THERAPEUTIC ADD

Question 1

Attitudes

Answer 1

One attitude through which a nurse might convey respect
is willingness to work with the client. That is, the
nurse takes the client and the relationship seriously. The
experience is viewed not as “a job,” “part of a course,” or
“time spent talking” but as an opportunity to work with
the client to help him or her develop personal resources
and actualize more of his or her potential in living.

Question 2

Actions

Answer 2

manifest an attitude of respect 
attending
 suspending value judgments
helping
clients develop their own resources.

Question 3

Attending.

Answer 3

Attending behavior is the foundation of
interviewing
To succeed, nurses must pay attention to their clients in culturally and individually
appropriate ways
Disturbances in thinking,
feeling, and behaving are ways that individuals express
themselves. Special expertise in listening (attending)
is a vital component in identifying these disturbances.

Question 4

Attending refers

Answer 4

to an intensity of presence,
or being with the client. At times, simply being with
another person during a painful time can make a difference.

Question 5

nonverbal behaviors that reflect the degree

of attending are the following:

Answer 5

The nurse’s body posture (leaning forward toward
the client, arms comfortably at sides)
The nurse’s degree of eye contact
The nurse’s body language (e.g., degree of relaxation
during the interaction and evaluation of the
client’s response to nurse behaviors)
It must be noted that body posture, eye contact, and
body language are highly culturally influenced and need
to be assessed with regard to the client’s cultural norms.

Question 6

Suspending Value Judgments.

Answer 6

Nurses are more
effective when they guard against using their own
value systems to judge clients’ thoughts, feelings, or
behaviors.

Question 7

Suspending Value Judgments. examples

Answer 7

if a client is taking drugs or is
involved in sexually risky behavior, you might recognize
that these behaviors are hindering the client from
living a more satisfying life, posing a potential health
threat, or preventing the client from developing satisfying
relationships. However, labeling these activities
as bad or good is not useful. Rather, focus on exploring
the behavior of the client and work toward identifying
the thoughts and feelings that influence this behavior.
Judgmental behavior on the part of the nurse will most
likely interfere with further exploration

Question 8

steps of suspending value judgment

Answer 8

recognize their presence, (2)
identify how or where you learned these responses to
the client’s behavior, and (3) construct alternative ways
to view the client’s thinking and behavior. Just denying
judgmental thinking will only compound the problem.

Question 9

Helping Clients Develop Resources

Answer 9

The
nurse becomes aware of clients’ strengths and encourages
clients to work at their optimal level of functioning.
The nurse does not act for clients unless absolutely
necessary, and then only as a step toward
helping them act on their own. It is important that
clients remain as independent as possible to develop
new resources for problem solving.

Question 10

Helping Clients Develop Resources examples

Answer 10

Client: This medication makes my mouth so dry.
Could you get me something to drink?
Nurse: There is juice in the refrigerator. I’ll wait here
for you until you get back.
or
Nurse: I’ll walk with you while you get some juice
from the refrigerator.
Another example of this follows:
Client: Could you ask the doctor to let me have a
pass for the weekend?
Nurse: Your doctor will be on the unit this afternoon.
I’ll let her know that you want to speak
with her.
Consistently encouraging clients to use their own
resources helps minimize the clients’ feelings of helplessness
and dependency and also validates their potential
for change.