Counseling Process Overview
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Questions and Answers

What is one primary tool of therapy in a therapeutic community?

  • Medications prescribed by psychiatrists
  • Individual therapy sessions
  • Community support (correct)
  • Family involvement

    • How is the treatment plan in a therapeutic community typically formed?

  • By the clients alone
  • By family members only
  • By an interdisciplinary team (correct)
  • By external consultants

    • What assumption does a therapeutic community make about individual health?

  • It is independent of others' health.
  • It solely depends on medication.
  • It is realized through the health of others. (correct)
  • It cannot be influenced by environment.

    • What provides an opportunity for therapeutic intervention in a therapeutic community?

    <p>Any interaction with clients</p> Signup and view all the answers

    What role does client autonomy play in a therapeutic community?

    <p>Clients are responsible for maintaining their environment.</p> Signup and view all the answers

    What is a consequence of not upholding community rules within a therapeutic environment?

    <p>The client may need to transfer to a higher level of care.</p> Signup and view all the answers

    How can peer pressure be utilized in a therapeutic community?

    <p>To promote adherence to the therapeutic process.</p> Signup and view all the answers

    What is expected from clients in a therapeutic community regarding their behavior?

    <p>Clients should take ownership of their behavior.</p> Signup and view all the answers

    What is the primary use of benzodiazepines?

    <p>To treat acute anxiety</p> Signup and view all the answers

    Which of the following is a common side effect associated with benzodiazepines?

    <p>Sedation</p> Signup and view all the answers

    How long should benzodiazepines typically be used?

    <p>Short term only</p> Signup and view all the answers

    What is a potential consequence of abruptly discontinuing benzodiazepines after long-term use?

    <p>Life-threatening withdrawal symptoms</p> Signup and view all the answers

    Which combination should be avoided when taking benzodiazepines due to increased sedation risk?

    <p>Alcohol and benzodiazepines</p> Signup and view all the answers

    Which of the following statements is true regarding the effectiveness of benzodiazepines?

    <p>They are less effective when there is increased body stimulation.</p> Signup and view all the answers

    Which benzodiazepine is often administered in hospitals, especially in acute cases?

    <p>Lorazepam</p> Signup and view all the answers

    Which treatment is typically recommended for chronic anxiety instead of benzodiazepines?

    <p>Antidepressants</p> Signup and view all the answers

    What is one of the main objectives of therapeutic milieu therapy?

    <p>To create a therapeutic and supportive environment</p> Signup and view all the answers

    Which of the following is considered a non-therapeutic communication technique?

    <p>Providing false reassurance</p> Signup and view all the answers

    What is the main focus during the termination phase of a therapeutic relationship?

    <p>Sharing feelings and evaluating goals</p> Signup and view all the answers

    What is a significant characteristic of the client’s role in milieu therapy?

    <p>The client is encouraged to be an active participant in their therapy</p> Signup and view all the answers

    How should communication be approached to foster a better relationship in therapy?

    <p>Encouraging explanations rather than limiting responses</p> Signup and view all the answers

    Which of the following is the most critical condition for developing a therapeutic relationship?

    <p>Trust</p> Signup and view all the answers

    What does the term 'manipulate your environment' refer to in the context of therapeutic milieu therapy?

    <p>Structuring the environment to make it therapeutic</p> Signup and view all the answers

    What should a nurse watch for in regard to client feelings and perceptions?

    <p>Transference and counter-transference</p> Signup and view all the answers

    What aspect of the therapeutic milieu ensures that clients can learn positive adaptation skills?

    <p>An environment that promotes autonomy and participation</p> Signup and view all the answers

    Which behavior should a nurse maintain to establish a respectful relationship with a client?

    <p>Warmth and friendliness regardless of conduct</p> Signup and view all the answers

    What does rapport in a nursing relationship imply?

    <p>Mutual acceptance and warmth between nurse and client</p> Signup and view all the answers

    When was milieu therapy developed?

    <p>In the early 1960s</p> Signup and view all the answers

    Which action is NOT advisable when communicating with clients in a therapeutic context?

    <p>Judging the client's feelings</p> Signup and view all the answers

    In which phase should professional boundaries be set?

    <p>In the orientation phase</p> Signup and view all the answers

    What is a potential barrier to the therapeutic relationship caused by a nurse's personal feelings towards a client?

    <p>Counter-transference</p> Signup and view all the answers

    Which characteristic is essential for adapting to future stressful situations post-therapy?

    <p>A set action plan</p> Signup and view all the answers

    What is a common side effect of benzodiazepines that should be monitored?

    <p>Excessive sedation</p> Signup and view all the answers

    Which of the following symptoms would indicate benzodiazepines are effective in a client suffering from acute anxiety?

    <p>Reduced tension</p> Signup and view all the answers

    What is the most appropriate teaching point for a client taking benzodiazepines for anxiety?

    <p>Be aware of consequences of abrupt withdrawal</p> Signup and view all the answers

    For which situation are benzodiazepines most commonly prescribed?

    <p>Acute anxiety episodes</p> Signup and view all the answers

    Which medication class is NOT typically used for chronic anxiety?

    <p>Benzodiazepines</p> Signup and view all the answers

    What is the antidote for benzodiazepines in cases of overdose?

    <p>Flumazenil</p> Signup and view all the answers

    Which medication option is more likely to be reserved for long-term treatment of anxiety?

    <p>SSRIs</p> Signup and view all the answers

    What is a potential risk when taking benzodiazepines for extended periods?

    <p>The development of tolerance</p> Signup and view all the answers

    Study Notes

    Therapeutic Relationships in Nursing

    • Setbacks and resistant behaviors are common; continuous evaluation of progress is crucial.
    • Termination phase includes sharing feelings and evaluating goals reached during the relationship.
    • Clients should have a clear plan of action for managing future stressors.
    • Professional boundaries must be established during the orientation phase to ensure appropriate expectations.
    • Watch for transference, where feelings from a past relationship are projected onto the nurse, and countertransference, where the nurse's feelings about a client influence treatment.

    Conditions for Developing Therapeutic Relationships

    • Key elements include trust, rapport, respect, genuineness, and empathy.
    • Trust is foundational; it facilitates an effective therapeutic relationship.
    • Rapport implies mutual acceptance, warmth, and a non-judgmental demeanor from both nurse and client.
    • Respect involves maintaining a non-judgmental attitude despite unacceptable client behaviors.

    Non-Therapeutic Communication Techniques

    • Awareness and avoidance of non-therapeutic communication techniques are essential for relationship building.
    • Examples of barriers include closed-ended questions, false reassurance, judging, or changing the subject.

    Therapeutic Milieu

    • Milieu therapy aims to create a safe, supportive, and therapeutic environment for client adaptation and coping.
    • Developed in the early 1960s, this approach emphasizes client active participation.
    • The environment should promote healthy behaviors and thinking, serving as a primary therapeutic tool.
    • Treatment typically involves an interdisciplinary team to formulate and revise care plans collaboratively.

    Basic Assumptions of the Therapeutic Community

    • Individual health is linked to overall health and encourages personal growth.
    • Every interaction is a therapeutic opportunity, including confrontations.
    • Clients are responsible for their behavior and contribute to maintaining a therapeutic environment.
    • Peer pressure can be positively utilized in group settings for growth.

    Benzodiazepines in Anxiety Treatment

    • Benzodiazepines are short-term treatments primarily for acute anxiety.
    • Act similarly to alcohol, enhancing sedation; caution is needed regarding alcohol consumption.
    • Long-term use (beyond four months) has not been evaluated; anti-depressants are recommended for chronic anxiety.
    • Common benzodiazepines include Klonopin, Valium, Xanax, and Lorazepam.

    Important Considerations for Benzodiazepines

    • Abrupt discontinuation can cause life-threatening withdrawal symptoms if used long-term.
    • Monitor for increased sedative effects when taken with alcohol, narcotics, or certain antidepressants.
    • Caffeine and stimulants can diminish the effectiveness of benzodiazepines.
    • Watch for sedative effects: low blood pressure, dizziness, confusion, and respiratory rate drops.

    Effectiveness of Benzodiazepines

    • Effectiveness indicated by reduced anxiety, tension, and restlessness without causing confusion.
    • Important to teach clients about withdrawal consequences and caution against stimulating activities while on medication.

    Alternative Medications for Anxiety

    • Beta blockers and SSRIs can be used for chronic anxiety; they typically have longer-term effects.
    • Benzodiazepines act quickly, making them preferable for acute anxiety situations.
    • The antidote for benzodiazepine overdose is Flumazenil.

    Antidepressants

    • Primarily used for depressive disorders but also effective in managing chronic anxiety.
    • Various classes include MAOIs, tricyclics, and SSRIs.

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    Description

    This quiz focuses on the key phases of the counseling process, including overcoming setbacks, evaluating progress, and the termination phase. You will explore the importance of sharing feelings and assessing goal attainment in relation to client relationships.

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