Nurse-Client Relationship
Summarizing the goals and objectives achieved, discussing ways to incorporate new coping strategies, reviewing situations that occurred, and exchanging memories
What is the “Termination” phase of the Nurse-Client Relationship?
Reassuring, giving advice, giving approval, disapproving, changing the subject
What are examples of non-therapeutic communication techniques?
Client’s emotional display of mood being experienced.
What is affect?
Respecting the rights of others to make their own decisions
What is autonomy?
In this type of therapy, the individual is taught to control negative thoughts to maintain and manage emotions
What is Cognitive Behavioral Therapy?
Maintaining the relationship, gathering data, promoting problem solving skills and self-esteem, facilitate change, overcome resistance, evaluate problems, and goals
What is the “Working” Phase of the Nurse-Patient Relationship
“Tell me more about that”
“Would you describe it more fully?”
What is “Exploring”- a therapeutic communication technique?
Alert, Lethargic, Stuporous
What are levels of consciousness?
Being a harm to self or others, decreasing sensory overload, patient request
What are reasons to use seclusion?
During this Erikson’s task successful completion would include gain self-control and independence within the environment
What is “Autonomy vs. Shame and Doubt”?
Theory behind this therapy: Everyone has schemata- unique assumptions about self, others, and the world around them
What is Cognitive Behavioral Therapy?
Paraphrasing, summarizing, clarifying, exploring, silence, touch
What are examples of therapeutic communication techniques?
Rapid changes from one thought to another related thought
What is “flight of ideas”?
Forcing client to eat, wash, or dress self
What is a violation of the patient’s rights?
This task- achieve life goals and obtain concern and awareness of future generations
What is generativity vs. stagnation?
A health environment, combined with a healthy social structure within an inpatient or outpatient setting supporting and treating those with mental illness
What is a therapeutic milieu or milieu therapy?
“Don’t worry everything will be alright”
“You’ll be fine”
“There’s nothing to worry about”
What is “False Reassurance”- a non-therapeutic communication technique?
Repeating the same words in response to different questions
What is perseveration?
Informing medical staff about a client’s threat to harm a specific individual
What is “Duty to Warn”?
Most basic needs require fulfillment before those at higher levels can be achieved
What is Maslow’s Hierarchy of Needs?
Focus on the patient’s problems and concerns encouraging them to find their own solutions, not “being a friend” or meeting the needs of the nurse
What is the difference between a social relationship and the nurse-client relationship?
Patient: "I wish I were dead.
"Nurse: "I know what you mean."
What is minimizing feelings- a non-therapeutic communication technique?
Ability to evaluate choices and make appropriate decisions
What is judgement?
The difference in the rights of clients involuntarily admitted vs. voluntary
What is the right to leave against medical advice, privacy, and all belongings?
This task integrates all the tasks previously mastered into a secure sense of self
What is identity vs. role confusion?