Study Guide for Therapeutic Relationships – NUR 253 (All Chapters,
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Nurse-Patient Relationship - CORRECT ANSWER✔✔- Basis of all psychiatric mental health
nursing treatment
- Many mental illnesses include symptoms of poor self-image, low self-esteem, and difficulty
adhering to tx
- Everyone has distinct gifts and unique personality traits, use them creatively to form bonds
- Psychotherapy
Patient Centered Care - CORRECT ANSWER✔✔- Dignity and respect
- Information sharing
- Patient and family
Goals and Functions of the Nurse-Patient Relationship - CORRECT ANSWER✔✔- Facilitates
communication of distressing thoughts and feelings
- Assists in pt problem solving
- Helps pt examine self-defeating behaviors
- Promotes self-care and independence
- Provides education about meds and sx management
- Promotes recovery
Social Relationships - CORRECT ANSWER✔✔- Purpose of friendship, socialization, enjoyment
- Giving advice, lending money, superficial
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- Roles may shift
- Little emphasis on the evaluation of the interaction
Therapeutic Relationships - CORRECT ANSWER✔✔- Focus of the relationship is on the
patient's ideas, experience, and feelings
- Consistently focused on the patient's needs
- Clear boundaries are established
- Help the patient developing new coping mechanisms
- Supports behavioral change
- Roles do not shift
Boundaries - CORRECT ANSWER✔✔- Exist to protect the patient
- Well established boundaries allow for a safe environment where the patient can explore
feelings and treatment concerns
Under-involved Nurse - CORRECT ANSWER✔✔- Lack of agreed-upon goals
- No progress toward goals
- Failure to follow through with interventions
- Avoiding spending time with patient
Overly-involved Nurse - CORRECT ANSWER✔✔- More frequent requests for help
- Not able to complete tasks without assistance the formally could complete independently
- Angry co-workers related to nurse behaviors
Blurred Boundaries - CORRECT ANSWER✔✔- Social relationships
- Nurse's needs are met at the expense of the patient's needs
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