Therapeutic Relationships Flashcards

1
Q

Transference

A

Patient displaces feelings for others onto the nurse

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2
Q

Counter-transference

A

Nurse displaces feelings for others onto the patient

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3
Q

Displacement

A

Expressing strong feelings generated by one person/situation to another who is less threatening.

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4
Q

Identification

A

Modeling behaviour or attitudes on those of another, such as entering the same profession as a mentor.

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5
Q

Sublimation

A

Substituting behaviour that is acceptable for one that is not, such as chewing gum instead of smoking, or participating in sports instead of violence.

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6
Q

Projection

A

Accusing someone else of having behaviours/feelings that oneself has but perceives as unacceptable. A form of denial.

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7
Q

Rationalization

A

Attempting to explain or make an unacceptable behaviour seem positive, or blaming it on another.

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8
Q

Defamation of character

A

May occur if nurse shares information about a client that negatively impacts their reputation.

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9
Q

Libel

A

False, negative accusations that are in written form.

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10
Q

Slander

A

False, negative accusations in verbal form.

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11
Q

What is included in limit setting?

A
  1. Informing patient of limits
  2. Explaining the consequences of noncompliance
  3. Stating expected behaviours
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12
Q

What is cultural relativism?

A

The belief that people’s behaviour should only be judged from the context of their own culture.

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13
Q

What is cultural awareness?

A

Recognizing and respecting cultural diversity.

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14
Q

What is cultural competence?

A

Recognizing one’s own culture and using that to avoid unduly influencing those of other cultures.

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15
Q

What is ethnocentrism?

A

The idea that one’s own cultural ideas are superior to those of others.

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16
Q

What are some mental health beliefs of Japanese clients?

A

May believe that mental illness is the result of a loss of self-control or punishment for bad behaviour.

17
Q

What are some beliefs about mental health that may be held by Chinese clients?

A

May believe in effects of evil spirits or a lack of emotional harmony.

18
Q

What is assault?

A

An action or threat that results in the patient fearing being injured.

Battery occurs when the contact occurs.

False imprisonment is keeping a patient in unjustified detention.

19
Q

What are the five phases of escalation?

A

Triggering: restless, irritable, pacing, loud voice, anger
Escalation: yelling, swearing, threatening gestures
Crisis: complete loss of control; violence
Recovery: beginning to relax
Post-crisis: remorse, withdrawal

20
Q

What is positive reframing?

A

Reframing negative thoughts such as “I’m dying” into more positive thoughts, such as “this is just anxiety and will pass.”

21
Q

Decatastrophizing

A

Nurse uses questions to help patient view situation more realistically.

22
Q

What are the patterns of knowing (Carper)?

A

Empirical: acquired from science/evidence

Personal: acquired from experiential learning

Ethical: acquired from moral/ethical knowledge of nursing

Aesthetic: acquired from the art of nursing

23
Q

What are the phases of the nurse-patient relationship?

A
  1. Orientation phse
  2. Working phase
    —-Identification
    —-Exploitiation
  3. Termination
24
Q

What is involved in the orientation phase of the nurse-patient relationship?

A

—Patient conveys needs and expectations

—Nurse establishes parameters, gathers information, and helps patient identify problems

25
Q

What is involved in the working phase of the nurse-patient relationship?

A

—Identification

—Exploitation

26
Q

What occurs in the exploitation phase of the nurse-patient relationship?

A

—Patient vacillates between dependency and independence

27
Q

What are the four primary roles of the nurse in a therapeutic relationship?

A

Advocate: Informs, supports, acts on patient’s behalf

Caregiver: Helps patient in problem solving and meeting psychological needs

Teacher

Parent surrogate: Nurturer, person in authority

28
Q

What happens in the termination phase of the nurse-patient relationship?

A