Phases of the Therapeutic Relationship
Also known as the resolution phase, this is when established goals are met and a plan for continuity of care is developed.
What is the Termination phase?
Nurses use this specific acronym for nonverbal cues when working with clients exhibiting paranoia, poor judgment, or aggressive behaviors.
What is SURETY?
This clinical tool was developed to elicit culturally relevant information on a client's life context, resources, and resilience.
What is the Cultural Formulation Interview (CFI)?
This term describes a specific psychological state in which the nurse’s cultural awareness maximizes the opportunity for therapeutic interventions to be most beneficial for the client.
What is a therapeutic window?
This "trap" occurs when a clinician prescribes advice without the client's consent or solicitation.
What is the Expert Trap?
During this phase, the nurse sets boundaries, collects data, works with the client to develop mutual goals, and begins to discuss discharge planning.
What is the Orientation phase?
This term describes the state when a client’s facial expressions match their stated mood.
What is congruence?
According to Leininger, this nursing consideration seeks to retain the client’s core cultural beliefs and values.
What is Maintenance (or Cultural Preservation)?
This stage is characterized by ambivalence, where the client understands the importance of change but seeks comfort in current behaviors.
What is Contemplation?
APA guidelines recommend avoiding this specific word because it can lead to stigmatization of clients with different characteristics.
What is "normal"?
This phase provides the nurse an opportunity for self-evaluation of beliefs and behaviors before engaging with the client.
What is the Pre-interaction phase?
Visible palm perspiration, pupil dilation, and facial flushing are examples of this type of nonverbal client cue.
What is an Autonomic Response?
In the CFI, a nurse elicits the client's perspective on folk healing or spiritual counseling under this specific category.
What is Cultural factors affecting self-coping and past help-seeking?
In this stage, the client lacks insight into their issue or may be demonstrating the defense mechanism of denial.
What is Precontemplation?
During this process of motivational interviewing, a nurse knows they have successfully ______ a client when he begins to talk about topics important to them - family, grandchildren.
What is Engage?
In this phase, the nurse and client have established trust, and the nurse affirms the client’s knowledge while collaborating on a plan to solve problems.
What is the Working phase?
This acronym represents a common technique nurses use to implement therapeutic nonverbal communication.
What is SOLER?
This Leininger consideration involves cultural repatterning, where the nurse supports a client in changing a behavior to improve health while remaining aligned with their ingredients or traditions.
What is Restructuring?
A behavior is classified as being in this stage when the previous unhealthy behavior has not been experienced for more than 180 days.
What is the Action stage?
During the "Evoke" process of MI, a nurse might use these types of statements—such as asking a client to rate their motivation on a scale of 0 to 10—to help the client explore their own reasons for change.
What are importance (or confidence) ruler statements?
This nursing theorist developed the Theory of Interpersonal Relationships, which emphasizes the nurse’s ability to reduce client anxiety and identifies the relationship as occurring in four distinct, overlapping phases.
Who is Hildegard Peplau?
Aside from questioning techniques, nurses utilize this six-letter acronym to practice the skill of attempting to understand the meaning of a message without passing judgment.
What is LISTEN?
This specific model serves as a guide for nurses to assess cultural differences across six dimensions: communication, space, time, social organization, environmental control, and biological variations
What is the Giger and Davidhizar Transcultural Assessment Model?
In this final stage, the client has practiced the new behavior for more than six months and feels the change is "second nature".
What is Maintenance?
Describing a client as a "person with a disorder" rather than labeling them by their symptoms is an example of this APA recommendation.
What is Acknowledging People's Humanity?