Therapeutic Relationships

Question 0

Milieu therapy creates an environment that is:

Answer 0

1. Supportive
2. Therapeutic
3. Safe

Question 1

A therapeutic nurse-client relationship is:

Answer 1

1. Purposeful and goal-directed.
2. Well defined with clear boundaries.
3. Structured to meet the client’s needs.
4. Characterized by an interpersonal process that is safe, confidential, reliable, and consistent.

Question 2

Roles of the Nurse:

Answer 2

1. Consistently focus on client’s ideas, experiences, & feelings
2. Identify & explore clients needs and problems
3. Discuss problem solving alternatives
4. Help develop strengths and new coping skills
5. Encourage positive behavior change
6. Develop a sense of autonomy and self-reliance
7. Portray genuineness, empathy, and a positive regard

Question 3

Empathy

Answer 3

To remain non-judgmental and attempt to understand the client’s actions and feelings. This differs from sympathy, in which the nurse allows herself to feel the way the client does and is NON-THERAPEUTIC.

Question 4

Nursing factors that have a (+) impact:

Answer 4

1. Consistent approach
2. Adjustment of pace to client’s needs
3. Attentive listening
4. Positive initial impressions
5. Comfort level
6. Self-awareness of own thoughts & feelings
7. Consistent availability

Question 5

Client factors that have a (+) impact:

Answer 5

1. Trusting attitude
2. Willingness to talk
3. Active participation
4. Consistent availability

Question 6

Phases of a Therapeutic Relationship:

Answer 6

1. Orientation
2. Working
3. Termination

Question 7

Orientation phase:

Answer 7

1. Introductions of nurse to client
2. Build trust
3. Set goals
4. Explore clients ideas, issues, and needs
5. Enforce limits on testing or other inappropriate behaviors

Question 8

Working phase:

Answer 8

1. Maintain relationship
2. Preform ongoing assessment to plan & evaluate therapeutic measures.
3. Encourage client to problem solve
4. Support clients adaptive skills
5. Remind of termination date

Question 9

Termination Phase:

Answer 9

1. Provide opportunity for pt. to discuss thoughts
2. Discuss previous experiences with separation & loss
3. Summarize goals & achievements
4. Review memories
5. Maintain limits of final termination

Question 10

Therapeutic Relationship: Primary Purpose

Answer 10

To identify the client’s problems or needs and then focus on assisting the client in meeting or resolving those issues.

Question 11

Transference

Answer 11

occurs when the client views a member of the health care team as having characteristics of another person who has been significant to the client’s personal life.
Most likely to occur with a person of authority.

Question 12

Contertranference

Answer 12

occurs when a health care team member displaces characteristics of people in her past onto a client.

Question 13

Therapeutic Relationship: Definition

Answer 13

A close, helping relationship based on trust, which fosters collaboration

Question 14

Essential elements of the therapeutic relationship:

Answer 14

1. Trust
2. Professionalism
3. Mutual Respect
4. Caring
5. Partnership

Question 15

Caring includes:

Answer 15

meeting clients needs in a timely manner

Question 16

Trust includes:

Answer 16

predictability, consistency, and clear expectations

Question 17

Professionalism includes:

Answer 17

A nurse is knowledgable of psychiatric problems and appropriate interventions.

Question 18

Obstacles Establishing a Therapeutic Relationship:

Answer 18

1. Judgmental attitude
2. Excessive probing
3. Lack of self-awareness

Question 19

Characteristics of Active listening:

Answer 19

1. Maintaining eye contact
2. facilitating close proximity
3. projecting a relaxed physical orientation
4. speaking calmly