Psych Nursing Exam 1 CCBC Essex Questions
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Social and Intimate Relationships - Answer✔-meet the needs of both individuals
-Built on shared interests, companionship and friendship
Therapeutic Relationships - Answer✔-focused on the clients issues, problems, and concerns
-4 predictable goal directed phases which usually consist of an explicit time frame
-client often learns new material, develops new coping skills or makes a lifestyle change
-nurse provides a high degree of confidentiality
-client trusts nurse
Phases of the Nurse- Client Relationships - Answer✔Pre-orientation: before nurse meets client;
collects data, determines the best place to meet and provides an adequate amount of time for
the first interaction; determine her own bias
Orientation: The first contact between nurse & client; builds rapport and client becomes more
comfortable and learns to trust the nurse- nurse clarifies her role and forms a contract,
discussing termination and a caring manner
Working: work together to set and accomplish goals; nurse assists in expressing problems and
feelings; helps client work through any resistance and different ways to adapt/cope
Termination: nurse reviews the goals the client has accomplished and discuss the clients
feelings towards termination; nurse will reliquinsh care back to the client; they should feel
empowered
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Self disclosure - Answer✔If the nurse shares personal information, experiences, attitudes and
feelings with a client; self disclose only when it benefits the client
-brief and focused on the issue
-only disclose after trust established
-don;t assume your experiences are the same as the clients
-redirect it back to the client
Transference and Countertransference - Answer✔Transference: when a client unconsciously
associates the nurse with someone signification in his/her life
Counter transference: Nurses emotional response to a specific client
Interventions - Answer✔-Open ended questions
-closed ended questions
-Offering yourself
-General lead
-Clarifying
-Paraphrasing
-Reflecting
-Confronting
-Silence
-Active Listening
-Empathy
Factors that Hinder Communication - Answer✔- asking personal questions
-giving advice
-Approval/Disapproval
-Giving reassurance
-changing the subject
-Interrupting
-Sympathy
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