Module 4: Therapeutic Communication Flashcards

Questions and Answers

The ________ relationship is the foundation upon which psychiatric nursing is established.

nurse-client

What is a therapeutic relationship?

A therapeutic relationship is an interaction between two people (usually a caregiver and a care receiver) where input from both contributes to a climate of healing, growth promotion, and/or illness prevention.

What is the role of the psychiatric nurse?

Nursing has evolved through various roles recognizing the nurse as a unique, independent member of the professional health-care team.

Hildegard Peplau identified seven subroles within the role of the nurse: The stranger, the resource person, the teacher, the leader, the surrogate, the technical expert, and the ________.

counselor Signup and view all the answers

What is the stranger role in nursing?

In the beginning, nurse and client are strangers to each other. Signup and view all the answers

What does the resource person role entail?

The nurse provides information related to the client's health care. Signup and view all the answers

What is the role of the teacher in nursing?

The nurse identifies learning needs and provides information required by the client and/or family. Signup and view all the answers

What defines the leader role in nursing?

Democratic leadership allows the client to be an active participant in planning his or her care. Signup and view all the answers

What is the surrogate role of the nurse?

The nurse fulfills basic needs associated with mothering for the client. Signup and view all the answers

What does the technical expert role involve?

The nurse possesses the clinical skills necessary to perform the interventions that are in the best interest of the client. Signup and view all the answers

What does the counselor role entail?

The nurse uses interpersonal techniques to assist clients in adapting to difficulties or changes in life experiences. Signup and view all the answers

Peplau believed that the emphasis in psychiatric nursing is on the _______ subrole.

counseling Signup and view all the answers

What are the dynamics of a therapeutic nurse-client relationship?

A therapeutic nurse-client relationship occurs when each views the other as unique; it is goal-oriented and directed at learning and growth promotion. Signup and view all the answers

What is a problem-solving model in psychiatric nursing?

It involves identifying the client's problem, discussing desired changes, and assisting the client in selecting and implementing change. Signup and view all the answers

What is therapeutic use of self?

Defined as the ability to use one's personality consciously to establish relatedness and structure nursing interventions. Signup and view all the answers

To participate in therapeutic use of self, what must the nurse possess?

Self-awareness, self-understanding, and a philosophical belief about life, death, and the overall human condition. Signup and view all the answers

Explain the importance of gaining self-awareness.

It requires recognizing and accepting one's values and the uniqueness of others, enhancing interpersonal relationships. Signup and view all the answers

What is values clarification?

A process by which an individual may gain self-awareness. Signup and view all the answers

What type of beliefs may exist?

Held on faith Signup and view all the answers

What are attitudes?

Frames of reference around which an individual organizes knowledge, which may be judgmental, selective, and biased. Signup and view all the answers

What are values?

Abstract standards that represent an individual's ideal mode of behavior. Signup and view all the answers

Study Notes

Therapeutic Relationships in Psychiatric Nursing

The nurse-client relationship serves as the foundation of psychiatric nursing.
A therapeutic relationship involves interaction contributing to healing, growth, and illness prevention.

Role of the Psychiatric Nurse

The evolution of nursing includes roles from custodial caregiver to an independent health-care team member.

Hildegard Peplau's Subroles of the Nurse

The stranger: Initial interactions with clients who are unfamiliar to each other.
The resource person: Nurses provide crucial health-related information to clients.
The teacher: Identifies learning needs and offers information for health improvement.
The leader: Facilitates democratic participation in care planning.
The surrogate: Addresses basic needs, often reflecting nurturing aspects.
The technical expert: Possesses necessary clinical skills for client interventions.
The counselor: Employs interpersonal techniques to help clients navigate life's challenges.

Emphasis in Psychiatric Nursing

Counseling is highlighted as a primary subrole in psychiatric nursing.

Dynamics of Therapeutic Nurse-Client Relationships

Relationships thrive when both parties see each other as unique individuals with met needs.
Therapeutic relationships are directed towards achieving goals and promoting growth.

Problem-Solving Model

Steps in the model include identifying problems, discussing desired changes, recognizing realistic alterations, addressing unchangeable aspects, strategizing alternative changes, evaluating benefits, and implementing selected changes with feedback and evaluation.

Therapeutic Use of Self

Defined as using one's personality consciously to create relatedness and structure nursing interventions.
Critical components include self-awareness, understanding, and philosophical beliefs about life.

Importance of Self-Awareness

Recognizing personal values and accepting differences enhances interpersonal relationships.

Values Clarification

A method through which individuals can achieve greater self-awareness.

Nature of Beliefs

Rational: Supported by objective evidence.
Irrational: Held against contradictory evidence.
Faith-based: Beliefs held without objective evidence.
Stereotypical: Oversimplified beliefs about concepts.

Attitudes in Nursing

Attitudes serve as frames of reference influencing knowledge organization and may be judgmental, selective, and biased, with both positive and negative aspects.

Values in Nursing

Represent abstract standards indicating an individual's ideal behaviors and beliefs.

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Description

Explore the fundamentals of therapeutic communication and relationships in psychiatric nursing with these flashcards. Understand the significance of the nurse-client relationship and learn what constitutes a therapeutic relationship. Perfect for nursing students and professionals.