Week 1: Nurse at Therapeutic Instrument Flashcards
1
Q
4 phases of nurse patient relationship
A
- Pre-interaction phase
- Introductory/orientation phase
- Working phase
- Termination phase
2
Q
Pre-interaction phase
A
when you get your report (before you’ve ever met your patient) and decide how you’re going to interact with them.
3
Q
Introductory/orientation phase
A
- Find out why patient sought help
- Explore patient’s feelings, identify problems
- Establish trust, understanding, acceptance, open communication
- Establish goal consensus, collaboration
- Formulate contract, explaining roles, confidentiality, responsibilities, expectations of patient and nurse
4
Q
Working Phase
A
- Nurse and patient explore stressors
- Promote development of insight by linking perceptions, thoughts, feelings, actions
- Translate insight into action/behavior change
- Master anxieties, increase self-responsibility, develop constructive coping mechanisms
- Standoff, impasse, or plateau may develop if patient resists moving forward
5
Q
Termination Phase
A
- Learning maximized because of higher levels of trust, intimacy
- Exchange feelings and memories to evaluate patient progress, goal attainment
- Establish reality of separation; explore feelings of rejection, loss, sadness, anger
- Make referrals if needed for continued care or treatment
6
Q
Altruism
A
- Concern for welfare of others
- Love for humanity and helping people
- Nurses need to balance altruism with their needs for satisfaction, compensation, recognition
- Can be self-destructive if overzealous
7
Q
Congruent communication
A
nonverbal message matches the verbal message
8
Q
Incongruent communication
A
the nonverbal message doesn’t match the verbal message
9
Q
Responsiveness dimensions
A
- Genuineness
- Respect
- Empathy
- Concreteness
10
Q
Action Dimensions
A
- Confrontation
- Immediacy
- Self Disclosure
- Catharsis
- Role Playing
11
Q
4 Therapeutic Impasses
A
- Resistance
- Transference: patient to nurse
- Countertransference: nurse to patient
- Boundary Violation
12
Q
A
