NR 320 Exam 1 Mental Health Study Guide 2024 Chamberlain College of Nursing.
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Course
RN - Registered Nurse
Institution
RN - Registered Nurse
NR 320 Exam 1 Mental Health Study Guide 2024 Chamberlain College of Nursing.
NR 320 Exam 1 Mental Health Study Guide 2024 Chamberlain College of Nursing.
NR 320 Exam 1 Mental Health Study Guide 2024 Chamberlain College of Nursing.
NR 320 Exam 1 Mental Health Study Guide 2024
Chamberlain College of Nursing
Chapter 7: Therapeutic Relationships
• Therapeutic Relationship: 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/or illness prevention
o Therapeutic Nurse-Patient Relationships
▪ Goal-oriented, Facilitates communication
▪ Use the problem-solving model to bring about some type of change in the pts life
• Roles of the Psychiatric Nurse
o Peplau (1991) identified several subroles within the role of the RN:
▪ Stranger: RN is at first a stranger to the pt
▪ Resource: RN explains, in a language the pt can understand, information r/t the pts health care
▪ Educator: RN identifies learning needs & provides information required to improve health situation
▪ Leader: democratic leadership allows pt to be an active participant in their health
▪ Surrogate: pts perceive RN as symbols of other people, such as mother figure, sibling, teacher, another RN
▪ Counselor: help the pt to remember & understand fully what is happening in the present situation
• Dynamics of a Therapeutic Nurse-Client Relationship
o The goal of a therapeutic relationship may be based on a problem solving model
▪ Directed at learning & growth promotion to bring about some type of change in the pts life
o Therapeutic Use of Self
▪ Require the RN to have a great deal of self-awareness & self-understanding
▪ Strongly influenced by an internal value system a combination of intellect & emotions
o Gaining Self-Awareness
▪ RN needs self-awareness: know own biases
▪ Values Clarification
Beliefs: an idea that one holds to be true
🞂 Rational beliefs: objective evidence exists
🞂 Irrational beliefs: delusions, no objective evidence exists
🞂 Faith: an ideal held true even though no objective evidence exists
🞂 Stereotypes: a socially shared belief that describes a concept in an
oversimplified matter
Attitudes: a frame of reference around which an individual
organizes knowledge about their world
Values: abstract standards, + or -, that represent an individual’s ideal
mode of conduct & ideal goals
🞂 Action oriented or action producing (different from beliefs & attitudes)
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, • The Johari Window(PG 138)
o A representation of self & a tool that can be used to self-awareness
o The goal of using this window is to increase the size of the open or public self
o Divided into four quadrants:
▪ Open or Public Self: aspects of self that are known to the individual and others
▪ Unknowing Self: blind self: known to others but remains hidden from the awareness of the individual
▪ Private Self: hidden self: known to individual but is deliberately & consciously concealed from others
▪ Unknown Self: part of self that is unknown both to the individual and to others
• Characteristics that Enhance the Achievement of a Therapeutic Relationship
o Rapport:
▪ Primary task in relationship development
▪ Implies special feelings based on acceptance, warmth, friendliness, common interest, a sense of trust &
nonjudgmental attitude
▪ May be accomplished by discussing non-health related topics
o Trust:
▪ Basis of a therapeutic relationship
▪ Feeling of confidence in a person’s presence, reliability, integrity, veracity
▪ RN interventions that promote trust: providing a blanket when cold, keeping promises, being honest
o Respect:
▪ To show respect is to believe in the dignity and worth of an individual regardless of their unacceptable behavior
▪ Unconditional positive regard – the attitude is non-judgmental
▪ RN conveys respect by: calling pt by name, spending time with pt, always being open & honest
o Genuineness:
▪ RNs ability to be open, honest & “real” in interactions with pt
▪ There is congruence between what is felt and what is being expressed
o Empathy:
▪ Ability to see beyond outward behavior & to understand the situation from the pts point of view
▪ RN accurately perceives or understands pts feelings & encourages of exploration of feelings
▪ Not sympathy (sharing the pts feelings and feels need to alleviate distress)
• Phases of a Therapeutic Nurse-Patient Relationship(PG 141)
o Preinteraction: explore self-perceptions
▪ Involves preparation for the 1st encounter with the pt
▪ Tasks include:
Obtain information about pt, family, other health team members
Initial assessment is begun
Examine personal response to knowledge about pt feelings, fears, anxieties
o Orientation: introductory phase, establish trust, formulate contract for intervention
▪ RN and pt become acquainted
▪ Tasks include:
Create an environment for trust and rapport to grow
Establish a contract for intervention
Gather assessment information, Formulating nursing Dx, Developing a plan
o Working: promote
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