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Mental Health

Chapters 10,11

Transference occurs when the client attributes thoughts and feelings toward the therapist that pertain to a person in the client's past.
A basic tool the nurse uses when establishing a relationship with a client with a spychiatric disorder is self reflection
A nurse behavior that jeopardizes the boundaries of the nurse-client relationship is allowing the relationship to beccome social
A nurse behavior that would not be considered a boundary violation is genuineness
A synonym for genuineness is congruence
self-awareness of one's feelings as they arise within the relationship and the ability to communicate them when appropriate genuiness
A stage in which the client must face the loss or ending of the therapeutic relationship, often reawakens the pain of earlier losses. termination phase
To help a client develop his resources the nurse must first be aware of the client's strengths
One possible source of boundary violations is meeting the nurses needs
A short, but helpful, interaction between the nurse and client. therapeutic encounter
During what stage of the therapeutic nurse-client relationship is a formal or informal contract between the nurse and client established? orientation
What therapeutic communication technique is the nurse using by saying to a newly admitted patient "Can you tell me what was happening to you that led to your being hospitalized here?" Asking an open-ended question
What is the focus during clinical supervision? The nurse's behavior in the nurse-client relationship
Two main principles that can guide the communication process during the nurse-client interview are clarity and giving recognition
When considering the interaction between verbal and nonverbal communication, what is the best word to complete this analogy? Verbal communication relates to content as nonverbal communication relates to process
A nurse should perceive an intense, highly emotional communication style as culturally appropriate for a client who is hispanic
The best rule of thumb related to touching psychiatric clients is check the facility’s policy on the acceptability of touch
This action verifies the nurse's interpretation of the client's message clarification
During a therapeutic encounter, the nurse makes an effort to ensure that she uses two congruent levels of communication. What is the rationale for this? Content of messages may be contradicted by process.
The nonverbal message is usually more _________ with the client's feelings than the verbal message. consistent
During a therapeutic encounter the nurse remarks to a client "I noticed anger in your voice when you spoke of your father. Tell me about that." What communication techniques is the nurse using? Reflecting and exploring
"You are frowning. What are you feeling?" reflects the process occurring in the clinical interview
The primary difference between a social and a therapeutic relationship is the type of responsibility involved
A client states "Nurse X always seems as though she is hiding behind her uniform." The nurse hearing this would assess Nurse X as not seeming genuine to the client
The phase of the nurse-client relationship in which the primary focus is nurse self-analysis of strengths, limitations, and feelings is the preorientation
During the _______ phase the nurse prepares for a relationship with a client by engaging in self-examination preorientation
The phase of the nurse-client relationship that begins when the nurse and client meet and agree to continue meeting and assessing client needs is the orientation
The first stage of the nurse-client relationship orientation
Client reactions of intense hostility or feelings of strong affection toward the nurse are common forms of transference
The stirring up of feelings in the client by the nurse is referred to as transference
Nurse expressions of sympathy often lead to nurse use of global reassurance and pitying
_______ and ______ are nonobjective and therefore nontherapeutic approaches. global reassurance and pitying
_____ destroys a nurse's objectivity sympathy
The use of empathy and support begins in the stage of the nurse-client relationship termed the orientation stage
These tools are helpful in building trust and furthering the relationship empathy and support
A client is complaining about her mother-in-law's intrusiveness. The nurse responds "I know how you feel. My mother-in-law is nosy, too." The nurse is most likely experiencing countertransference
Refers to the stirring up of feelings in the nurse by the client countertransference
A client tells the nurse "I really feel close too you. You are like my mother and my big sister rolled into one person." The nurse can assess this statement as indicating the client may be experiencing positive transference
The nurse notes that she is finding it difficult to provide structure and set limits for a client. She finds herself thinking "What harm will it do if I cut him a little slack?" The nurse should evaluate her feelings and actions to assess for boundary blurring
Boundary blurring is often signaled by the nurse being either too helpful or not helpful enough