Therapeutic Relationships ppt Flashcards
1
Q
Components of Therapeutic Relationship
A
- Trust
- Genuine Interest
- Empathy
- Acceptance
- Positive Regard
2
Q
Types of Relationships
A
- Social
- Intimate
- Therapeutic
3
Q
Social Relationship:
A
Purpose of friendship, socialization, companionship, or task accomplishment
- Sharing ideas; shifting roles; outcomes rarely assessed
4
Q
Intimate Relationship
A
Emotional commitment of two persons
Individual needs met; assistance with helping each
other meet needs.
5
Q
Therapeutic Relationships
A
- Focus on needs, experiences, feelings, ideas of client
only* - Nurse’s use of communication skills
- Joint agreement on areas to work on; outcome
evaluation
6
Q
Peplau’s model of three phases- are overlapping, interlocking phases
A
- Orientation
- Working
- Termination
7
Q
Orientation phase: Establishing a Therapeutic Relationship
A
- Meeting nurse, client
- Establishment of roles
- Discussion of purposes, parameters of future meetings
- Clarification of expectations
- Nurse–client contracts, confidentiality
8
Q
Working Phase
A
Problem identification
- Client identifies issues or concerns.
- Examination of feelings and responses
- Development of better coping skills, more positive self-image, behavioral change, independence
9
Q
Termination Phase:
A
- Begins when client’s problems are resolved
- Ends when relationship is ended
- Client may feel termination as impending loss.
- Clients often try to avoid termination
- Regression might occur during this phase
10
Q
Behaviors that diminish Therapeutic Relationships
A
- Inappropriate boundaries (relationship becomes social or intimate)
- Feelings of sympathy, encouraging client dependency
- Nonacceptance and avoidance
11
Q
Therapeutic Roles of the Nurse in a Relationship
A
- Teacher (coping, problem-solving, medication
regimen, community resources) - Caregiver (therapeutic relationship, physical care)
- Advocate (ensuring privacy and dignity, informed
consent, access to services)
