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NUR 201
Chapter 6
| Question | Answer |
|---|---|
| Therapeutic use of self | The ability to use one's personality consciously and in full awareness in an attempt to establish relatedness and to structure nursing intervention. |
| Therapeutic interpersonal relationship | The process by which nurses provide care for clients in need of psychosocial intervention. Goal oriented |
| Interpersonal communication techniques | The tools of psychosocial intervention |
| Human-to-Human Relationship | "mutually significant experience" |
| Rapport | 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. |
| Trust | To trust another, one must feel confidence in that person's presence, reliability, integrity, veracity, and sincere desire to provide assistance when requested. |
| Concrete Thinking | Thinking that is focused on specifics rather than generalities and immediate issues rather than eventual outcomes. |
| Respect | Unconditional positive regard |
| Genuineness | The ability to be open, honest and, "real" |
| Empathy | A process wherein an individual is able to see beyond outward behavior and sense accurately another's inner experience at a given point in time. Focused on relieving personal distress. |
| Sympathy | The process of actually "sharing" what another person is feeling and experiencing a need to alleviate distress. Allows the client to achieve personal resolution. |
| Preorientation Phase | Explore self-perceptions |
| Orientaion (Introductory) Phase | The nurse and client become acquainted. |
| Working Phase | Promote client change |
| Termination | Evaluate goal attainment and ensure therapeutic closure. |
| Transference | When the client unconsciously attributes (or "transfers") Feelings and behavioral predispositions formed toward a person from his or her past. |
| Countertransference | The nurse's behavioral and emotional response to the client. |
| Meterial Boundaries | Physical properties that can be seen |
| Social Boundaries | Esatablished within a culture and define how individuals are expected to behave in social situations. |
| Personal Boundaries | Boundaries that individuals define for themselves. |
| Profesional Boundaries | Boundaries that limit and outline expectations for appropriate professional relationships with clients |
| Territoriality | The innate tendancy to own space |
| Density | The number of people within a given environmental space |
| Intimate Distance | Reserved for interactions that are intimate in nature. 0-18 inches |
| Personal Distance | Reserved for interactions that are personal in nature. 18-40 inches |
| Social Distance | Conversations with strangers or acquaintences. 4-12 feet |
| Public Distance | Speaking in public or yelling to someone some distance away. Exceeds 12 feet |
| Paralanguage | Vocal cues, or, the gestural component of the spoken word. |
| Functional-Professional Touch | Impersonal and businesslike |
| Social-Polite Touch | Rather impersonal, but conveys a sesne of acceptance or affirmation of another person. |
| Friendship-Warmth Touch | Indicates a strong liking for the other person-a feeling that he or she is a friend. |
| Love-Intimacy Touch | Conveys an emotional attachement or attraction for another person. |
| Sexual Arousal Touch | An expression of physical attraction only. |
| Accepting | "Yes, I understand what you said." |
| Giving recognition | "I see you made your bed" |
| Offering self | "I'll stay with you awhile" |
| Giving Broad Openings | "What would you like to talk about today" |
| Placing the event in time or sequence | "Was this before or after" "When did this happen" |
| Making Observations | "I notice you are pacing alot" |
| Encouraging description of perceptions | "Tell me what is happening now" |
| Restating | Client: "I can't study. My mind keeps racing" Nurse: "You have trouble concentrating." |
| Reflecting | Client: "What do you think I should do?" Nurse: "What do YOU think you should do" |
| Focusing | "This point seems point seems worth looking at more closely. Perhaps you and I can discuss it tgether" |
| Seeking clarification and validation | "I'm not sure that I understand. Would you please explain." |
| Presenting reality | "I understand that the voices seem real to you, but I do not hear any voices." |
| Voicing doubt | I understand that you believe that to be true, but I find it hard to accept." |
| Verbalizing the implied | Client: "I can't talk to anyone" Nurse: "Are you feeling that no one understands" |
| Attempting to translate words into feelings | Client: "I'm way out in the ocean" Nurse: "You must be feeling very lonely right now" |
| Formulating a plan of action | "What could you do to let your anger out harmlessly?" |
| Giving reassurance | "Everything will be alright" |
| Rejecting | "Lets not discuss....." |
| Agreeing or Disagreeing | "I aggree" or "I disagree" |
| Giving advice | "I think you should..." |
| Probing | "Tell me how your mother abused you when you were a child" |
| Defending | "No one here would lie to you" |
| Requesting an explanation | "Why" |
| Indicating the excistance of an external source of power | "What made you do that" |
| Belittling Feelings Expressed | "Everybody gets down in the dumps sometimes. I feel that way myself sometimes" |
| Making stereotyped comments | "Keep your chin up" Emtpy conversation |
| Using denial | Client: "I'm nothing" Nurse: "Of course you're something. Everybody is something |
| Interpreting | "What you really mean is...." |
| Introducing an unrealated topic" | Client: "I don't have anything to live for" Nurse: "Did you have visitors this weekend?" |
Created by:
VATNP
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