Pys Ch 6 Relationship Development

Front 1

___________ and _____________ have stated "To relate therapeutically with a patient it is necessary for the nurse to understand his or her role and its relationship to the patient's illness.

Back 1

Hays and Larson

Front 2

The ___________ is the process by which nurses provide care for clients in need of psychosocial intervention. "Therapeutic use" of self is the instrument for delivery of that care. Always focused on patient.

Back 2

Therapeutic interpersonal relationship

Front 3

True or false

Interpersonal communication techniques both verbal and non verbal are the tools of psychosocial intervention.

Back 3

True

Front 4

____________ expanded on Peplau's theory of interpersonal relations in nursing. She refers not to a nurse client relationship but rather a human to human relationship.

Back 4

Travelbee

Front 5

What are some interventions nurses can use when dealing with specific life situations?

Back 5

1. Identify what is troubling the client.

2. Encourage the client to discuss changes he or she would like to make.

3. Discuss with the client which changes are possible and which are not possible.

4. Have the client explore feelings about aspects that cannot be changed with alternative ways of coping more adaptively.

5. Discuss alternative strategies for creating changes the client desires to make.

6. Weigh the benefits and consequences of each alternative.

7. Assist the client to select and alternative.

8. Encourage the client to implement the change.

9. Provide positive feedback.

10. Assist the client to evaluate outcomes of the change and make modifications as required.

Front 6

What conditions are essential to development of therapeutic relationships?

Back 6

Rapport, Trust, Respect, Genuineness, and Empathy

Front 7

True or false

Many psychiatric clients experience concrete thinking which focuses their thought processes on specifics rather then generalities and immediate issues rather then eventual outcomes.

Back 7

True

Front 8

When using unconditional positive regard the interviewer shows respect, dignity and worth of an individual regardless of his or her unacceptable behavior. Who was this?

Back 8

Carl Rogers

Front 9

______________ refers to the nurses ability to be open, honest, and "real" in interactions with the client.

Back 9

Genuineness

Front 10

____________ is a process wherein an individual is able to see beyond outward behavior and sense accurately another inner experience at a given point in time.

Back 10

Empathy

Front 11

True or false

Empathy is understanding the clients thoughts and feelings and the nurse is able to maintain sufficient objectivity to allow the client to achieve problem resolution with minimal assistance.

Back 11

True

Front 12

True or false

Sympathy occurs when the nurse actually feels what the client is feeling objectivity is lost and the nurse may become focused on relief of personal distress rather than on helping the client resolve the problem at hand.

Back 12

True

Front 13

What are the phases of therapeutic nurse client relationships?

Back 13

1. Pre-Interaction phase
2. Orientation (introductory) phase
3. Working phase
4. Termination

Front 14

In the pre interaction phase what does the nurse need to do?

Back 14

1. Obtaining available information about the client from his or her chart, significant others, or other health team members.

2. Examine ones feelings, fears, and anxieties about working with a particular client.

Front 15

In the orientation or introductory phase what tasks need to be done?

Back 15

1. Creating an environment for the establishment of trust and rapport.

2. Establishing a contract fro intervention that details the exceptions and responsibilities of both the nurse and client.

3. Gathering assessment information to build a strong client database.

Front 16

In the working phase of the relationship what tasks need to be done?

Back 16

1. Maintaining the trust and rapport that was established during the orientation phase.

2. Promoting the clients insight and perception of reality.

3. Problem solving

4. Overcoming resistance behaviors on the part of the client as the level of anxiety rises in response to discussion of painful issues.

5. Continuously evaluating progress toward goal attainment.

Front 17

_______________ occurs when the client unconsciously attributes feelings and behavioral predispositions based on experiences in their passed. Ex. the nurses hair style, appearance or personality.

Back 17

Transference

Front 18

______________ refers to the nurse's behavioral and emotional response to the client. These responses may be related to unresolved feelings toward significant others from the nurse's past.

Back 18

Countertransference

Front 19

___________ refers to the end of the working relationship.

Back 19

Termination phase

Front 20

These are physical properties that can be seen.

Back 20

Material boundaries

Front 21

These are established within a culture and define who individuals are expected to behave in social situations.

Back 21

Social Boundaries

Front 22

These are boundaries that individuals define for themselves. These include physical distance boundaries, or just how close individuals will allow other to invade there physican space and emotional boundaries, or how much individuals choose to disclose of their most intimate selves to others.

Back 22

Personal boundaries

Front 23

These boundaries limit and outline expectations for appropriate professional relationships with clients.

Back 23

Professional boundaries

Front 24

True or false

Although caring touch provides comfort and encouragement Native Americans, Asian Americans are often uncomfortable with touch.

Back 24

True

Front 25

True or false?

Nurses must guard against personal relationships developing as a result of the nurse client relationship. Romantic, sexual, or similar personal relationships are never appropriate between nurse and client.

Back 25

True

Front 26

Certain warning signs exist that indicate that professional boundaries of the nurse client relationship may be in jeopardy. Give some examples:

Back 26

1. Favoring a clients care over that of another

2. Keeping secrets with a client

3. Changing dress style for working with a particular client.

4. Giving special attention or treatment to one client over others.
5. Spending free time with a client

6. Frequently thinking about the client when away from work.

7. Sharing personal information or work concerns with the client.

8. Receiving of gifts from or continued contact communication with the client after discharge.

Front 27

True or false?

Children generally adopt the value systems and internalize the attitudes and beliefs of their parents.

Back 27

True

Front 28

True or false?

Every word that is spoken and every movement that is makde give a message to someone.

Back 28

True

Front 29

True or false

Values attitudes and beliefs are learned ways of thinking.

Back 29

true

Front 30

_______ values are learned and differ from society to society.

Back 30

Cultural

Front 31

_______ is the innate tendency to own space.

Back 31

Territoriality

Front 32

_____ refers to the number of people within a given environmental space

Back 32

Density

Front 33

_______ distance is the closest distance that individuals will allow between themselves and others.

Back 33

Intimate

Front 34

_______ distance approximately 18 to 40inches.

Back 34

Personal

Front 35

______ distance is about 4 to 12 feet.

Back 35

Social

Front 36

_______ distance is one that exceeds 12ft.

Back 36

Public

Front 37

True or false?

It has been said that about 70 to 90% of all effective communication is nonverbal.

Back 37

True

Front 38

Name this therapeutic technique

Giving the client the opportunity to collect and organize thoughts.

Back 38

Silence

Front 39

Name this therapeutic technique

Conveys and attitude of reception and regard. "Yes I understand what you said"

Back 39

Accepting