Exam 1 - Chapter 8

Question 1

What occurs when the helping person attempts to understand the world from the patients perspective?

Answer 1

Empathy

Question 2

What refers to the nurses ability to be open, honest, and authentic in interactions with patients?

Answer 2

Genuineness

Question 3

What are abstract standards that represent an ideal, either positive or negative?

Answer 3

Values

Question 4

By demonstrating genuineness, empathy, and unconditional positive regard, what can you build with your patient?

Answer 4

Rapport (Positive)

Question 5

What things are incorporated in a Therapeutic Relationship?

Answer 5

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

Question 6

What is it called when a patient unconsciously and inappropriately displaces onto nurse feelings and behaviors related to significant figures in patient’s past?

Answer 6

Transference

Question 7

What is transference intensified?

Answer 7

In relationships of authority.

Question 8

What is it called when a nurse dislikes feelings related to people in nurse’s past onto patient?

Answer 8

Countertransference

Question 9

What does a patient’s transference to nurse often result in?

Answer 9

Countertransference in nurse

Question 10

What common sign of countertransference in nurse is what?

Answer 10

Overidentification with the patient

Question 11

In what type of relationship does the nurse maximize communication skills, understanding of human behaviors, and personal strengths to enhance the patients growth?

Answer 11

Therapeutic relationship

Question 12

What are therapeutic uses of self?

Answer 12

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

Question 13

What stages are in Palau’s Model of Nurse-Patient Relationship?

Answer 13

• Orientation phase
• Working phase
• Termination phase

Question 14

What is included in the orientation phase?

Answer 14

• Establishing rapport
• Parameters of the relationship
• Formal or informal contract
• Confidentiality
• Terms of termination

Question 15

What is included in the working phase?

Answer 15

• Maintain relationship
• Gather further data
• Promote patients problem-solving skills, self-esteem, and use of language
• Facilitate behavioral change
• Overcome resistant behaviors
• Evaluate problems and goals
• Promote practice and expression of alternative adaptive behaviors

Question 16

What is included in the termination phase?

Answer 16

• Summarize goals and objectives achieved
• Discuss ways for patient to incorporate new coping strategies learned
• Review situations of relationship
• Exchange memories