Nursing Ethics and Therapeutic Relationships Quiz
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Questions and Answers

What is the primary focus of professional relationships in nursing?

  • Shared focus on both self and other person
  • Unlimited length of time and personal feelings expressed
  • Unlimited expression of emotion and personal feelings
  • Client-centered care and personal feeling are used as means to reflecting (correct)

    • Which of the following is a key aspect of the therapeutic nurse-client relationship?

  • Personal feelings expressed and shared
  • Unlimited expression of emotion
  • Unlimited length of time
  • Shared decision making (correct)

    • What are the core components of the nurse-client relationship?

  • Limited expression of emotion, personal feelings used for reflection
  • Unlimited expression of emotion, personal feelings, professional intimacy
  • Shared focus on self and other person, unlimited length of time
  • Knowledge, skill, caring attitudes, trust, empathy (correct)

    • What is a warning sign of overinvolvement in therapeutic nurse-client relationships?

    <p>Visiting during off-hours</p> Signup and view all the answers

    What is the practice of nursing focused on?

    <p>Promotion of health and provision of care</p> Signup and view all the answers

    What is the impact of overinvolvement in therapeutic nurse-client relationships?

    <p>Loss of objectivity</p> Signup and view all the answers

    What is the role of a nurse as defined by the Nursing Act, 1991?

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

    What is an example of advocating for nursing as mentioned in the text?

    <p>Advocacy on behalf of colleagues</p> Signup and view all the answers

    What is the impact of disengagement in therapeutic nurse-client relationships?

    <p>Client feelings of isolation or abandonment</p> Signup and view all the answers

    What is the result of boundary violations in therapeutic nurse-client relationships?

    <p>Harmful to the goals of the therapeutic relationship</p> Signup and view all the answers

    What is the impact of advocating for nursing as mentioned in the text?

    <p>Safe work conditions</p> Signup and view all the answers

    What is the primary focus of the Orientation Phase in the Nurse-Patient Relationship?

    <p>Developing the relationship, building trust, and being physically and mentally present while actively listening and responding to the client</p> Signup and view all the answers

    What is required for Relational Nursing Practice?

    <p>Understanding patients' healthcare needs within complex contexts, focusing on intrapersonal, interpersonal, and social structural factors</p> Signup and view all the answers

    What are the standards for Therapeutic Nurse-Client Relationships?

    <p>Therapeutic communication, client-centered care, maintaining boundaries, and protecting clients from abuse</p> Signup and view all the answers

    What is the focus of the Working Phase in the Nurse-Patient Relationship?

    <p>Problem-solving, supporting self-management, self-monitoring, shared decision-making, and giving feedback</p> Signup and view all the answers

    What is a requirement for the Pre-Interaction Phase of the Nurse-Patient Relationship?

    <p>The nurse reflecting on goals, addressing knowledge gaps, and preparing for the client interaction</p> Signup and view all the answers

    What does the Therapeutic Nurse-Client Relationship emphasize?

    <p>Empathetic communication and a shared understanding of the health experience</p> Signup and view all the answers

    What are the relational capacities in nursing practice?

    <p>Being compassionate, curious, committed, competent, and corresponding</p> Signup and view all the answers

    What does Patient-centered care (PCC) require?

    <p>A holistic understanding of patient preferences and life goals, emphasizing shared decision-making between clinicians and patients</p> Signup and view all the answers

    What is involved in the Therapeutic use of self in the Orientation Phase?

    <p>Authenticity, seeking understanding, and demonstrating presence</p> Signup and view all the answers

    What is the definition of the Therapeutic Nurse-Client Relationship?

    <p>A professional, interpersonal alliance with specific treatment goals</p> Signup and view all the answers

    What are some examples of Shared Decision Making (SDM) opportunities mentioned in the text?

    <p>Reviewing care plans with patients</p> Signup and view all the answers

    What is involved in the Evaluation phase of the Nurse-Patient Relationship?

    <p>Assessing problem definition and patient progress</p> Signup and view all the answers

    What are the ethical values that guide care provision within the therapeutic nurse-client relationship?

    <p>Client well-being, privacy and confidentiality</p> Signup and view all the answers

    What are the legal considerations for nursing care mentioned in the text?

    <p>Confidentiality and informed consent</p> Signup and view all the answers

    What does confidentiality in nursing care involve?

    <p>Releasing information with express or implied consent</p> Signup and view all the answers

    In which forums is professional sharing of confidential information acceptable?

    <p>Nursing reports and interdisciplinary team case conferences</p> Signup and view all the answers

    What are the main areas of mandatory reporting for nurses?

    <p>Child abuse or neglect, public health, and communicable disease legislation</p> Signup and view all the answers

    What is required for the informed consent process?

    <p>BRAN explained, opportunity to ask question and patient competence</p> Signup and view all the answers

    What do professional boundaries in nursing respect and protect?

    <p>Nurse and client rights, and the alliance between nurse and client</p> Signup and view all the answers

    What does the ethical basis of the relationship within the therapeutic nurse-client relationship deal with?

    <p>Questions of right and wrong and guiding care provision</p> Signup and view all the answers

    In the Nurse-Patient Relationship, what is involved in the Termination phase?

    <p>All the above</p> Signup and view all the answers

    What are the ethical values that guide care provision within the therapeutic nurse-client relationship?

    <p>All of the above</p> Signup and view all the answers

    What are some examples of Shared Decision Making (SDM) opportunities mentioned in the text?

    <p>All of the above</p> Signup and view all the answers

    What is required for the Pre-Interaction Phase of the Nurse-Patient Relationship?

    <p>Medical history and goal-setting</p> Signup and view all the answers

    Study Notes

    Therapeutic Nurse-Client Relationship and Practice

    • Therapeutic relationships focus on both content and emotions, emphasizing empathetic communication and a shared understanding of the health experience.
    • The Therapeutic Nurse-Client Relationship is defined as a professional, interpersonal alliance with specific treatment goals.
    • Standards for Therapeutic Nurse-Client Relationships include therapeutic communication, client-centered care, maintaining boundaries, and protecting clients from abuse.
    • Nurses require background knowledge, reflective practice/self-awareness, and the ability to recognize and act in appropriate phases of therapeutic relationships.
    • The Pre-Interaction Phase of the Nurse-Patient Relationship involves the nurse reflecting on goals, addressing knowledge gaps, and preparing for the client interaction.
    • Relational Nursing Practice requires an understanding of patients' healthcare needs within complex contexts, focusing on intrapersonal, interpersonal, and social structural factors.
    • Relational capacities in nursing practice include being compassionate, curious, committed, competent, and corresponding in relational inquiry.
    • The Orientation Phase of the Nurse-Patient Relationship involves introductions, establishing rapport, defining goals, and developing a therapeutic contract.
    • Orientation Phase focuses on developing the relationship, building trust, and being physically and mentally present while actively listening and responding to the client.
    • The Orientation Phase also involves the therapeutic use of self, which requires authenticity, seeking understanding, and demonstrating presence.
    • The Working Phase of the Nurse-Patient Relationship involves problem-solving, supporting self-management, self-monitoring, shared decision-making, and giving feedback.
    • Patient-centered care (PCC) relationships require a holistic understanding of patient preferences and life goals, emphasizing shared decision-making between clinicians and patients.

    Nursing Care and Ethical Considerations Summary

    • Shared Decision Making (SDM) opportunities include bedside shift report, reviewing care plans with patients, and asking about patient/family priorities.
    • The Nurse-Patient Relationship includes phases like Evaluation, Planning/referrals, and Termination, including Warm Referrals to address clients' feelings and minimize potential stress.
    • The Evaluation of the Therapeutic Nurse-Client Relationship involves assessing problem definition, interventions chosen, implementation, patient progress, follow-up care, and patient satisfaction.
    • Role Communication & Boundaries Standards & Therapeutic Nurse-Client Relationships Standards by CNO (2006) include therapeutic communication, client-centered care, maintaining boundaries, and protecting the client from abuse.
    • Ethical values guide care provision within the therapeutic nurse-client relationship, including client well-being, client choice, privacy and confidentiality, respect for life, dignity, commitments, truthfulness, and justice.
    • Legal considerations for nursing care include confidentiality, informed consent, professional liability, and protecting the person's privacy, guided by provinces and territories' personal health information legislation and nursing standards.
    • Confidentiality in nursing care involves releasing information with express or implied consent, providing only necessary information to other healthcare providers, and reporting breaches of confidentiality.
    • Professional sharing of confidential information is acceptable in specific forums like nursing reports, interdisciplinary team case conferences, and one-on-one healthcare provider conversations, among others.
    • Mandatory reporting varies among provinces and territories, centering around child abuse or neglect, public health, and communicable disease legislation and disclosure of information to protect public health and safety.
    • Informed consent process requires the person to be informed about the treatment, alternatives, risks, and benefits, given the opportunity to ask questions, and be competent to provide consent.
    • Professional boundaries in nursing respect nurse and client rights, and protect the functional integrity of the alliance between nurse and client, imposing invisible structures based on legal, ethical, and professional standards.
    • The ethical basis of the relationship is rooted in philosophy, dealing with questions of right and wrong and guiding care provision within the therapeutic nurse-client relationship.

    Nursing Care and Ethical Considerations Summary

    • Shared Decision Making (SDM) opportunities include bedside shift report, reviewing care plans with patients, and asking about patient/family priorities.
    • The Nurse-Patient Relationship includes phases like Evaluation, Planning/referrals, and Termination, including Warm Referrals to address clients' feelings and minimize potential stress.
    • The Evaluation of the Therapeutic Nurse-Client Relationship involves assessing problem definition, interventions chosen, implementation, patient progress, follow-up care, and patient satisfaction.
    • Role Communication & Boundaries Standards & Therapeutic Nurse-Client Relationships Standards by CNO (2006) include therapeutic communication, client-centered care, maintaining boundaries, and protecting the client from abuse.
    • Ethical values guide care provision within the therapeutic nurse-client relationship, including client well-being, client choice, privacy and confidentiality, respect for life, dignity, commitments, truthfulness, and justice.
    • Legal considerations for nursing care include confidentiality, informed consent, professional liability, and protecting the person's privacy, guided by provinces and territories' personal health information legislation and nursing standards.
    • Confidentiality in nursing care involves releasing information with express or implied consent, providing only necessary information to other healthcare providers, and reporting breaches of confidentiality.
    • Professional sharing of confidential information is acceptable in specific forums like nursing reports, interdisciplinary team case conferences, and one-on-one healthcare provider conversations, among others.
    • Mandatory reporting varies among provinces and territories, centering around child abuse or neglect, public health, and communicable disease legislation and disclosure of information to protect public health and safety.
    • Informed consent process requires the person to be informed about the treatment, alternatives, risks, and benefits, given the opportunity to ask questions, and be competent to provide consent.
    • Professional boundaries in nursing respect nurse and client rights, and protect the functional integrity of the alliance between nurse and client, imposing invisible structures based on legal, ethical, and professional standards.
    • The ethical basis of the relationship is rooted in philosophy, dealing with questions of right and wrong and guiding care provision within the therapeutic nurse-client relationship.

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    Related Documents

    Professional & Therapeutic Communication NUSC 1P10 Fall 2023 Lecture Notes PDF

    Description

    Test your knowledge of therapeutic nurse-client relationships and ethical considerations in nursing care with this quiz. Explore the phases of the nurse-patient relationship, standards for therapeutic communication, legal and ethical values guiding care provision, and more. Enhance your understanding of relational nursing practice and the importance of maintaining professional boundaries in nursing.

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