Goals and functions of therapeutic relationships - ANSWER -facilitate
communication of thoughts and feelings
-assist with problem solving
-assist client to examine alternatives prior to unsuccessful behaviours
-promote self care and independence
therapeutic relationships - ANSWER -patient needs are central
-clear boundaries
-problem solving approach
-new coping/behavioural change is encouraged
Transference - ANSWER in psychoanalysis, the patient's transfer to the
analyst of emotions linked with other relationships (such as love or hatred
for a parent)
-a patient puts their thoughts and feelings onto the nurse
Countertransference - ANSWER Circumstances in which a psychoanalyst
develops personal feelings about a client because of perceived similarity of
the client to significant people in the therapist's life.
-a nurse puts their thoughts and feelings onto the patient
challenges in therapeutic relationships - ANSWER -transference vs
,countertransference
-boundaries
Boundaries in the Therapeutic Relationships - ANSWER -physical boundaries
-personal space
-social interactions
-nurse vs patient needs
-nursing values and beliefs
phases of therapeutic relationships - ANSWER PEPLAU
-pre orientation
-orientation
-working
-termination
therapeutic communication techniques - ANSWER -open ended questions
-tell me more about that, or what does 'good' mean to you
-paraphrasing (so you are telling me you feel....)
-education
-recognition in non personal way (I noticed you showered today and you
seem much brighter)
non therapeutic communication techniques - ANSWER -giving advice
-falsely reassuring
, -accusatory statements
-talking down to pt
-judging choices
confidentiality - ANSWER share info with people who are there to support
care, just not to people whoa rent relevant in treatment
secrecy - ANSWER you don't share it with anyone
phases of therapeutic relationships: pre orientation - ANSWER researching pt
info and engaging in self reflection when thinking about working with a
certain pt
phases of therapeutic relationships: orientation - ANSWER -introduce
yourself
-get to know pt on a personal basis (not just from chart info)
phases of therapeutic relationships: working - ANSWER -maintaining
relationship and begin doing problem solving
-developing plan of care
phases of therapeutic relationships: termination - ANSWER -help client
prepare for end of your time with them
factors affecting communication - ANSWER -therapeutic techniques
-non-therapeutic techniques
therapeutic techniques - ANSWER important to be present and engage in
active listening
major depressive disorder - ANSWER defined as a depressed mood
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