Chapter 8: Theraputic Relationships

Question 1

What is the Basis of all psychiatric nursing treatment approaches

Answer 1

Therapeutic Relationships

Question 2

Describe the parameters of a patient relationship

Answer 2

To establish that the nurse is
Safe
Confidential
Reliable
Consistent
Relationship with clear boundaries

Use personality consciously and in full awareness
Attempt to establish relatedness
Structure nursing interventions

Question 3

Describe the parameters of a social relationship with a patient

Answer 3

Initiated for the purpose of friendship, socialization, enjoyment, or accomplishment of a task
Mutual needs are met
Communication to give advice, give, or ask for help
Content of communication superficial

Question 4

Describe the parameters of therapeutic relationships with a patient

Answer 4

Needs of patient identified and explored
Clear boundaries established
Problem-solving approaches taken
New coping skills developed
Behavioral change encouraged

Question 5

What are five necessary behaviors for nurses

Answer 5

Accountability
Focus on patient’s needs
Clinical competence
Delaying judgment
Supervision

Question 6

Three ways to establish boundaries with a patient

Answer 6

Physical boundaries
The contract
Personal space

Question 7

Two examples of blurring boundaries with your patient

Answer 7

When relationship slips into social context
When nurse’s needs are met at expense of patient’s needs

Question 8

Examples of blurring of roles (DIFFERENCE BETWEEN TRANSFERENCE & COUNTERTRANSFERENCE

Answer 8

Transference—patient unconsciously and inappropriately displaces onto nurse feelings and behaviors related to significant figures in patient’s past
Transference intensified in relationships of authority

Countertransference—nurse displaces feelings related to people in nurse’s past onto patient
Patient’s transference to nurse often results in countertransference in nurse
Common sign of countertransference in nurse is overidentification with the patient