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N401 > Relationship Development & Therapeutic Communication > Flashcards

Relationship Development & Therapeutic Communication Flashcards

1
Q

Milieu and community meeting

A

Milieu:
Place for healing

Community meeting:
Tells pt the plan, expectation, goal for the day, tell them who is helping today

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2
Q

Roles of nurse

A

Focus on clients ideas, feelings

Identify their needs (not what you think they are)

Discuss problem solving

Help develop client strengths and new coping skills

Encourage positive behavior changes

Develop sense of autonomy and self reliance

Portray geuineness, empathy

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3
Q

Empathy vs sympathy

A

Empathy is good
-remaining nonjudgemental and attempt to understand clients actions and feelings

Sympathy is bad
-nontherapeutic, feeling the way the client does

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4
Q

Therapeutic relationship

A

Pt centered
Goal oriented
Takes time to establish
Have positive impact on success of tx

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5
Q

Supervision

A

Enhances ability to examine own thoughts/feelings

Talking to others to see what they thinl about how youre communicating with pts

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6
Q

Therpeutic use of self

A

Using personality consciously to be relatable and structure nursing interventions

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7
Q

Good things for therapeutic relationshsips

A

Consistent approach
Attentive listening
Comfort level
Consistently avaiable
Adjustment of pace to client needs
Self awareness of own thoughts/feelings
Rapport

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8
Q

Pt factors that are good for therapeutic relationship

A

Trusting attitude

Willingness to talk

Active participation

Consistently available

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9
Q

Signs of blurred boundaires

A

Relationship begins to meet needs of nurse rather than clients

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10
Q

Transference

A

Pt views a member of healthcare team as having characteristics of another person who has been significant to the clients personal life

Ex: i love/hate my aunt kathy and you remind me of her

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11
Q

Countertransference

A

Nurse displaces characteristics of people in their past onto a client.

Ex: pt that remind you of your mom
-affects your care
-need to be self aware

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12
Q

Fix for tranference

A

Getting them someone they have a good relationship with

Explain that a transference is happening

Restart and reintroduce yourself

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13
Q

Phases of a therapeutic relationship

A

Preorientation

Orientation

Working

Termination

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14
Q

Preorientation

A

Before meeting the pt

Going through the chart

May develop bias/assumptions

-check with yourself to prevent countertranference

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15
Q

Oritentation:
First meeting them

A

Intro
Establish boundaries
Parameters around meeting
Confidentiality
Build trust
Discuss ecpectations
Set goals
Explore ideas/issues/needs
Explore the meaning of behaviors
Set limits of testing/inappropriate behaviors

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16
Q

Working:
Most work is done

A

Maintain relationship
Ongoing assessment
Facilitate clients expression of needs/issues
Encourage problem solving
Promote clients self-esteem
Foster positive behavioral change
Explore/deal with resistance/defense mechanisms
Recognize trans/countertrans.
Reassess/revise plans as needed
Support adaptive alternatives and new coping skills
Remind of termination

17
Q

Termination

A

-Provide an opportunity to-talk about it
-Discuss previous experiences with loss
-Elicit feelings about the therapeutic work of the relationship
-Summarize goals/ achievements
-Review memories
-Express own feelings about sessions to validate the experience
-Discuss ways to incorporate healthy behaviors into life
-Maintain limits of termination

18
Q

Interference with therapeutic relationship

A

Over identifying with clients feelings as they remind them of problems for their past/present

Developing social relationship

Giving advice/attempting to rescue

Promoting clients dependence (want independence)

Nurse:
anger engenders, disgust toward client
Anxious and uneasy in presence of pt
Bored and apathetic in sessions
Difficult setting limits on clients behaviors
Defending clients behaviors

19
Q

Intrapersonal vs interpersonal

A

Intra: between self (self reflection)

Inter: between 2 people

20
Q

Therapeutic communications
13

A

Client centered
Silence
Active listening
Open ended/closed/projective presupposition
Restating/reflecting/paraphrasing
Offering general leads/broad opening statements
Showing acceptance/recognition
Focusing(focusing on something they said)
Summarizing
Giving info
Offering self
Presenting reality (for hallucinations)
Touch

21
Q

Barriers to communication (nontherapeutic)

A

Irrelevant personal questions
Offering personal opinions
Giving advice
False reassurance
Minimizing feelings
Changing the topic
WHY questions
Offering judgement
Approval/disapproval
Excessive questioning

N401 (11 decks)

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