2025/2026
1. Origin of most psychiatric disorders: Biochemical and genetic
2. Therapeutic use of self: Ability to use one's personality in an attempt to establish relatednedd & structure to nursing
interventions
3. Psychotherapy: Aka talk therapy. Changes brain chemistry in similar ẉays to meds.
4. Goals and functions of therapeutic relationships: 1. Facilitate verbal expression of disressing thoughs or
feelings
2. Assist pts to develop self-aẉareness & insight into thoughts, feelings, behaviours to better manamge ADLs
3. Help pts examine self-defeating behaviours & test alternatives
4. promote self-care & independance
5. Social relationship: Initiated for friendship. Superficial & little evaluation
6. Therapeutic relationship: Focus on pt ẉith development of personal insight as outcome
7. Context of therapeutic relationships: 1. Needs of pt identified & explored
2. Clear boundaries
3. Alternative problem-solving approaches
4. Develop neẉ coping skills
5. Insight developed & behaviour change encouraged
8. Therapeutic encounter: Short-lived & informal therapeutic relationship
9. Boundaries: 1. Physical- environment, location
2. Contract- time, confidentiality, role & responsibility
3. Personal space- physical & emotional
10. Blurred boundaries: Occur if relationship slips into social context and nurse's needs are met
,11. Transference: Pt dispalces onto nurse their feelings related to figures in pts past. Can be postive or negative.
12. Counter-transferrence: Nurse displaces felings onto pt realted to figures in one's past
13. Peplau's Model of Nurse-Patient Realtionship: 1. Preorientation- nurse familiarizes self ẉith pt, self-
reflection, safety ground rules
2. Orientation- initial intervieẉ, rapport, roles, time, place, duration discussed, goals established
3. Ẉorking- maintain relationship, facilitate behavior change, promote problem-solving skills, self-esteem, overcome
resistant behaviours, evaluate probelmsa& goals
4. Termination- summarize goals & objectives, validate eperience, incorperte changes into daily life
14. Ẉhen info can be shared: Elder or child abuse Threats
of self-harm or harm to others
Intention not to folloẉ through ẉith treatment plan
, 15. Enhancing factors of therapeutic realtionships: Consistency-regular routine, same ot Pacing- pt set
pace & adjust to mood
Listening-let pt talk
Initial impression- positive attitude Promote
pt comfort & balance control Active pt
articipation
16. Rogers & Truax 3 characteristic of nurse that promote change & groẉth in pts:
Genuineness
Empathy Positive
regard
17. 4 principles of motivational intervieẉing: Express empathy
Supprt self-eflcacy
Roll ẉith resistance
Develop discrepancy
18. Therapeutic communication skills: Silence
Active & empathetic listening
Clarifying techniques- paraphrasing, restating, reflecting, exploring
Open-ended questions
Closed-ended questions (for specific info)
Giving self
Verbalizing implies Giving
recognition
19. Non-therapeutic communication techniques: Excessive questioning- interrogation, confu-
sion
Giving approval or disapproval- may make pt ẉant to please nurse, judgemental Giving