Relationship Development and Therapeutic Communication Flashcards
What are the 7 subroles of the nurse?
The stranger The resource person The teacher The leader The surrogate The technical expert The counselor
What is the surrogate?
The nurse fulfills basic needs, which is associated with mothering
Where did Peplau believe the emphasis of psychiatric nursing should be?
On counseling
Therapeutic relationships are ____ and ___ at learning and growth promotion
Goal-oriented/directed
What is the definition of therapeutic use of self?
The ability to use one’s personality consciously and in full awareness, in an attempt to establish relatedness and to structure nursing interventions
What are beliefs?
Ideas that one holds to be true
What are attitudes?
Frames of reference around which an individual organizes knowledge about his or her world
What are values?
An abstract standard that represent the individual’s ideal mode of conduct and ideal goals
How do values differ from beliefs and attitudes?
They are action oriented/action producing
What 5 conditions are essential to develop a therapeutic relationship?
Rapport Trust Respect Genuineness Empathy
What are the 4 phases of the therapeutic nurse-client relationship?
Pre-interaction phase
Orientation (introductory) phase
Working phase
Termination phase
What happens during the pre-interaction phase?
Obtain information from the chart and everywhere else but the patient
“Fantasy stage”
What happens during the orientation phase?
Creating trust and rapport
Gather assessment data
ID strengths and weaknesses
What happens during the working phase?
Maintain trust and rapport Promote client's insight and perception of reality Work toward achievement of goals Overcome resistance behaviors Evaluate progress
What is transference?
Being identified in memory to someone else and responding to you as if you were this other person
When the client unconsciously transfers to the nurse feelings formed toward a person from the past
What is countertransference?
Refers to the nurse’s behavioral and emotional response to the client
When the nurse responds back to the patient as if they were someone else
How is countertransference different from projection?
This is more affective (emotional) - between conscious and unconsciousness and can be brought to consciousness easily
What happens during the termination phase?
Conclusion of the relationship
What is interpersonal communication?
A transaction between the sender and the receiver.
What factors can influence communication?
Values Attitudes Beliefs Culture Religion Social status Gender Age/developmental level Technology
What factors can distort the message being communicated?
Environmental - physical, social
Physical - pain/illness
Intellectual
Social - culture, ethnic group, language
What 4 ways are non-verbal messages expressed?
Kinesics
Paralanguage
Proxemics
Appearance
What are some examples of kinesics?
Facial expressions Posture Gestures Touch Eye contact
What are some examples of paralanguage?
Voice tone - Inflection - Spacing of words - Emphasis - Pauses Non-language vocalizations - Sobbing - Laughing - Grunting
What are some examples of proxemics?
Territoriality
Personal space
What are the 4 kinds of distance in interpersonal interactions?
Intimate distance - up to 18 inches
Personal distance - 18”-4ft
Social distance - 4ft-12ft
Public distance - 12ft+
What are 7 characteristics of therapeutic communication?
Acceptance Interest Respect Honest Assistance Permission Protection
What are the 4 stages of an interview?
Pre-interactional
Orientation
Working
Termination
