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Ch. 8 N127A
Terms in this set (23)
nurse patient relationship establishes that the nurse are what 4 things?
what is the term that refers to the theraputic use of self as the 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
4 goals and functions of therapeutic nurse-patient relationship
1)Facilitating communication of distressing thoughts and feelings
2)Assisting patients with problem solving to help facilitate activities of daily living
3)Helping patients examine self-defeating behaviors and test alternatives
4)Promoting self-care and independence
what is the term for a relationship that is primarily initiated for the purpose of friendship, socialization, enjoyment, or accomplishment of a task?
3 characteristics of social relationships
1)mutal needs are met
2)communication to give advice, give or ask for help
3)content of communication superficial
5 characteristics of therapeutic relationship
1)needs of patient identified and explored
2)clear boundaries established
3)problem-solving approaches taken
4)new coping skills developed
5)behavioral change encouraged
5 necessary behaviors for nurses
2)focus on patient's needs
3 parts to establishing boundaries
what refers to general environment, office space, treatment room, conference room, corner of the day room, and other such places?
5 things related to setting a contract
3)agreement between nurse and patient as to roles,
5) if involved with a licensed therapist
2 common circumstances in which boundares are blurred
1)relationship slips into social context
2)nurse's needs are met at the expense of the patient's needs
why are boundaries set?
to protect the patient
what is the term for when nurse-patient relationship results in unrecognized transference or countertransference?
blurring of roles
what is the term for when the patient unconsciously and inappropriately displaces (transfers) onto the nurse feelings and behaviors related to significant figures in the patient's past. The patient may even say, "You remind me of my (mother, sister, father, brother, etc.)."
what is the term for when the nurse unconsciously and inappropriately displaces onto the patient feelings and behaviors related to significant figures in the nurse's past?
3 parts of nurse's values and beliefs
1)reflect own culture/subculture
2)derived fro range of choices
3)chosen from a variety of influences and role models
4 phases of a professional nurse-patient relationship
what phase of the profesional nurse-patient relationship involves nurse having thought and feelings related to first clinical session?
what phase of the profesional nurse-patient relationship can last for a few meetings or extend over a longer period and is the first time the nurse and pt meet and is the phase in which the nurse conducts the initial interview
7 tasks in the working phase
1) Maintain the relationship.
2) Share information.
3)Gather further data.
4)Promote the patient's problem-solving skills, self-esteem, and use of language.
5) Facilitate behavioral change.
6) Evaluate progress.
7 )Support the practice and expression of alternative adaptive behaviors. (Halter, 2014, p. 141)
what is the final integral phase of the nurse patient relationship?
5 tasks of termination phase
1) Summarizing the goals and objectives achieved in the relationship
2) Discussing ways for the patient to incorporate into daily life any new coping strategies learned
3) Reviewing situations that occurred during the nurse-patient relationship
4) Exchanging memories, which can help validate the experience for both nurse and patient and facilitate closure of that relationship
5)emotional response: acceptance, anger, acting out,regression
6 factors that promote growth
5)suspending value judgements
6)helping patients develop resources
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