T1 - Therapeutic Relationship Lecture (Josh)

Question 1

— is the primary task in a relationship.

it can be described as a sense of harmony.

Answer 1

Rapport

• get acquainted w/ client

Question 2

—- cannot be assumed, it must be earned.

Answer 2

Trust

Question 3

—- can show humanness to the client.

Answer 3

Self-Disclosure

• sharing a little of yourself
• not too much b/c it’s about the client, not you

Question 4

—- responses allow the client to identify feelings that have been repressed or denied by the client.

Answer 4

Empathatic

Question 5

The nurse and client become acquainted during the —- phase of the relationship.

Answer 5

Orientation (Introductory)

Question 6

What is the main task of the Termination Phase of the Relationship?

Answer 6

bringing a therapeutic conclusion to the relationship

Question 7

What is the goal for client’s dealing w/ transference?

Answer 7

guide them to independence by:

• taking responsibility of own behavior, feelings, thoughts
• assigning correct meaning to the relationships based upon present (NOT PAST) circumstances

Question 8

—- refers to the nurse’s behavioral and emotional response to the client.

Answer 8

Countertransference

Question 9

— occurs when the client unconsciously transfers to the nurse feelings formed toward a person from his/her past.

Answer 9

Transference

Question 10

Signs of Countertransference:

Answer 10

• Nurse Overidentifies with client’s feelings
• Nurse and client develop a social or personal relationship
• Nurse begins to “Rescue” the client
• Nurse promotes client’s dependence
• Nurse has feelings towards the client that hinders the therapeutic communications (anger, disgust, apathy,)
• Nurse has difficulty setting limits with client/client’s behavior
• Nurse defends client’s behavior to other staff

Question 11

—- is key in establishing genuineness.

Answer 11

Congruency

Question 12

What stem should we look for when identifying an Empathetic question on NCLEX?

Answer 12

‘You feel —- because —-

ex: You feel ELATED because you PASSED THE EXAM

Question 13

What stem should we look for when identifying an Assertive Response?

Answer 13

‘I feel —- because —-

Question 14

Example of using Empathetic Feedback?

Answer 14

Person A -“I’m so angry because I could not find a place to park.”

Person B -“You FEEL furious BECAUSE parking here is the pits.”

Question 15

What is the goal of the Preinteraction Phase of a Therapeutic Relationship?

Answer 15

Examine one’s feelings about encounter

Question 16

What is the goal of the Orientation (Introductory) Phase of a Therapeutic Relationship?

Answer 16

Establish trust.

Contract development.

Question 17

What is the goal of the Working Phase of a Therapeutic Relationship?

Answer 17

Promote client change

Question 18

What is the goal of the Termination Phase of a Therapeutic Relationship?

Answer 18

Evaluate goal attainment.

Ensure therapeutic closure.

Question 19

How would you Paraphrase/Restate the following:

‘I am originally from California, but I have lived in Florida most of my life.’

Answer 19

Acceptable Paraphrase: You are originally from the west and have lived in the south.

Unacceptable: You have moved around a great deal; is that unsettling?

Question 20

What are Dr. Ellis’ ABCs or Emotions?

Answer 20

A = the event
B = the beliefs
C = the feeling

• the event doesn’t cause the feeling
• the event, interpreted by beliefs, is what determines the feeling

Question 21

Our feelings are a consequence of our —-, not —-

Answer 21

thinking,

the things that happen to us

Question 22

Example of ABCs of Emotion:

Answer 22

A = The event:
A man asks a woman for a date. She replies, “No, thank you.”

B = The beliefs:
“Women should accept dates with me”, or “women should tell me why they decline dates with me” or “she must think I’m unattractive”, or “she must not like me” etc.

C = The feeling:
Hurt? Rejection? Anger?