Therapeutic Relationships Flashcards
Transference
Patient displaces feelings for others onto the nurse
Counter-transference
Nurse displaces feelings for others onto the patient
Displacement
Expressing strong feelings generated by one person/situation to another who is less threatening.
Identification
Modeling behaviour or attitudes on those of another, such as entering the same profession as a mentor.
Sublimation
Substituting behaviour that is acceptable for one that is not, such as chewing gum instead of smoking, or participating in sports instead of violence.
Projection
Accusing someone else of having behaviours/feelings that oneself has but perceives as unacceptable. A form of denial.
Rationalization
Attempting to explain or make an unacceptable behaviour seem positive, or blaming it on another.
Defamation of character
May occur if nurse shares information about a client that negatively impacts their reputation.
Libel
False, negative accusations that are in written form.
Slander
False, negative accusations in verbal form.
What is included in limit setting?
- Informing patient of limits
- Explaining the consequences of noncompliance
- Stating expected behaviours
What is cultural relativism?
The belief that people’s behaviour should only be judged from the context of their own culture.
What is cultural awareness?
Recognizing and respecting cultural diversity.
What is cultural competence?
Recognizing one’s own culture and using that to avoid unduly influencing those of other cultures.
What is ethnocentrism?
The idea that one’s own cultural ideas are superior to those of others.
What are some mental health beliefs of Japanese clients?
May believe that mental illness is the result of a loss of self-control or punishment for bad behaviour.
What are some beliefs about mental health that may be held by Chinese clients?
May believe in effects of evil spirits or a lack of emotional harmony.
What is assault?
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.
What are the five phases of escalation?
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
What is positive reframing?
Reframing negative thoughts such as “I’m dying” into more positive thoughts, such as “this is just anxiety and will pass.”
Decatastrophizing
Nurse uses questions to help patient view situation more realistically.
What are the patterns of knowing (Carper)?
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
What are the phases of the nurse-patient relationship?
- Orientation phse
- Working phase
—-Identification
—-Exploitiation - Termination
What is involved in the orientation phase of the nurse-patient relationship?
—Patient conveys needs and expectations
—Nurse establishes parameters, gathers information, and helps patient identify problems
What is involved in the working phase of the nurse-patient relationship?
—Identification
—Exploitation
What occurs in the exploitation phase of the nurse-patient relationship?
—Patient vacillates between dependency and independence
What are the four primary roles of the nurse in a therapeutic relationship?
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
What happens in the termination phase of the nurse-patient relationship?
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