PRNU 235 Final Exam Latest Update
Role of the Nurse - ANSWER Stranger, resource person, teacher, leader, technical
expert, surrogate, counselor
Dynamics of a Therapeutic Nurse-Client Relationship - ANSWER Therapeutic use of self,
gaining self-awareness, values clarification, essential conditions to development
Essential Conditions to Development of Relationships - ANSWER Rapport, trust,
respect, genuineness, and empathy
Human Relationship Principles - ANSWER - A person's reaction is more about them than
you, and their inner experience is prompting that reaction
- Your reaction is about your needs
Transference - ANSWER Client portrays feelings surrounding someone they know onto
you
Countertransference - ANSWER You push your feelings onto your client
Boundaries in a Nurse-Client Relationship - ANSWER - confidentiality
- material boundaries
- personal boundaries
-professional boundaries
Personal Integration in the Nurse-Client Relationship - ANSWER - Detached concern
- Negotiated reality
- Self-awareness
- Beliefs and values
Therapeutic Communication - ANSWER - getting acquainted and establishing rapport
- demonstrating trustworthiness
- respect for the client / unconditional positive regard
- genuineness
- acceptance
- availability
,- spontaneity
- hope
- vision
- accountability
- advocacy
- cultural sensitivity and competence
- spirituality
- empathy
Development of Empathy - ANSWER - Identification
- Incorporation
- Reverberation
- Detachment
- Burnout as a consequence or achievement of empathy
Therapeutic Techniques - ANSWER - Using silence
- Acceptance
- Giving recognition
- Offering self
- Giving broad openings
- Offering general leads
- Placing event in time or sequence
- Making observations
- Encouraging description
- Encouraging comparison
- Restating
- Reflection
- Focusing
- Exploring
,- Seeking clarification or validation
- Presenting reality
- Voicing doubt
- Verbalizing the implied
- Translating feelings into words
- Formulating a plan of action
Nontherapeutic Communication Techniques - ANSWER - False reassurance
- Rejecting/Approving/Disapproving
- Agreeing or disagreeing
- Giving advice
- Probing
- Defending
- Requesting an explanation
- Existence of an external source of power
-Belittling expressed feelings
- Making stereotyped comments
- More than one question at a time
The Preinteraction Phase - ANSWER Obtain information about the client from the chart,
significant others or other health team members. Examine one's own feelings, fears, and
anxieties about working with a particular client.
The Orientation (Introductory) Phase - ANSWER -Create an environment for trust and
rapport.
-Establish contract for intervention.
-Gather assessment data.
-Identify client's strengths and weaknesses.
-Formulate nursing diagnoses.
-Set mutually agreeable goals.
-Develop a realistic plan of action.
, -Explore feelings of both client and nurse
- Clarify purpose of work, role of nurse, and responsibilities of client
- Address client suffering .
Nursing Interventions in the Orientation (Introductory) Phase - ANSWER - Education
- Use facilitative characteristics such as empathy
- Avoid premature reassurance
- Be explicit about access to client revelations and degree of confidentiality
- Delineate specific goals, address interpersonal behavioral patterns, and designate
degree of change necessary for client
Behavioral Analysis in the Working Phase - ANSWER - Identify and explore important
response patterns
- Analysis of client's mode of conflict resolution
- Explore response patterns
- Explore how client reacts to reduce anxiety associated with conflict
Constructive Behavior Change in the Working Phase - ANSWER - Address forces that
inhibit desired change
- Create an atmosphere of active experimentation to test and assess new behaviors
- Assist client in challenging personal resistance (problem solving strategies, active
decision making, personal accountability)
- Allow freedom to make and assess mistakes
The Termination Phase - ANSWER - Evaluate therapeutic experience
- Encourage transfer to other support systems
- Participate in explicit therapeutic goodbye with client
Role of the Nurse - ANSWER Stranger, resource person, teacher, leader, technical
expert, surrogate, counselor
Dynamics of a Therapeutic Nurse-Client Relationship - ANSWER Therapeutic use of self,
gaining self-awareness, values clarification, essential conditions to development
Essential Conditions to Development of Relationships - ANSWER Rapport, trust,
respect, genuineness, and empathy
Human Relationship Principles - ANSWER - A person's reaction is more about them than
you, and their inner experience is prompting that reaction
- Your reaction is about your needs
Transference - ANSWER Client portrays feelings surrounding someone they know onto
you
Countertransference - ANSWER You push your feelings onto your client
Boundaries in a Nurse-Client Relationship - ANSWER - confidentiality
- material boundaries
- personal boundaries
-professional boundaries
Personal Integration in the Nurse-Client Relationship - ANSWER - Detached concern
- Negotiated reality
- Self-awareness
- Beliefs and values
Therapeutic Communication - ANSWER - getting acquainted and establishing rapport
- demonstrating trustworthiness
- respect for the client / unconditional positive regard
- genuineness
- acceptance
- availability
,- spontaneity
- hope
- vision
- accountability
- advocacy
- cultural sensitivity and competence
- spirituality
- empathy
Development of Empathy - ANSWER - Identification
- Incorporation
- Reverberation
- Detachment
- Burnout as a consequence or achievement of empathy
Therapeutic Techniques - ANSWER - Using silence
- Acceptance
- Giving recognition
- Offering self
- Giving broad openings
- Offering general leads
- Placing event in time or sequence
- Making observations
- Encouraging description
- Encouraging comparison
- Restating
- Reflection
- Focusing
- Exploring
,- Seeking clarification or validation
- Presenting reality
- Voicing doubt
- Verbalizing the implied
- Translating feelings into words
- Formulating a plan of action
Nontherapeutic Communication Techniques - ANSWER - False reassurance
- Rejecting/Approving/Disapproving
- Agreeing or disagreeing
- Giving advice
- Probing
- Defending
- Requesting an explanation
- Existence of an external source of power
-Belittling expressed feelings
- Making stereotyped comments
- More than one question at a time
The Preinteraction Phase - ANSWER Obtain information about the client from the chart,
significant others or other health team members. Examine one's own feelings, fears, and
anxieties about working with a particular client.
The Orientation (Introductory) Phase - ANSWER -Create an environment for trust and
rapport.
-Establish contract for intervention.
-Gather assessment data.
-Identify client's strengths and weaknesses.
-Formulate nursing diagnoses.
-Set mutually agreeable goals.
-Develop a realistic plan of action.
, -Explore feelings of both client and nurse
- Clarify purpose of work, role of nurse, and responsibilities of client
- Address client suffering .
Nursing Interventions in the Orientation (Introductory) Phase - ANSWER - Education
- Use facilitative characteristics such as empathy
- Avoid premature reassurance
- Be explicit about access to client revelations and degree of confidentiality
- Delineate specific goals, address interpersonal behavioral patterns, and designate
degree of change necessary for client
Behavioral Analysis in the Working Phase - ANSWER - Identify and explore important
response patterns
- Analysis of client's mode of conflict resolution
- Explore response patterns
- Explore how client reacts to reduce anxiety associated with conflict
Constructive Behavior Change in the Working Phase - ANSWER - Address forces that
inhibit desired change
- Create an atmosphere of active experimentation to test and assess new behaviors
- Assist client in challenging personal resistance (problem solving strategies, active
decision making, personal accountability)
- Allow freedom to make and assess mistakes
The Termination Phase - ANSWER - Evaluate therapeutic experience
- Encourage transfer to other support systems
- Participate in explicit therapeutic goodbye with client
