Therapeutic Relationship

Question 1

Types of Relationship: Initiated purpose for friendship, socialization, companionship, and achievement of a task?

Answer 1

Social Type

Question 2

Types of Relationship: Involves two individual who are emotionally/sexually commited to each other?

Answer 2

Intimate

Question 3

Types of Relationship: Professional and patient-centered

Answer 3

Therapeutic Relationship

Question 4

Components of a Therapeutic Relationship: foundation, patient confidence towards the nurse

Answer 4

Trust

Question 5

Components of a Therapeutic Relationship: TRUST, what are the (3) three C’s?

Answer 5

Confidence, Consistence, Congruence

Question 6

Components of a Therapeutic Relationship: understanding the situation from the patients POV

Answer 6

Empathy

Question 7

Components of a Therapeutic Relationship: harmony, common perspective

Answer 7

Rapport

Question 8

Components of a Therapeutic Relationship: accepting the patient as unique ad with worth and dignity

Answer 8

Acceptance and Positive Regard

Question 9

consciously and full awareness

Answer 9

Y-use of Self

Question 10

“It’s okay to cry” E or S?

Answer 10

Empathy

Question 11

A nursing student is preparing to receive a new patient who is being transferred to the medical ward.

Answer 11

Pre-Interaction Phase (receive a new patient)

Question 11

“Umiiyak ka din”

Answer 11

Sympathy

Question 12

The nurse reviews the patient’s medical records, learning that the patient is a 45-year-old male with diabetes mellitus admitted due to a diabetic foot ulcer.

Answer 12

Pre-Interaction Phase (review records)

Question 12

The nurse identifies potential needs and plans for the initial interaction, including ensuring the room is prepared and anticipating questions or concerns the patient may have.

Answer 12

Pre-Interaction Phase (preparing)

Question 12

When the patient arrives, the nursing student introduces themselves and explains their role in the patient’s care.

Answer 12

Orientation Phase (introduces/interaction)

Question 13

The student establishes rapport by asking about the patient’s comfort and addressing immediate needs, such as pain or anxiety. They also set expectations, discussing the ward rules (e.g., visiting hours, meal schedules) and the plan for the day, including dressing changes for the ulcer.

Answer 13

Orientation Phase (rapport)

Question 14

An initial assessment is conducted, focusing on the patient’s physical condition, emotional state, and concerns. Trust is built through active listening and empathic communication.

Answer 14

Orientation Phase (initial assessment)

Question 15

Over the next few days, the nursing student works closely with the patient to address concerns and provide care. For example, they assist with wound care and teach the patient about proper foot hygiene and blood sugar monitoring.

Answer 15

Working Phase

Question 16

The student collaborates with the patient to set achievable goals, such as reducing infection risk and improving glycemic control.

Answer 16

Working Phase (goals)

Question 17

The patient initially expresses resistance to dietary changes, citing difficulties in maintaining a diet at home.

Answer 17

Working Phase (resistance)

Question 18

The student helps the patient explore strategies to overcome these challenges, such as meal planning and involving family in dietary adjustments.

Answer 18

Working Phase (help pt to resolve issue and help identifies)

Question 19

Progress is evaluated through wound healing and improved understanding of self-care practices.

Answer 19

Working Phase (progress)

Question 20

the nursing student reviews the patient’s achievements, such as learning to perform wound care independently and stabilizing blood sugar levels. They summarize key points from the patient’s education sessions and ensure follow-up appointments are scheduled.

Answer 20

Termination Phase (review achievements)

Question 20

The patient expresses reluctance to leave, worried about managing their condition alone.

Answer 20

Termination Phase (reluctance to leave)

Question 21

The student reassures the patient, emphasizing their readiness and resources available, such as community health services. A therapeutic closure is achieved with mutual appreciation expressed, marking the end of their professional relationship.

Answer 21

Termination Phase (closure)

Question 22

Barriers in Nurse-Patient Relationship: going beyond limits of therapeutic relationship

Answer 22

Boundary Violation

Question 23

Barriers in Nurse-Patient Relationship: patient struggle against change or healing

Answer 23

Resistance

Question 24

Barriers in Nurse-Patient Relationship: patient develops feelings towards the nurse

Answer 24

Transference

Question 25

Barriers in Nurse-Patient Relationship: nurse develops feelings towards the patient

Answer 25

Countertransference