Nurse/Client Relationship

Question 1

Therapeutic Relationship

Answer 1

An interaction between two people (care giver & care receiver) in which input from both participants contributes to a climate of healing, growth promotion, and/or illness prevention.

Question 2

Roles of the Psychiatric Nurse

Answer 2

• The stranger
• The resource person
• The teacher
• The leader
• The surrogate
• The counselor

Question 3

Therapeutic Use of Self

Answer 3

• Self-awareness
– beliefs
– attitudes
– values

• Values clarification
– cognitive
– emotional
– behavioral

Question 4

Therapeutic Relationship characteristic words

Answer 4

• Rapport
• Trust
• Respect
• Genuiness
• Empathy

Question 5

Stages of the Therapeutic Relationship

Answer 5

• Preinteraction
• Orientation
• Working
• Termination

Question 6

Preinteraction Phase

Answer 6

• Prepare

– information about client

– self-awareness

Question 7

Orientation or Introductory Phase

Answer 7

• trust & rapport
• contract
• assessment

– identify strengths, limitations

• nursing diagnosis
• goals
• plan of action
• Explore feelings of client & nurse

Question 8

Working Phase

Answer 8

• maintain trust & rapport
• promote insight & perception
• problem solve
• overcome resistance (why resistance?)
• ongoing evaluation

Transference/Countertransference

Question 9

Termination Phase

Answer 9

• Occurs when mutually agreed on goals are met or when relationship is ending
• progress has been made
• plan for continuing care/self-care is made
• feelings about termination explored

sadness, loss, regression, accomplishment