic Relationships

Question 1

nurse patient relationship is centered on

Answer 1

peplau

Question 2

nurse patient relationships need set

Answer 2

boundaries

Question 3

can we use our self and our personality as a tool

Answer 3

yes

Question 4

is talk therapy a basic rn or advanced skill

Answer 4

advanced

Question 5

what works best
meds
therapy
both

Answer 5

both

Question 6

what goal do we have for our patients with independcacy

Answer 6

autonomy promotion

Question 7

necessary behaviors for nurses

Answer 7

accountability
focus on patient needs
clinical competence
delaying judgement
supervision

Question 8

3 types of relationships

Answer 8

social
intimate
therapeutic

Question 9

what relationship do we want with patients

Answer 9

therapeutic

Question 10

how are theraptic relationships one sided

Answer 10

only the patients needs need to be met

Question 11

what is the purpose of social relationships

Answer 11

friendly
socialization
enjoyment

Question 12

who’s needs are met through social

Answer 12

mutual

Question 13

what is established in a therapeutic relationship

Answer 13

clear boundaries

Question 14

what can occur if boundaries are not present

Answer 14

transference
cotransfernce

Question 15

how to prevent transference and cotransference

Answer 15

boundaries

Question 16

professional and ethical boundaries

Answer 16

maintaining a professional role helping meet patient goals and never personal goals of the nurse

Question 17

legal boundaries

Answer 17

patients right to confidentiality
sexual misconduct

Question 18

over involvement increases risk of

Answer 18

boundary crossings
boundary violations
professional sexual misconduct
blurring of roles

Question 19

boundary crossing

Answer 19

therapeutic relationship into personal
nurses needs are met over patient

Question 20

boundary violations

Answer 20

advantage of patients vulnerability
reversal of roles
nurses needs are also met rather than patient

Question 21

professional sexual misconduct

Answer 21

physical or verbal breech

Question 22

what comes with blurring of roles

Answer 22

transference
countertransference

Question 23

when do you develop self awareness

Answer 23

preorientation

Question 24

what is it important to reflect on during self awareness

Answer 24

values and beliefs
own culture

Question 25

peplaus model of the nurse patient relationship

Answer 25

preorientation
orientation
working
termination

Question 26

preorientation

Answer 26

KEY: self awareness development
prepping for assignment
happens before the first meeting
- gathering data
- planning for first interaction

Question 27

orientation

Answer 27

establishing rapport
parameters of the relationship
confidentiality

Question 28

what is discussed during orientation

Answer 28

termination

Question 29

working phase

Answer 29

helping patient achieve whatever goals they have
maintain relationship
share information (collaboration and teaching)
facilitate change
promote patients
- problem solving skills
- self esteem
- use of language

Question 30

termination phase

Answer 30

summarize goals and objectives achieved
review situations of relationship

Question 31

factors that promote patient growth

Answer 31

genuineness
empathy
positive regard
- attitudes
- actions
- attending

Question 32

empathy vs sympathy

Answer 32

empathy: recognizing the situation that someone is in is difficult and challenging

sympathy: feeling sorry for someone

Question 33

attending

Answer 33

special kind of listening
intensity of presence or being with the patient

Question 34

what are factors reflecting the degree of attending

Answer 34

posture
eye contact
body language
voal qualities

Question 35

why do we not give advice

Answer 35

autonomy and confidence