Lecture 3- Communication/Therapeutic relationships

Question 1

What are empathic linkages?

Answer 1

The direct communication of emotions.

Question 2

Is the following true or false? Non verbal communication is culturally based and can alter the meaning of verbal communication?

Answer 2

True

Question 3

What are the phases of a therapeutic relationship?

Answer 3

Orientation, working and resolution.
A therapeutic relationship has a non-linear format and may be situated predominately in one phase- however professional boundaries are maintained.

Question 4

Define transference and countertransference?

Answer 4

Transference= a pts feelings towards a nurse and their relationship. For example a pt who has familial issues with there father may transfer this role towards the nurse.
Counter transference: nurses feelings toward a pt. (may be positive or negative)

Question 5

What are 4 common coping mechanisms?

Answer 5

Projection: attribute own unacceptable motives to others
Repression: keep unpleasant thoughts from consciousness
Denial: refuse to accept unpleasant reality.
Rationalization: use logic to justify unpleasant material and keep it unconscious.

Question 6

What is moral distress in therapeutic relationships?

Answer 6

It is the distress we feel over the inability to meet our ethical obligations in a way we think we should.
This often occurs in nursing due to lack of staff or unreasonable expectations.