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MH Chap 7

Relationship Developement

QuestionAnswer
Wat is the foundation on which psychiatric nursing is established The nurse-client relationship
Wat is an interaction between two people (usually a caregiver and a care receiver) in which input from both participants contributes to a climate of healing, growth promotion, and illness prevention. A therapeutic relationship
Name Peplau's identified six sub-roles within the role of the nurse: The Stranger, The esource Person, The Teacher, The Leader, The Surrogate, The Counselor
Which Peplau's sub-role: In the beginning, nurse and client are strangers to each other. The stranger
Which Peplau's sub-role: The nurse provides information related to the client’s health care. The resource person
Which Peplau's sub-role: The nurse identifies learning needs and provides information required by the client or family to improve the health situation. The teacher
Which Peplau's sub-role: Democratic leadership allows the client to be an active participant in planning his or her care. The leader
Which Peplau's sub-role: For the client, the nurse fulfills basic needs, which is associated with mothering. The surrogate
Which Peplau's sub-role: The nurse uses “interpersonal techniques” to help clients learn to adapt to difficulties or changes in life experiences. The counselor
Wat is goal oriented and directed at learning and growth promotion. Therapeutic relationships
ability to use one’s personality consciously and in full awareness in an attempt to establish relatedness and to structure nursing interventions Therapeutic Use of Self
Ideas that one holds to be true and may be rational,irrational,held on faith,or stereotypical Beliefs
Frames of reference around which an individual organizes knowledge about his or her world. Definition of Attitudes
have an emotional component and may be judgmental, selective, biased, and may be positive or negative. Attitudes
Abstract standards, positive or negative, that represent an individual’s ideal mode of conduct and ideal goals. Definition of Values
are action oriented or action producing Values
This is a representation of the self and a tool that can be used to increase self-awareness. The Johari Window
Name the four quadrants of The Johari Window The open or public self; The unknowing self; The private self; The unknown self.
The goal of increasing self-awareness by using the Johari Window: to increase the size of the quadrant that represents the Open or Public Self(Known to me and to others)
Through the Johari Window an individual increases wat 3 self-awarenesses interact with others comfortably, to accept differences in others, and to observe each person’s right to respect and dignity.
Name 5 conditions essential to development of a Therapeutic Relationship: Rapport;Trust;Respect;Genuineness;Empathy
Who decides the goal of the relationship wil be the nurse and the client together
Wat is the primary task in the relationship development Establishing rapport and getting acquainted
Special feelings between two people based on acceptance, warmth, friendliness, and shared common intrest Rapport
The ability to perceive, understand, and experience the emotional state of another person Empathy
In order to build a therapeutic relationship with a client, the relationship should be built on the client's needs. How can this be accomplished? encourage the client to choose a topic for discussion
Stating, "my shift will be over in about 20 minutes, is there any thing you need before the next shift comes on?" would fall into what phase of the helping relationship? Termination phase
Just prior to the orientation phase, the nurse should... evaluate his/her own judgements/opinions about the patient and/or situation
Among helping the client transfer to the next level of care, what other activity should the nurse help the client do? help the client to identify or summarize goals accomplished or progress towards goals
Trust and rapport should be developed in what phase of a helping relationship? the orientation phase
What are the four phases of the helping relationship? preinteraction phase, orientation phase, working phase, termination phase
Obtain information about the client from chart, significant others, or other health team members.Examine one’s own feelings, fears, and anxieties about working with a particular client. Preinteraction phase
Create environment for trust&rapport; Establish contract for intervention;Gather assessment data;Identify client’s strengths &weaknesses;Formulate RN diagnoses;Set mutually agreeable goals; Develop realistic plan of action;Explore feelings of client&RN; Orientation (introductory) phase
Name the 8 tasks in Orientation (introductory) phase Create environment for trust & rapport; Establish contract for intervention;Gather assessment data;Identify client’s strengths &weaknesses;Formulate RN diagnoses;Set mutually agreeable goals; Develop realistic plan of action;Explore feelings of client&RN;
Maintain trust and rapport; Promote client’s insight and perception of reality; Use problem-solving model to work toward achievement of established goals;Overcome resistance behaviors;Continuously evaluate progress toward goal attainment. Working phase
Name the 5 tasks in the working phase Maintain trust and rapport; Promote client’s insight and perception of reality; Use problem-solving model to work toward achievement of established goals;Overcome resistance behaviors;Continuously evaluate progress toward goal attainment.
Occurs when the client unconsciously displaces (or “transfers”) to the nurse feelings formed toward a person from the past. Transference
Refers to the nurse’s behavioral and emotional response to the client. Cuntertransference
Progress has been made toward attainment of the goals; A plan of action for more adaptive coping with future stressful situations has been established;Feelings about termination of the relationship are recognized and explored Termination phase
Professional boundary concerns commonly include issues such as:Name 4 Self-disclosure; Gift-giving; Touch; Friendship or romantic association;
When one feels confident in that persons presence; reliability; veracity; and sincre desire to provide assistance when requested Trust
Wat is the basis of a therapeutic relationship Trust
To believe in the dignity and worth of an individual regardless of his unacceptable behavior Respect
An attitude that is nonjudgemental, and the respect is unconditional Unconditional positive regard
Refers to the nurse's ability t be open, honest, and 'real' in the interaction with the client Genuineness
When the rn doesn't bring this to the relationship, trust cannot be established quality of genuineness
The nurse accurately perceives or understands wat the client is feeling and encourages the client to explore these feelings Empathy
The nurse actually shares wat the client is feeling, and experiences a need to alleviate distress Sympathy
The nurse remains emotionally separate from the other person Empathy
implies taking on the other's needs and problems as if they were ur own and becoming emotionally involved Sympathy
Is one of the most important characteristics of a therapeutic relationship Empathy
With_______,the nurse actually feels wat the client is feeling Sympathy
Which sub-role is emphasized in psychiatric nursing The counselor
Wat is the instrument for delivery of the process of interpersonal nursing The therapeutic use of self
Created by: mromerobr
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