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Psychiatric Nursing > NURSE-PATIENT RELATIONSHIP > Flashcards

NURSE-PATIENT RELATIONSHIP Flashcards

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1
Q

What are the types of relationship?

A
  1. Social Relationship
  2. Intimate Relationship
  3. Therapeutic Relationship
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2
Q

-Friendships and socialization
- Superficial communication

A

Social Relationship

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3
Q

-People with emotional commitment
- May include sexual or emotional intimacy and shared mutual goals

A

Intimate Relationship

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4
Q

-Caregiver and care receiver are involved
-Inclined towards healing growth, and illness prevention

A

Therapeutic Relationship

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5
Q

Requires both parties to recognize each other as unique and important human beings, which facilitates mutual learning

A

Mutually-significant experience

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6
Q

Focuses on needs, experiences, feelings, and the ideas of the patient only

A

Patient-centered

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7
Q

Nurse and patient agree about the areas to work on and evaluate the outcomes

A

Goal oriented

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8
Q

A nurse is first a stranger to the patient as the patient is to the nurse

A

Stranger

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9
Q

Provides specific answers to questions usually formulated with relation to a larger problem

A

Resource person

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10
Q

Identifies learning needs and provides information to the patient and significant others to address the learning needs

A

Teacher

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11
Q

allows the patient to take an active role in the care plan

A

Leader

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12
Q

the nurse may be viewed by the patient as a substitute figure of a significant other

A

Surrogate

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13
Q

The nurse understands various professional devices and possesses the clinical skills necessary to perform the interventions that are in the best interest of the client.

A

Technical Expert

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14
Q

The nurse uses “interpersonal techniques” to assist clients to learn to adapt to difficulties or changes in life experiences

A

Counselor

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15
Q

It is essential for the staff nurse working in psychiatry to have a general knowledge of basic counseling techniques.

A

Psychiatric Nurse as a Counselor

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16
Q

What are the basic counseling techniques

A

-Therapeutic use of self
-Therapeutic communication

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17
Q

Using self as a therapeutic tool to establish therapeutic relationships with clients and to help them grow, change, and heal

A

Therapeutic Use of Self

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18
Q

The process of developing understanding of one own’s values, beliefs, thoughts, feelings, attitudes, motivations, prejudices, strengths, and limitations and how these qualities affects others.

A

Self-Awareness

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19
Q

Self awareness activities

A

-Johari Window
-Journaling

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20
Q

Is the recognition of the unique pattern of values, attitudes, beliefs, behaviors, emotions, and needs and understanding about their impact on the self and others.

A

Self-Awareness

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21
Q

is a representation of the self and a tool that can be used to increase self-awareness (Luft, 1970).

A

Johari Window

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22
Q

The aspects of the self about which both the individual and others are aware

A

Open-Public Self

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23
Q

The part of the self that is known to others but remains hidden from the awareness of the individual.

A

Blind-Unaware Self

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24
Q

The part of the self that is known to the individual, but which the individual deliberately and consciously conceals from others

A

Hidden-Private Self

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25
Q

The part of the self that is unknown to both the individual and to others.

A

Unknown

26
Q

Explores one’s thoughts and emotions through writing

A

Journaling

27
Q

Ensures confidentiality as details are only disclosed to the therapist

A

Journaling

28
Q

A deep, internal process in which people express their emotions, reactions, and perceptions.

A

Journaling

29
Q

Types of Journaling

A
  1. Gratitude Journaling
  2. Reflective Journaling
  3. Health Journaling
30
Q

A place to reflect upon and write down things one is thankful for

A

Gratitude Journaling

31
Q

Entries focus on the person’s internal processes surrounding an event, like the discussion that took place during a class or counseling session, including personal values, beliefs, and experiences.

A

Reflective Journaling

32
Q

allows the individual to write about emotions associated with medical condition or object of interest in a psychiatric condition

A

Health Journaling

33
Q

Components of a Therapeutic Relationship

implies special feelings on the part of both the client and the nurse based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude.

A

Rapport

34
Q

Components of a Therapeutic Relationship

builds when the client is confident in the nurse and when the nurse’s presence conveys integrity and reliability

A

Trust

35
Q

What are the Trusting Behaviors?

A

Consistency
Honesty
Approachability
Listening
Keeping promises

36
Q

Components of a Therapeutic Relationship

means unconditional, non-judgmental attitude of the nurse towards the client

A

Respect (Unconditional positive regard)

37
Q

Components of a Therapeutic Relationship

refers to the nurse’s ability to be open, honest, and “real” in interactions with the client.

A

Genuineness

38
Q

-To be “real” means being aware of the one’s inner experience and to allow the quality of this inner experience to be apparent in the relationship
-Congruence
-Self- disclosure which reveals a quality of “humanness”

A

Genuineness

39
Q

Is the ability to see beyond outward behavior and to understand the situation from the client’s point of view

A

Empathy

40
Q

He created the Interpersonal Relationship and Milieu Therapy

A

Harry Stack Sullivan

41
Q

Major Assumptions of Interpersonal Relationships and Milieu Therapy

A

-A healthy person is a social being with the ability to live effectively in relationships with others
-Mental illness was viewed as any degree of lack of awareness of or skills in the process of interpersonal relationships

42
Q

Patient- to- patient interaction is seen as beneficial as is the focus of treatment

A

Therapeutic milieu (Interpersonal Relationships and Milieu Therapy)

43
Q

acts as a participant observer and provides a corrective interpersonal relationship

A

Therapist

44
Q

therapist participates in and observes the progress of the relationship

A

Participant observer

45
Q

Created the Phases of the Nurse-Patient Relationship

A

Hildegard Peplau

46
Q

What are the phases of the Nurse-Patient Relationship

A

-Orientation
-Identification
-Exploitation (Negative Connotation)
-Resolution

47
Q

Exploitation factors

A

-Orientation
-Working
-Termination

48
Q

-Directed by the nurse
-Problems and needs are clarified
-Hospital routines and expectations are explained
-Patient’s full participation is elicited

A

Orientation Phase

49
Q

Major Tasks of Orientation Phase

A

-Establish trust
- Establish the Nurse-Patient Contract
-Ensuring confidentiality and data protection

50
Q

What are the contents of the contract?

A

-Time, place, and length of sessions
-When sessions will terminate
-Who will be involved in the treatment plan
-Client responsibilities
-Nurse’s responsibilities

51
Q

means respecting the client’s rights to keep private any information about his or her mental and physical health and related care

A

Confidentiality

52
Q

Notifying the police, warning the intended victim, and/or taking other reasonable steps to protect the threatened individual.

A

“Duty to Protect”

53
Q

Governing how data is collected, shared and used

A

Data Privacy

54
Q

Protecting data from internal and external attackers

A

Data Security

55
Q

The therapeutic work of the relationship is accomplished.

A

Working Phase

56
Q

are outrageous stories or acting- out behaviors that challenges the nurse to stay focused and not to react or to be distracted

A

Testing Behaviors

57
Q

may also indicate that the client is avoiding a subject because he is getting close into an uncomfortable truth.

A

Testing Behaviors

58
Q

What’s in the working phase?

A

-Maintain the relationship
-In- depth data collection
-Explore perceptions of reality
-Developing positive coping mechanism
-Promoting a positive self- concept
-Facilitating behavior change
-Working through resistance
-Evaluating progress and redefining goals as appropriate
-Promoting Independence

59
Q

Begins when the problem is resolved and ends when the relationship is ended.

A

Termination Phase

60
Q

Stalling Maneuvers

A

-Client’s attempt to avoid terminating the relationship. The client may view the termination as an impending loss.
-Clients may act- out as if the problem has not been resolved.

61
Q

Intervention for stalling maneuvers

A

-Acknowledge the feelings and assure that what they feel are normal responses to ending a relationship.
-Establish the reality of the separation by refocusing on the newly learned behaviors and skills. Resist being manipulated into repeated delays.

62
Q

Discussion of Termination

A

-Nurses should attempt to make it official by saying “good-bye” and stating his or her feelings about the relationship.
-Acknowledge that you enjoyed the time with the client and will remember him or her.
-Never agree to see the client outside the therapeutic relationship

Psychiatric Nursing (16 decks)

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