Therapeutic Relationships

Question 1

What is one of the most important skills a nurse can develop?

Answer 1

Creating a therapeutic relationship

Question 2

What are the components of a therapeutic relationship?

Answer 2

Trust
Genuine Interest
Empathy
Acceptance
Positive regard

Question 3

Trust

Answer 3

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

Question 4

What is the key to trust?

Answer 4

Congruence

Question 5

Congruence

Answer 5

occurs when words and actions match

Question 6

Genuine Interest

Answer 6

the nurse is comfortable with their-self, aware of their strengths and limitations, and clearly focused, the client perceives a genuine person

Question 7

Empathy

Answer 7

Putting oneself in the client’s shoes

Question 8

Acceptance

Answer 8

no judgments; set boundaries

Question 9

Positive Regard

Answer 9

unconditional nonjudgemental attitude

Question 10

Self-awareness

Answer 10

process of developing an understanding of one’s values, beliefs, thoughts, feelings, attitudes, motivations, limitations, strengths, and prejudices and how qualities affect others

Question 11

Values

Answer 11

sense of right and wrong, code of conduct for living

Question 12

What are the 3 steps for values clarification?

Answer 12

Choosing
Prizing
Acting

Question 13

Choosing

Answer 13

a person considers a wide range of possibilities and freely chooses the values that feel right

Question 14

Prizing

Answer 14

when the person considers the the value, cherishes it, and publicly attaches to it

Question 15

Acting

Answer 15

when the person puts the value into action

Question 16

True or False: A nurse displays empathy by showing feelings of concern and compassion

Answer 16

False

Empathy is putting oneself into the client’s shoes

Question 17

Therapeutic Use of Self

Answer 17

use of aspects of personality, experience, values, feelings, intelligence, needs, coping skills, perceptions to establish relationships beneficial to clients

Question 18

Johari Window

Answer 18

tool to learn about oneself

Question 19

What are the four quadrants for Johari’s window?

Answer 19

1. Open/public self
2. Blind/unaware self
3. Hidden/private self
4. Unknown

Question 20

Open/Public Self

Answer 20

self-qualities one knows about oneself and others do too

Question 21

Blind/Unaware Self

Answer 21

self-qualities known only to others

Question 22

Hidden/Private Self

Answer 22

qualities known only to self

Question 23

Uknown

Answer 23

qualities undiscovered to self and others

Question 24

Patterns of Knowing

Answer 24

Ways of observing/understanding client interactions
Empirical
Personal
Ethical
Aesthetic
Unknowing

Question 25

Empirical

Answer 25

obtained from the science of nursing

Question 26

Personal

Answer 26

from life experiences

Question 27

Ethical

Answer 27

moral knowledge of nursing

Question 28

Aesthetic

Answer 28

art of nursing

Question 29

Unknowing

Answer 29

Nurse admits lack of knowledge of client or understanding of client’s subjective world

Question 30

Types of Relationships

Answer 30

Social
Intimate
Therapeutic

Question 31

Social

Answer 31

purpose of friendship, socialization, companionship, or task accomplishment

Question 32

Intimate

Answer 32

Emotional commitment of two persons

Question 33

Therapeutic

Answer 33

Focus on needs, experiences, feelings, ideas of client only

Question 34

Peplau’s Establishing a Therapeutic Relationship Phases

Answer 34

Orientation
Working
Termination

Question 35

Orientation Phase

Answer 35

Meeting nurse, client
Establishment of roles
Discussion of purposes, parameters of future meetings
Nurse-client contract, confidentiality, duty to warn

Question 36

Working Phase

Answer 36

Problem identification

Examination of feelings and responses

Question 37

Termination Phase

Answer 37

Begins when the clients problems are resolved
Ends when relationship ends
Deals with feelings of anger or abandonment that mat occur