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MH Chap 7
Relationship Developement
| Question | Answer |
|---|---|
| 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 |
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mromerobr
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