Questions and Answers
What is Phase 1 of the therapeutic nurse-client relationship?
Pre-interaction phase
The tasks involved in the Pre-interaction phase include obtaining information about the client and examining one's feelings, fears, and anxieties about working with a particular client. ______ or False?
True
What is Phase 2 of the therapeutic nurse-client relationship?
Orientation (Introductory) Phase
What is one of the tasks of the Orientation phase?
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What is Phase 3 of the therapeutic nurse-client relationship?
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Which task is NOT part of the Working phase?
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What two common phenomena often arise during the course of a therapeutic relationship?
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What is Transference?
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What is Countertransference?
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Which of the following is an example of Countertransference?
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What is Phase 4 of the therapeutic nurse-client relationship?
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Study Notes
Pre-Interaction Phase
- Preparation before the first encounter with the client.
- Key tasks include gathering information from charts, family, and other health professionals.
- Reflecting on personal feelings, fears, and anxieties, especially regarding challenging client histories.
Orientation (Introductory) Phase
- The initial stage where the nurse and client become acquainted.
- Establish an environment conducive for trust and rapport.
- Create a contract outlining expectations and responsibilities for both parties.
- Collect assessment information to build a comprehensive client database.
- Identify the client's strengths and limitations to formulate nursing diagnoses.
- Set mutually agreeable goals and explore feelings of client and nurse.
The Working Phase
- Main therapeutic work occurs, focusing on client progress.
- Maintain trust and rapport established during the orientation phase.
- Promote client insight and a realistic perception of their situation.
- Engage in problem-solving as presented in previous content.
- Address resistance behaviors as anxiety levels increase during difficult discussions.
- Continuously evaluate progress toward established goals.
Common Phenomena in Therapeutic Relationships
- Transference: Client attributes feelings and behaviors toward the nurse based on past relationships.
- Countertransference: The nurse's emotional and behavioral responses to the client.
Transference
- Occurs unconsciously as clients project past experiences onto the nurse, influencing their interactions.
Countertransference
- Nurse's reactions influenced by their history, impacting their professional relationship with the client.
- Examples include:
- Over-identifying with the client due to personal parallels.
- Engaging in personal or social relationships with clients.
- Offering excessive advice or trying to "rescue" the client.
- Encouraging dependence on the nurse.
- Feeling negative emotions such as anger or disgust toward the client.
- Experiencing anxiety or boredom during sessions.
- Difficulty enforcing boundaries with client behavior.
- Defending client behavior to colleagues.
Termination Phase
- The final stage where mutually agreed-upon goals are assessed for completion.
- Client may be discharged from hospital after achieving therapeutic objectives.
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Description
Explore the 4 phases of the therapeutic nurse-client relationship through detailed flashcards. This quiz focuses on understanding the pre-interaction phase, including preparation and emotional examination prior to client encounters.
