Week 3 - test 1 Flashcards
(46 cards)
Duncan (2014) found the number one predictive factor of success was the therapist’s ability to form a therapeutic ________________ with the client.
alliance connection
The ability to establish ___________ relationships with clients is one of the most important skills a nurse can develop
therapeutic
What makes a successful therapist? Duncan (2014) examined these factors:
1.
2.
3.
4.
5.
- Undergoing personal psychotherapy.
- Treatment approach used.
- Advanced degrees in counseling.
- Ongoing education.
- Years of experience.
the most important tool the psychiatric nurse has is his or her ________
self
Self assessment question:
1.
2.
3.
4.
1.what are your beliefs
2. what are your attitudes about mental health, etc,.
3. what do you most value in life
4. Are you able to respect the uniqueness of others.
The Johari window is a concept developed by Joseph Luft and Harrington Ingham that helps promote _______________
self-awareness
Social relationships are __________: they meet the needs of both parties.
reciprocal
Therapeutic relationships, however, focus solely on the ___________ well-being.
clients
In this phase, the nurse prepares for the interaction by obtaining information from the chart, the client’s family, or team members. The nurse should also examine any feelings that may interfere with working with this particular client.
Preinteraction phase
During the ___________ phase, the focus is on building trust and rapport, defining roles, and mutually determining goals. Sadly, most clients are discharged during this phase.
Orientation phase
If the therapeutic relationship is able to continue, the client and nurse will progress to the __________ phase. Here the focus is on working toward the selected goals. The nurse provides feedback and support during this process
working phase
During this final phase, the client and nurse review and acknowledge the progress that has been achieved. This phase can sometimes elicit negative emotions (e.g., anxiety, feelings of abandonment). It may be important to explore these feelings with the client.
termination phase
Roger’s Therapeutic Factor:
1.
2.
3.
- genuineness (congruence between what the nurse feels and expresses)
- unconditional positive regard ( belief that each human is worthy of respect, time, attention)
- empathy ( ability to look beyond behaviors to understand, but not emotionally.)
Accepting financial gifts is __________ appropriate
never
Nurse-client boundary breach red flag:
1.
2.
3.
4.
5.
6.
- Bringing work home (e.g., worrying about your client).
- Developing a social or personal relationship. (Never share your personal contact information.)
- Attempting to “rescue” the client.
- Encouraging the client to be dependent on you.
- Defending a client’s behavior to other staff members.
- Keeping secrets.
Causes of miscommunication:
1.
2.
3.
- ambiguity (language is ambiguous)
- culture
- noise (constant interference)
Nonverbal communication:
S
O
L
E
R
S- Sit squarely facing the client.
O -Open posture. Keep your arms and legs uncrossed.
L-Lean forward toward the client.
E- Eye contact. Use intermittent eye contact.
R - Relax. Sit calmly and quietly. Avoid restlessness and fidgeting.
Allowing the client to choose the topic of discussion is?
Ex:What would you like to talk about today?”
broad opening
Delving into a topic that seems useful to discuss is?
Ex:“Tell me more about that.”
exploring
Asking a client who is rapidly changing topics, to focus on a single idea or thought is? (Not appropriate if the client is extremely anxious.)
Ex:If it’s OK, I’d like to go back to something you said a moment ago.”
focusing
Encouraging the client to come up with a plan for dealing with a problem or future situation is ?
Ex:“You said you lost control of your temper. How would you like to handle that situation if it happened again?”
Formulation a plan of action
Giving short verbal or nonverbal encouragement for the client to continue talking is?
Ex: “Mmm. Hmm.” Nodding.
general leads
Noticing a positive behavior from the client is? (This is better than complimenting.)
Ex:“I see that you went to your group therapy session this morning.
giving recognition
Verbalizing your perceptions of the client is?
Ex:“You seem sad.” “I notice that you are staring at the ground.”
making observations
