NURSE-PATIENT RELATIONSHIP

Question 1

What are the types of relationship?

Answer 1

1. Social Relationship
2. Intimate Relationship
3. Therapeutic Relationship

Question 2

-Friendships and socialization
- Superficial communication

Answer 2

Social Relationship

Question 3

-People with emotional commitment
- May include sexual or emotional intimacy and shared mutual goals

Answer 3

Intimate Relationship

Question 4

-Caregiver and care receiver are involved
-Inclined towards healing growth, and illness prevention

Answer 4

Therapeutic Relationship

Question 5

Requires both parties to recognize each other as unique and important human beings, which facilitates mutual learning

Answer 5

Mutually-significant experience

Question 6

Focuses on needs, experiences, feelings, and the ideas of the patient only

Answer 6

Patient-centered

Question 7

Nurse and patient agree about the areas to work on and evaluate the outcomes

Answer 7

Goal oriented

Question 8

A nurse is first a stranger to the patient as the patient is to the nurse

Answer 8

Stranger

Question 9

Provides specific answers to questions usually formulated with relation to a larger problem

Answer 9

Resource person

Question 10

Identifies learning needs and provides information to the patient and significant others to address the learning needs

Answer 10

Teacher

Question 11

allows the patient to take an active role in the care plan

Answer 11

Leader

Question 12

the nurse may be viewed by the patient as a substitute figure of a significant other

Answer 12

Surrogate

Question 13

The nurse understands various professional devices and possesses the clinical skills necessary to perform the interventions that are in the best interest of the client.

Answer 13

Technical Expert

Question 14

The nurse uses “interpersonal techniques” to assist clients to learn to adapt to difficulties or changes in life experiences

Answer 14

Counselor

Question 15

It is essential for the staff nurse working in psychiatry to have a general knowledge of basic counseling techniques.

Answer 15

Psychiatric Nurse as a Counselor

Question 16

What are the basic counseling techniques

Answer 16

-Therapeutic use of self
-Therapeutic communication

Question 17

Using self as a therapeutic tool to establish therapeutic relationships with clients and to help them grow, change, and heal

Answer 17

Therapeutic Use of Self

Question 18

The process of developing understanding of one own’s values, beliefs, thoughts, feelings, attitudes, motivations, prejudices, strengths, and limitations and how these qualities affects others.

Answer 18

Self-Awareness

Question 19

Self awareness activities

Answer 19

-Johari Window
-Journaling

Question 20

Is the recognition of the unique pattern of values, attitudes, beliefs, behaviors, emotions, and needs and understanding about their impact on the self and others.

Answer 20

Self-Awareness

Question 21

is a representation of the self and a tool that can be used to increase self-awareness (Luft, 1970).

Answer 21

Johari Window

Question 22

The aspects of the self about which both the individual and others are aware

Answer 22

Open-Public Self

Question 23

The part of the self that is known to others but remains hidden from the awareness of the individual.

Answer 23

Blind-Unaware Self

Question 24

The part of the self that is known to the individual, but which the individual deliberately and consciously conceals from others

Answer 24

Hidden-Private Self

Question 25

The part of the self that is unknown to both the individual and to others.

Answer 25

Unknown

Question 26

Explores one’s thoughts and emotions through writing

Answer 26

Journaling

Question 27

Ensures confidentiality as details are only disclosed to the therapist

Answer 27

Journaling

Question 28

A deep, internal process in which people express their emotions, reactions, and perceptions.

Answer 28

Journaling

Question 29

Types of Journaling

Answer 29

1. Gratitude Journaling 2. Reflective Journaling 3. Health Journaling

Question 30

A place to reflect upon and write down things one is thankful for

Answer 30

Gratitude Journaling

Question 31

Entries focus on the person’s internal processes surrounding an event, like the discussion that took place during a class or counseling session, including personal values, beliefs, and experiences.

Answer 31

Reflective Journaling

Question 32

allows the individual to write about emotions associated with medical condition or object of interest in a psychiatric condition

Answer 32

Health Journaling

Question 33

Components of a Therapeutic Relationship implies special feelings on the part of both the client and the nurse based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude.

Answer 33

Rapport

Question 34

Components of a Therapeutic Relationship builds when the client is confident in the nurse and when the nurse’s presence conveys integrity and reliability

Answer 34

Trust

Question 35

What are the Trusting Behaviors?

Answer 35

Consistency Honesty Approachability Listening Keeping promises

Question 36

Components of a Therapeutic Relationship means unconditional, non-judgmental attitude of the nurse towards the client

Answer 36

Respect (Unconditional positive regard)

Question 37

Components of a Therapeutic Relationship refers to the nurse’s ability to be open, honest, and “real” in interactions with the client.

Answer 37

Genuineness

Question 38

-To be “real” means being aware of the one’s inner experience and to allow the quality of this inner experience to be apparent in the relationship -Congruence -Self- disclosure which reveals a quality of “humanness”

Answer 38

Genuineness

Question 39

Is the ability to see beyond outward behavior and to understand the situation from the client’s point of view

Answer 39

Empathy

Question 40

He created the Interpersonal Relationship and Milieu Therapy

Answer 40

Harry Stack Sullivan

Question 41

Major Assumptions of Interpersonal Relationships and Milieu Therapy

Answer 41

-A healthy person is a social being with the ability to live effectively in relationships with others -Mental illness was viewed as any degree of lack of awareness of or skills in the process of interpersonal relationships

Question 42

Patient- to- patient interaction is seen as beneficial as is the focus of treatment

Answer 42

Therapeutic milieu (Interpersonal Relationships and Milieu Therapy)

Question 43

acts as a participant observer and provides a corrective interpersonal relationship

Answer 43

Therapist

Question 44

therapist participates in and observes the progress of the relationship

Answer 44

Participant observer

Question 45

Created the Phases of the Nurse-Patient Relationship

Answer 45

Hildegard Peplau

Question 46

What are the phases of the Nurse-Patient Relationship

Answer 46

-Orientation -Identification -Exploitation (Negative Connotation) -Resolution

Question 47

Exploitation factors

Answer 47

-Orientation -Working -Termination

Question 48

-Directed by the nurse -Problems and needs are clarified -Hospital routines and expectations are explained -Patient’s full participation is elicited

Answer 48

Orientation Phase

Question 49

Major Tasks of Orientation Phase

Answer 49

-Establish trust - Establish the Nurse-Patient Contract -Ensuring confidentiality and data protection

Question 50

What are the contents of the contract?

Answer 50

-Time, place, and length of sessions -When sessions will terminate -Who will be involved in the treatment plan -Client responsibilities -Nurse’s responsibilities

Question 51

means respecting the client’s rights to keep private any information about his or her mental and physical health and related care

Answer 51

Confidentiality

Question 52

Notifying the police, warning the intended victim, and/or taking other reasonable steps to protect the threatened individual.

Answer 52

"Duty to Protect"

Question 53

Governing how data is collected, shared and used

Answer 53

Data Privacy

Question 54

Protecting data from internal and external attackers

Answer 54

Data Security

Question 55

The therapeutic work of the relationship is accomplished.

Answer 55

Working Phase

Question 56

are outrageous stories or acting- out behaviors that challenges the nurse to stay focused and not to react or to be distracted

Answer 56

Testing Behaviors

Question 57

may also indicate that the client is avoiding a subject because he is getting close into an uncomfortable truth.

Answer 57

Testing Behaviors

Question 58

What's in the working phase?

Answer 58

-Maintain the relationship -In- depth data collection -Explore perceptions of reality -Developing positive coping mechanism -Promoting a positive self- concept -Facilitating behavior change -Working through resistance -Evaluating progress and redefining goals as appropriate -Promoting Independence

Question 59

Begins when the problem is resolved and ends when the relationship is ended.

Answer 59

Termination Phase

Question 60

Stalling Maneuvers

Answer 60

-Client’s attempt to avoid terminating the relationship. The client may view the termination as an impending loss. -Clients may act- out as if the problem has not been resolved.

Question 61

Intervention for stalling maneuvers

Answer 61

-Acknowledge the feelings and assure that what they feel are normal responses to ending a relationship. -Establish the reality of the separation by refocusing on the newly learned behaviors and skills. Resist being manipulated into repeated delays.

Question 62

Discussion of Termination

Answer 62

-Nurses should attempt to make it official by saying “good-bye” and stating his or her feelings about the relationship. -Acknowledge that you enjoyed the time with the client and will remember him or her. -Never agree to see the client outside the therapeutic relationship