therapeutic realtionships and communication in psychiatric nursing

Question 1

therapeutic nurse-patient relationship

Answer 1

“A mutual learning experience and corrective emotional experience for the patient in which the nurse uses self and specified clinical techniques in working with the patient to bring about behavioral changes”

Question 2

what does a theraptic nurse relationship focus on

Answer 2

patient’s needs and problems

Question 3

therapeutic use of self

Answer 3

: the ability to use one’s personality consciously and in full awareness in an attempt to establish relatedness and to structure nursing interventions

Question 4

what does an rn maximize in a therapeutic relationship

Answer 4

his/her communication skills, understanding and personal strengths to enhance patient growth.

• Needs of patient are identified and explored
• Clear boundaries are established
• Alternate problem-solving approaches are taken
• New coping skills may be developed
• Behavior change is encouraged

Question 5

boundary violations

Answer 5

establishes a social, economic or personal relationship with a patient

• Role/Time/Place/Money/Gifts/Clothing/Self-Disclosure/Physical Contact
• Sexual Contact is Never Therapeutic

Question 6

things to consider for boundary violations

Answer 6

• aware of your own beliefs

- power dynmaics (over/under involved)

Question 7

Peplau’s Model of the Nurse/Patient Relationship

Answer 7

Professional nurse-patient relationship:
RN who has the skills and expertise and a patient who wants to alleviate suffering, find solutions to problems, explore different avenues to increased quality of life and/or find an advocate (Fox, 2008).

Question 8

overlapping phase in peplau model

Answer 8

1. Pre-orientation
2. Orientation
3. Working
4. Termination

Question 9

pre- orientation

Answer 9

very begining, report, introduction, why your there

Question 10

orientation

Answer 10

establishing, who you are, how long and if they need anything

Question 11

working phase

Answer 11

• interviewing patient, assessment, problem solve, education, self esteem, how well there doing

Question 12

termination phase

Answer 12

final stage, summarize objectives, say goodbyes, dischagre (how they feel about if and what there needs are)

Question 13

factors that promote patients growth

Answer 13

• Genuineness-Consistent with both verbal and non-verbal language, it builds trust with the client
• Positive Regard-Respect and acceptance, non-judgmental
• Trustworthiness-Responsible and dependable
• empathy `

Question 14

empathy

Answer 14

Ability to enter into the life of another person to accurately perceive his current feelings and communicate this understanding to patient
Empathy vs. sympathy

Question 15

sympathy

Answer 15

being sorry for someone

Question 16

verbal communication

Answer 16

• Occurs through written or spoken word
• Taken alone it can convey factual information accurately and efficiently
• Represents only a small part of human communication
• Cultural background important: how you interact with them, how they perceive there illness

Question 17

non-verbal communication

Answer 17

Includes all relayed information that does not involve the written or spoken word
Non-verbal communication may be unconsciously motivated and be more accurate than verbal language
Verbal 10% non verbal 90%

Question 18

body language

Answer 18

Facial expressions, eye contact, body movements, posture, gestures, touch, dress and appearance and dress and SPACE

MORE ACCURATE!

Question 19

paraverbal communication

Answer 19

How you say what you say!!!!

Includes:
Tone
Volume, and 
Cadence
Low and Slow

Question 20

Therapeutic Communication techniques

Answer 20

• Silence: giving pt. space
• Active listening: focus in
• Listening with empathy
• Support and reassurance: “im here for you”
• Clarifying
• Paraphrasing: saying bacl what they said in short
• Restating: using key phrases/ words
• Reflecting: understood there own thoughts and feelings “what do you think”
• Exploring/Sharing observations
• Acknowledging feelings

Question 21

therapeuti communication techniques

Answer 21

Broad-open ended statements

• Open ended
• Closed ended

Information giving

- Interpretation
- Restating
- Reflecting
- Confrontation (only when established relationship)

Question 22

nontherapeutic communication techniques/ response

Answer 22

• Excessive questioning
• Approval/disapproval
• Giving advice
• Asking “why”
• Power Struggles