THERAPEUTIC RELATIONSHIPS Flashcards
Components of a Therapeutic Relationship
Trust, Genuine Interest, Empathy, Acceptance, Positive Regard
COMPONENT OF THERAPEUTIC RELATIONSHIPS:
The client is confident in the nurse and when the nurse’s presence conveys integrity and reliability.
TRUST
COMPONENT OF THERAPEUTIC RELATIONSHIPS:
The nurse is friendly, caring, understanding, consistent; keeps promises; listens; is honest?
TRUST
COMPONENT OF THERAPEUTIC RELATIONSHIPS:
The nurse displays keen interest to learn or hear more about his/her client.
GENUINE INTEREST
In developing TRUST, ________ occurs when words and actions match.
Congruence
COMPONENT OF THERAPEUTIC RELATIONSHIPS:
The ability to sense other people’s emotions, coupled with the ability to imagine what someone else might be thinking or feeling.
EMPATHY
COMPONENT OF THERAPEUTIC RELATIONSHIPS:
The nurse who does not become upset or responds negatively to a client’s outbursts, anger, or acting out conveys ____ to the client.
ACCEPTANCE
COMPONENT OF THERAPEUTIC RELATIONSHIPS:
Avoiding judgments of the person, no matter what the behavior. Acceptance of person, not necessarily his or her behavior.
ACCEPTANCE
COMPONENT OF THERAPEUTIC RELATIONSHIPS:
The nurse who appreciates the client as a unique worthwhile human being can respect the client regardless of his or her behavior, background, or lifestyle.
POSITIVE REGARD
COMPONENT OF THERAPEUTIC RELATIONSHIPS:
- The unconditional and non-judgmental attitude.
- It is a technique that involves showing complete support and acceptance
POSITIVE REGARD
IDENTIFICATION:
It is a process understanding one’s own values, beliefs, thoughts, feelings, attitudes, motivations, strengths, and limitations and how one’s thoughts and behaviors affect others.
Self-Awareness
SELF-AWARENESS TOPIC CONCEPT:
These are abstract standards that give a person a sense of right and wrong and establish a code of conduct for living.
Values
SELF-AWARENESS TOPIC CONCEPT:
What are the three steps of values clarification process?
- Choosing
- Prizing
- Acting
Choosing is when the person considers a range of possibilities and freely chooses the value that feels right.
Prizing is when the person considers the value, cherishes it, and publicly attaches it to him or herself.
Acting is when the person puts the value into action.
SELF-AWARENESS TOPIC CONCEPT:
These are ideas that one holds to be true, for example, “All old people are hard of hearing,” “If the sun is shining, it will be a good day,” or “Peas should be planted on St. Patrick’s Day.”
Beliefs
SELF-AWARENESS TOPIC CONCEPT:
These are general feelings or a frame of reference around which a person organizes knowledge about the world.
Attitudes
IDENTIFICATION:
It is when the nurse uses aspects of his or her personality, experience, values, feelings, intelligence, needs, coping skills, and perceptions to establish relationships with clients that are beneficial to clients.
Therapeutic Use of Self
The mother of psychiatric nursing
Hildegard E Peplau
NURSING THEORY:
Interpersonal Relations Theory
* Peplau theorized that nurse-patient relationships must pass through three phases in order to be successful: (a) orientation, (b) working, and (c) termination
* In real life, these phases are not that clear-cut; they overlap and interlock.
Establishing the Therapeutic Relationship:
TRUE OR FALSE: Therapeutic relationships are focused on the needs, experiences, feelings, and ideas of the client, not the nurse.
True
Establishing the Therapeutic Relationship:
TRUE OR FALSE: The therapeutic relationship consists of three phases.
True
(a) orientation, (b) working, and (c) termination
Establishing the Therapeutic Relationship:
In the ____, the nurse and client meet, roles are established, the purposes and parameters of future meetings are discussed, expectations are clarified, and the client’s problems are identified.
(IDENTIFY WHAT PHASE)
Orientation Phase
Establishing the Therapeutic Relationship:
- The MOST CRITICAL PHASE
- Establishing trust / Building rapport
- Setting boundaries and parameters
- Identifying client’s problems
- Clarifying expectations
(IDENTIFY WHAT PHASE)
Orientation Phase
Establishing the Therapeutic Relationship:
It involves problem identification, where the client identifies issues or concerns causing problems, and exploitation, when the nurse guides the client to examine his or her feelings and responses, develop better coping skills and a more positive self-image, change behavior, and develop independence.
(IDENTIFY WHAT PHASE)
Working Phase
Establishing the Therapeutic Relationship:
- The LONGEST PHASE
- MOST DIFFICULT
- Gathering of Data
- Promoting self-esteem
- Overcoming resistance
(IDENTIFY WHAT PHASE)
Working Phase
Establishing the Therapeutic Relationship:
What are the 2 common elements that can arise in working phase?
(IDENTIFY WHAT PHASE)
- Transference
- Countertransference
Transference is when clients unconsciously transfer feelings they have for significant persons in their life onto the nurse. (Client-Nurse)
Countertransference is when the nurse responds to the client based on his or her own unconscious needs and conflicts. (Nurse-Client)
Establishing the Therapeutic Relationship:
This phase begins when the client’s problems are resolved and ends when the relationship is ended. It is important to deal with feelings of anger or abandonment that may occur.
(IDENTIFY WHAT PHASE)
Termination or Resolution Phase
Establishing the Therapeutic Relationship:
- Considered as the LAST DAY or final stage in nurse-client relationship
- Problems are resolved
(IDENTIFY WHAT PHASE)
Termination or Resolution Phase
Establishing the Therapeutic Relationship:
What is the common problem in Termination or Resolution Phase?
(IDENTIFY WHAT PHASE)
Separation Anxiety
Both the nurse and the client usually have feelings about ending the relationship; the client especially may feel the termination as an impending loss - attachment issues.
ENUMERATE:
What are the Behaviors That Diminish Therapeutic Relationships?
- Inappropriate boundaries (relationship becomes social or intimate)
- Feelings of sympathy and encouraging client dependency rather than promoting independence
- Nonacceptance and Avoidance - Nonacceptance of client as a person because of his or her behaviors, leading to avoidance of the client
Nurse self-awareness is the way to avoid such problems.
ENUMERATE:
What are the Therapeutic Roles of the Nurse in a Relationship?
Teacher, Caregiver, Advocate, Parent Surrogate
