THERAPEUTIC RELATIONSHIPS

Question 1

Components of a Therapeutic Relationship

Answer 1

Trust, Genuine Interest, Empathy, Acceptance, Positive Regard

Question 2

COMPONENT OF THERAPEUTIC RELATIONSHIPS:

The client is confident in the nurse and when the nurse’s presence conveys integrity and reliability.

Answer 2

TRUST

Question 3

COMPONENT OF THERAPEUTIC RELATIONSHIPS:

The nurse is friendly, caring, understanding, consistent; keeps promises; listens; is honest?

Answer 3

TRUST

Question 4

COMPONENT OF THERAPEUTIC RELATIONSHIPS:

The nurse displays keen interest to learn or hear more about his/her client.

Answer 4

GENUINE INTEREST

Question 5

In developing TRUST, ________ occurs when words and actions match.

Answer 5

Congruence

Question 6

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.

Answer 6

EMPATHY

Question 7

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.

Answer 7

ACCEPTANCE

Question 8

COMPONENT OF THERAPEUTIC RELATIONSHIPS:

Avoiding judgments of the person, no matter what the behavior. Acceptance of person, not necessarily his or her behavior.

Answer 8

ACCEPTANCE

Question 9

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.

Answer 9

POSITIVE REGARD

Question 10

COMPONENT OF THERAPEUTIC RELATIONSHIPS:

• The unconditional and non-judgmental attitude.
• It is a technique that involves showing complete support and acceptance

Answer 10

POSITIVE REGARD

Question 11

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.

Answer 11

Self-Awareness

Question 12

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.

Answer 12

Values

Question 13

SELF-AWARENESS TOPIC CONCEPT:

What are the three steps of values clarification process?

Answer 13

• 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.

Question 14

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.”

Answer 14

Beliefs

Question 15

SELF-AWARENESS TOPIC CONCEPT:

These are general feelings or a frame of reference around which a person organizes knowledge about the world.

Answer 15

Attitudes

Question 16

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.

Answer 16

Therapeutic Use of Self

Question 17

The mother of psychiatric nursing

Answer 17

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.

Question 18

Establishing the Therapeutic Relationship:

TRUE OR FALSE: Therapeutic relationships are focused on the needs, experiences, feelings, and ideas of the client, not the nurse.

Answer 18

True

Question 19

Establishing the Therapeutic Relationship:

TRUE OR FALSE: The therapeutic relationship consists of three phases.

Answer 19

True

(a) orientation, (b) working, and (c) termination

Question 20

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)

Answer 20

Orientation Phase

Question 21

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)

Answer 21

Orientation Phase

Question 22

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)

Answer 22

Working Phase

Question 23

Establishing the Therapeutic Relationship:

• The LONGEST PHASE
• MOST DIFFICULT
• Gathering of Data
• Promoting self-esteem
• Overcoming resistance

(IDENTIFY WHAT PHASE)

Answer 23

Working Phase

Question 24

Establishing the Therapeutic Relationship:

What are the 2 common elements that can arise in working phase?

(IDENTIFY WHAT PHASE)

Answer 24

1. Transference
2. 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)

Question 25

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)

Answer 25

Termination or Resolution Phase

Question 26

Establishing the Therapeutic Relationship:

• Considered as the LAST DAY or final stage in nurse-client relationship
• Problems are resolved

(IDENTIFY WHAT PHASE)

Answer 26

Termination or Resolution Phase

Question 27

Establishing the Therapeutic Relationship:

What is the common problem in Termination or Resolution Phase?

(IDENTIFY WHAT PHASE)

Answer 27

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.

Question 28

ENUMERATE:

What are the Behaviors That Diminish Therapeutic Relationships?

Answer 28

• 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.

Question 29

ENUMERATE:

What are the Therapeutic Roles of the Nurse in a Relationship?

Answer 29

Teacher, Caregiver, Advocate, Parent Surrogate