Week 10 - Therapeutic Relationships and Boundaries

Question 1

Components of the Therapeutic Relationship (5)

Answer 1

Trust
Respect
Professional Intimacy
Empathy
Power

Question 2

Fiduciary relationship

Answer 2

One in which a person with a certain level of knowledge and abilities accepts the trust and confidence of another person to act in their best interest

Question 3

Components of Therapeutic Communication (5)

Answer 3

• Introducing self, role, expectations
• Giving the client time to explain themselves
• Verbal/non-verbal
• Listening to, understanding, respecting values and care preferences
• Refraining from self-disclosure unless it meets a specific, identified, therapeutic need

Question 4

Boundaries are…

Answer 4

The limits that allow a client and nurse to engage in a therapeutic relationship; within these boundaries, a safe relational space is created

Question 5

Boundary Crossings

Answer 5

Brief excursions across boundaries, with a return to established professional limits

Relationship changes from therapeutic to personal; misuse of power within the relationship to meet the nurse’s rather than the client’s need

May be trivial and not harmful but has potential to progress to a violation if increase in frequency, intensity.

Question 6

Boundary Violations

Answer 6

Clearly harmful, exploitive

Question 7

Considerations for Accepting Gifts (5)

Answer 7

• Context
• Expectations and obligations
• Agency policies
• Influence on N-P relationship dynamics
• Potential for negative feelings on the part of other clients