Therapeutic Relationships

Question 1

Components of Therapeutic Relationship

Answer 1

trust
genuine interest
empathy
acceptance
positive regard
self-awareness

Question 2

Trust

Answer 2

builds when the nurse conveys integrity and reliability

congruence: words and actions match
- trust is broken when there is no congruence

Question 3

Genuine Interest

Answer 3

happens when the nurse is comfortable in themselves, aware of their strengths and limitations, and is focused

client can detect when the nurse asks a question but does not really want to know the answer

select use of self-disclosure

Question 4

Empathy

Answer 4

the ability to put oneself in the shoes of the client
-this does not mean that the nurse has had the exact experiences

reflection, restatement, clarification

Question 5

Acceptance

Answer 5

the nurse does not become upset or respond negatively with a client who is angry or acting out

avoiding judements

Question 6

Types of Relationships

Answer 6

social:
- ex) nurse talks to client about weather or sports
- won’t further therapeutic relationship if you stay in a social relationship, but can hep you ease into further relationship

intimate: does not have place in nurse-client interaction

therapeutic: focuses on the needs, feelings, ideas of the client only
- not inserting own feelings, needs, ideas in the relationship

Question 7

Positive Regard

Answer 7

respect for the client regardless for their behavior, background, or lifestyle

Question 8

Phases of the Nurse-Client Relationship

Answer 8

1. orientation
2. working
   - problem identification
   - exploitation (exploration)
3. termination

Question 9

Orientation Phase

Answer 9

begins when the nurse and client meet

ends when the client begins to identify problems and examine

Question 10

Working Phase

Answer 10

problem identification:
-nurse identifies issues or concerns causing problems

exploitation (exploration):

• nurse guides the client in examining feelings, developing coping skills, etc.
• encourages behavior change

Question 11

Termination Phase

Answer 11

begins when problems are resolved and ends when the relationship is ended

person is getting very close to discharge