HILDEGARD PEPLAU AND IDA JEAN ORLANDO

Question 1

Emphasized the as the foundation of
nursing practice.

Answer 1

nurse-client
relationship

Question 2

4 Sequential Phases in the Interpersonal
Relationship

Answer 2

1. Orientation Phase
2. Identification Phase
3. Exploitation Phase
4. Resolution Phase

Question 3

The nurse’s orientation phase involves
engaging the client in treatment,
providing explanations and
information, and answering questions.

• Problem defining phase
• It starts when the client meets the nurse
  as a stranger.

Answer 3

Orientation Phase

Question 4

The _______ phase begins when the client
works interdependently with the nurse,
expresses feelings, and begins to feel stronger.

• Selection of appropriate professional assistance
• Patient begins to have a feeling of belonging
  and a capability of dealing with the problem,
  which decreases the feeling of helplessness
  and hopelessness

Answer 4

Identification Phase

Question 5

In the ______ phase, the client makes full use of the
services offered.

• Use of professional assistance for problem-solving
  alternatives
• Advantages of services are used based on the needs and
  interests of the patients.
• The individual feels like an integral part of the helping
  environment.

They may make minor requests or
attention-getting techniques.

• The principles of interview
  techniques must be used to
  explore, understand and adequately
  deal with the underlying problem.

Answer 5

Exploitation Phase

Question 6

the client no
longer needs professional services and
gives up dependent behavior.

• Termination of professional relationship
• The patient’s needs have already been met
  by the collaborative effect of patient and
  nurse.
  Now they need to terminate their therapeutic
  relationship and dissolve the links between them.
• Sometimes may be difficult for both as psychological
  dependence persists.
• The patient drifts away and breaks the nurse’s bond, and a
  healthier emotional balance is demonstrated, and both
  become mature individuals.

Answer 6

Resolution Phase

Question 7

The patient’s behavior stimulated a nurse’s reaction, which marks
the nursing process discipline’s beginning.

Answer 7

Nurse Reaction

Question 8

When the nurse acts, an action process transpires. This action
process by the nurse in a nurse-patient contact is called the
nursing process. The nurse’s action may be automatic or
deliberative.

Answer 8

Nurse’s Action

Question 9

holistic
_______ of the patient’s
needs.

• The nurse uses a nursing
  framework to collect both
  subjective and objective
  data about the patient.

Answer 9

Assessment

Question 10

uses the
nurse’s clinical judgment about
health problems.

• The diagnosis can then be
  confirmed using links to defining
  characteristics, related factors, and
  risk factors found in the patient’s
  assessment.

Answer 10

Diagnosis

Question 11

addresses each of the
problems identified in the diagnosis.

• Each problem is given a specific goal or
  outcome, and each goal or outcome is
  given nursing interventions to help
  achieve the goal.
• By the end of this stage, the nurse will have
  a nursing care plan.

Answer 11

Planning

Question 12

the nurse begins
using the nursing care
plan.

Answer 12

Implementation

Question 13

the
nurse looks at the patient’s progress
toward the goals set in the nursing
care plan.

• Changes can be made to the nursing
  care plan based on how well (or poorly)
  the patient is progressing toward the
  goals.

Answer 13

Evaluation