Therapeutic Relationship

Question 1

used to establish trust and developing empathy

Answer 1

acceptance

Question 2

used cautiously to immediately redefine the client’s reality

Answer 2

confrontation

Question 3

used carefully only when the nurse is confident about the details

Answer 3

doubt

Question 4

used to help the client identify underlying thoughts/feelings

Answer 4

interpretation

Question 5

used when a client’s behaviours are obviously unusual

Answer 5

observation

Question 6

used to help the client explore feelings or gain insight

Answer 6

open-ended questions

Question 7

used when the client is asking for nurses approval or judgement

Answer 7

reflection

Question 8

used when trying to clarify what the client has said

Answer 8

restatement

Question 9

used when the client needs to express ideas but may not know quite how to

Answer 9

silence

Question 10

Motivational Interviewing

Answer 10

designed to facilitate change in a clients behaviour by engaging the client’s own autonomous decision-making ability
reinforces client’s own argument for change

Question 11

Principles of MI

Answer 11

• avoid arguing
• express empathy - accepting them where they are at
• develop discrepancy until it overrides attachment to current behaviour
• roll with resistance
• Support self-efficacy - reinforce the patient’s beliefs in their own ability