CPRNE Study Cards for 2024 Exam

CPRNE Study Cards for 2024 Exam Examples of Therapeutic Communication -Answer-- Introducing self and title, as well as length of relationship - Address client by name/preferred title - Give client time/opportunity to explain self and listen to them - Informing client information with be shared with health care team - Awareness of body language interpretation by client - Accommodate for communication styles (language) - Assess clients knowledge, beliefs and wishes to find best care plan - Listen to concerns of family and significant others - Consider client preference when promoting advocacy - Providing information to promote client choice - Recognizing that all behaviors have meaning - Refraining from self disclosure - Reflecting on interactions - Discuss throughout plans to meet needs after termination of relationship Examples of Client Centered Care -Answer-- Making the clients goals, wishes and preferences that basis of the care plan - Understanding clients limitations and needs for nursing assistance - Discuss clients expectations, and how realistic it is regarding health and available resources - Recognizing client well being is affected by establishing and maintaining relationship - Recognize biases and feelings established through life that could affect relationship - Acknowledging and managing stress - Engaging client in evaluating the nursing care - Committing to availability - Requesting therapeutic transfer of care if relationship does not evolve Examples of Maintaining Boundaries -Answer-- Helping clients understand when requests are beyond limits of boundaries - Following care plan aiming to clients needs - Make sure any action that could be seen as crossing boundaries is in care plan (having coffee with mental health client may be appropriate) - Nurse does not interfere with personal relationships - Abstaining from disclosing personal information - Continually clarifying his/her role in situation - Coexisting relationships do not interfere - Consult with health care team when it is unclear if boundaries have been crossed - Goals are made to meet the needs of the client and not the nurse - Consider cultural value of the context of maintaining boundaries When do you accept a gift? -Answer-When refusal will harm the nurse-client therapeutic relationship - Consider that the gift was not solicited by the nurse, the client is mentally competent, and the clients intent of offering the gift When can you give a gift? -Answer-- The client knows the nurses want nothing in return - Does not change the dynamic of the relationship - No potential for negative feelings Examples of Protecting Client from Abuse -Answer-- Always intervene and report - Intervene when the client feels abused - Intervening and reporting health care team members abusing clients - Not entering friendship, romantic, sexual or personal relationship with the client - Not engaging in behaviors that may be perceived as violent/abusive - Not neglecting basic needs - Not accepting POA positions and other positions of power over the client When can you enter a personal relationship with a client after termination of nurse-client relationship? -Answer-- When determined that relationship with not have negative impact on future care for client - Client is clear that relationship is no longer therapeutic - The relationship is not based off of therapeutic relationship previously established Warning Signs of Boundary Crossing -Answer-- Spending extra time - Changing client assignments to care for clien