NUR 3450 ANSWERS AND QUESTIONS SET A+
✔✔What is trust? - ✔✔having someone comfortable around us
✔✔What is respect? - ✔✔not judging others
✔✔What is genuineness? - ✔✔Being real, not changing yourself because of who you're
helping
✔✔What is empathy? - ✔✔Trying to udnerstand what it's like to be in the patient's
shoes
✔✔What are the phases of a relationship? - ✔✔Pre-interaction phase - When we
haven't even met the client yet. Gathering all of the information we can before having
that meeting. Looking at past medical history. Set aside biases at this point as it could
be a barrier to therapeutic relationship.
Orientation phase - This is the introduction part of the relationship. Building rapport and
trust. Setting goals and exploring ideas to meet goals. Setting limits.
Working phase - This is where we continue and maintain the relationship. Encourage
problem solving. Promote self-esteem and help the patient use new coping skills they've
learned.
Termination phase - This is where we want to disucss thoughts and feelings about
terminating the relationship. Therapeutic relationships don't last forever.
✔✔What is transference? - ✔✔When the client sees a member of the healthcare team
that is having characteristics of someone that is significant to them. A nurse reminds
them of their mother, child, sister, etc. The client then displays behavior according to the
person they remember. It can be a good thing or a bad thing. It becomes a barrier to
meeting those goals. When we have transference, we need to set back and establish
the boundaries to help them get back on goals. If this doesn't work, a new health care
provider will need to be given to the patient.
, ✔✔What is countertransferene? - ✔✔When the client reminds the healthcare provider of
someone they know. It's the opposite of transference. If the healthcare provider can't
get past that, then that person needs to be switched with a new person.
✔✔What are professional boundary concerns? - ✔✔Self-disclosure - Don't ever tell
personal information to a client.
Gift giving - We don't give gifts to clients; we don't accept gifts from clients.
Touch - should only be for care. Nothing else. Need to have consent.
Friendship or romantic association - not sharing personal phone numbers, being friends
on social media, or starting a relationship with your patient.
✔✔What is focusing? - ✔✔Taking notice of a single idea or even a single
word works especially well with clients who are
moving rapidly from one thought to another,
This technique is nor therapeutic, however, with
dients who are very anxious. Focusing should
not be pursued until the anxiety level subsides,
✔✔What is reflecting? - ✔✔Questions and feelings are referred back to
client so that they may be recognized and
accepted and so that the client may recognize
that his or her point of view has value— a good
technique to use when client asks the nurse for
advice,
✔✔What is restating? - ✔✔Repeating the main idea of what the client has said
✔✔What is giving recognition? - ✔✔Acknowledging and indicating awareness is
better than complimenting, which reflects the
nurse' s judgment
✔✔What is giving reassurance? - ✔✔False reassurance indicates to client that there is
no
cause for anxiety, thereby devaluing client's feelings;
may discourage client from further expression of
feelings if he or she believes the feelings will be
downplayed or ridiculed.
✔✔What is giving broad opening? - ✔✔Broad openings allow client to take the initiative
in introducing the topic; emphasizes the importance of client's role in the interaction
✔✔What is trust? - ✔✔having someone comfortable around us
✔✔What is respect? - ✔✔not judging others
✔✔What is genuineness? - ✔✔Being real, not changing yourself because of who you're
helping
✔✔What is empathy? - ✔✔Trying to udnerstand what it's like to be in the patient's
shoes
✔✔What are the phases of a relationship? - ✔✔Pre-interaction phase - When we
haven't even met the client yet. Gathering all of the information we can before having
that meeting. Looking at past medical history. Set aside biases at this point as it could
be a barrier to therapeutic relationship.
Orientation phase - This is the introduction part of the relationship. Building rapport and
trust. Setting goals and exploring ideas to meet goals. Setting limits.
Working phase - This is where we continue and maintain the relationship. Encourage
problem solving. Promote self-esteem and help the patient use new coping skills they've
learned.
Termination phase - This is where we want to disucss thoughts and feelings about
terminating the relationship. Therapeutic relationships don't last forever.
✔✔What is transference? - ✔✔When the client sees a member of the healthcare team
that is having characteristics of someone that is significant to them. A nurse reminds
them of their mother, child, sister, etc. The client then displays behavior according to the
person they remember. It can be a good thing or a bad thing. It becomes a barrier to
meeting those goals. When we have transference, we need to set back and establish
the boundaries to help them get back on goals. If this doesn't work, a new health care
provider will need to be given to the patient.
, ✔✔What is countertransferene? - ✔✔When the client reminds the healthcare provider of
someone they know. It's the opposite of transference. If the healthcare provider can't
get past that, then that person needs to be switched with a new person.
✔✔What are professional boundary concerns? - ✔✔Self-disclosure - Don't ever tell
personal information to a client.
Gift giving - We don't give gifts to clients; we don't accept gifts from clients.
Touch - should only be for care. Nothing else. Need to have consent.
Friendship or romantic association - not sharing personal phone numbers, being friends
on social media, or starting a relationship with your patient.
✔✔What is focusing? - ✔✔Taking notice of a single idea or even a single
word works especially well with clients who are
moving rapidly from one thought to another,
This technique is nor therapeutic, however, with
dients who are very anxious. Focusing should
not be pursued until the anxiety level subsides,
✔✔What is reflecting? - ✔✔Questions and feelings are referred back to
client so that they may be recognized and
accepted and so that the client may recognize
that his or her point of view has value— a good
technique to use when client asks the nurse for
advice,
✔✔What is restating? - ✔✔Repeating the main idea of what the client has said
✔✔What is giving recognition? - ✔✔Acknowledging and indicating awareness is
better than complimenting, which reflects the
nurse' s judgment
✔✔What is giving reassurance? - ✔✔False reassurance indicates to client that there is
no
cause for anxiety, thereby devaluing client's feelings;
may discourage client from further expression of
feelings if he or she believes the feelings will be
downplayed or ridiculed.
✔✔What is giving broad opening? - ✔✔Broad openings allow client to take the initiative
in introducing the topic; emphasizes the importance of client's role in the interaction
