exam i: ch8 - therapeutic relationships Flashcards

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1
Q

the basis of all psychiatric nursing treatment, “facilitates forward movement” - Hildegard Peplau

A

nurse-patient relationship

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2
Q

what is the purpose of the nurse-patient relationship

A

to establish a nurse that is
- safe
- confidential
- reliable
- consistent
- with clear boundaries

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3
Q

what is considered the “art” of psychiatric nursing

A

interpersonal skills

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4
Q

using personality consciously and in full awareness
- establish relatedness
- structures interventions
- positive alliance
- improve adherence to tx and positive outcomes

A

therapeutic use of self

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5
Q

type of relationship where
- purpose = friendship, socialization, task completion
- mutual needs are met
- communicate for advice
- little evaluation

A

social relationships

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6
Q

type of relationship where
- purpose: PT NEEDS are id’d and explored
- clear boundaries
- problem solving approaches
- behavioral change, coping skills

A

therapeutic relationships

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7
Q

when relationship slips into social context, NURSE’S needs are met at expense of pt needs

A

blurring of boundaries

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8
Q

what are the 3 types of boundary blurs

A
  1. boundary crossings
  2. boundary violations
  3. professional sexual misconduct
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9
Q

brief excursions across professional lines of behavior that may be inadvertent, thoughtless, or even purposeful, while attempting to meet the needs of the pt (no ethical wrongdoing)

A

level 1: boundary crossings

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10
Q
  • spending long periods of time with patient
  • doing personal tasks for patient
  • sharing too much personal info
  • thinking about pt outside care setting
A

examples of boundary crossings

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11
Q

when there is confusion between the needs of the nurse and the needs of the patient, causes distress to the pt (adv of pt vulnerability and ethically wrong)

A

level 2: boundary violations

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12
Q
  • Personal disclosure
  • Secrecy
  • Reversal of roles
A

examples of boundary violations

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13
Q

extreme form, any behavior that is seductive, sexually demeaning, harassing, or interpreted as sexual

A

level 3: professional sexual misconduct

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14
Q

patient unconsciously and inappropriately displaces onto the nurse feelings and behaviors related to significant figures in patient’s past

A

transference

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15
Q

nurses displaces feelings related to people in nurse’s past onto the patient

A

countertransference

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16
Q

guide us in decision making and taking actions; abstract standards and represent ideals (our judgment)

A

values

17
Q

any opinion that you hold true

A

beliefs

18
Q

nurses must possess _____ in order to help others

A

self-awareness

19
Q

phase of nurse-patient relationship:
prep for assignment, recognizing thoughts and feelings

A

pre-orientation phase

20
Q

phase of nurse-patient relationship:
the first time nurse/pt meet
- Establishing rapport
- Parameters of the relationship
- Formal/Informal contract, confidentiality
- Terms of termination

A

orientation phase

21
Q

phase of nurse-patient relationship:
nurse and pt ID and explore areas that are causing problems in patient’s life
- Maintain relationship
- Share information
- Gather further data
- Promote pt dev + improve independence
- Eval problems and goals
- Transference and Countertransference can occur here

A

working phase

22
Q

in which phase can transference and countertransference occur?

A

working phase

23
Q

phase of nurse-patient relationship:
final integral phase, when pt discharged or clinical rotation ends
- Summarize goals and objectives
- Review pt education + handouts
- Review situations that occurred during nurse-patient relationship
- Exchange memories

A

termination phase

24
Q

nurse’s ability to be open, honest, authentic in interactions with patients; self awareness of one’s feelings as they arise within relationship

A

genuineness

25
Q

implies respect, ability to view another person as being worthy of caring about and someone who has strengths and achievement potential

A

positive regard

26
Q

helping person attempts to understand the world from pt perspective (put yourself into their shoes)

A

empathy

27
Q

what question can you ask to gain further empathy for someone?

A

“what thoughts and feelings are you having”

28
Q

culturally + individually appropriate; being in the moment

A

attending