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Suggesting or advice, also can be no therapeutic, reinforces the patient's dependence. How should the nurse respond?

Sometimes it helps to repeat a patient's statement, emphasizing a key word. It makes me sad to see you going through such a difficult experience. The patients reactions toward the nurse seem realistic and appropriate.

Safe, Effective Care Environment 7. One should communicate understanding before giving any suggestions or advice. You must have been very upset when you tried to hurt yourself. Three categories of confrontation include the following: Humor is a basic part of the personality and ahs a place within the therapeutic relationship.

What is the desirable outcome for the orientation stage of a nurse-patient relationship? Reflexes, posture, facial expression, gestures.

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Suicide is a drastic solution to a problem that may not be such a serious matter. Which statement shows a nurse has empathy for a patient who made a suicide attempt?

Chapter 08: Therapeutic Relationships My Nursing Test Banks

Caring, liking, and valuing are other terms for respect. Activities are carried out with the patient, not for the patient. The nurse develops a trusting relationship with the patient.

Termination of a therapeutic nurse-patient relationship has been successful when the nurse: Concreteness Concreteness involves using specific terminology rather than abstractions when discussing the patient's feelings, experiences, and behavior.

Dress, furnishings, and possessions 29 Space: Randomized clinical trials have repeatedly found that development of a positive alliance therapeutic relationship is one of the best predictors of positive outcomes in therapy Gordon et al. Successful termination requires that the relationship be brought to closure without the possibility of dependency-producing ongoing contact.

Another patient comes to the door of the room, interrupts, and says to the nurse, I really need to talk to you. All communication must fostering therapeutic nurse-patient relationships dating the self-respect of both individuals.

Presentation on theme: "Therapeutic Nurse-Patient Relationship"— Presentation transcript:

Clarification occurs when the nurse yang dong geun dating nake to put into words vague ideas or thoughts that are implicit or explicit in the patient's talking.

A nurse is talking with a patient, and 5 minutes remain in the session. Empathy Empathy is the ability to enter into the life of another person, to accurately perceive the person's current feelings and their meanings, and to communicate this understanding to the patient.

Genuineness is the opposite of self-alienation, which occurs when many of an individual's real, spontaneous reactions to life are suppressed. Discrepancies between the patient's expressed experience of himself and the nurse's experience of him Confrontation is an attempt by the nurse to make the patient ware of incongruence in feelings, attitudes, beliefs and behaviors.

C Summarizing and evaluating progress help validate the experience for the patient and the nurse and facilitate closure.

02 Therapeutic Nurse Patient Relationship -

Adhering to the contract demonstrates that the nurse can be trusted and that the patient and the sessions are important. Reflection of content is also called Validation, which lets the patient know that the nurse has heard what was said and understands the content.

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Defensive coping reaction ANS: Genuineness Genuineness means that the nurse is an open, honest, sincere person who is actively involved in the relationship. Are you saying that …?

The nurse's intent in using the suggesting technique should be to provide feasible alternatives and allow patients to explore their values in their unique life situation. The patient can perceive that "I make sense to another human being.

Sharing perceptions involves asking the patient to verify the nurse's understanding of what the patient is thinking or feeling.

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The helping process can impede the patient's growth rather than enhance it, depending on the level of the nurse's responsive and facilitative skills. See relationship to audience response question.

Therapeutic relationships

D When a specific duration for sessions has been set, the nurse must adhere to the schedule. Therefore the first rule of a therapeutic relationship is to lists to the patient. The efficacy of this therapeutic use of self has been scientifically substantiated as an evidence-based intervention.

C Strong positive or negative reactions toward a patient or over-identification with the patient indicate possible countertransference.

A A patient has the right to know with whom the nurse will share information and that confidentiality will be protected. As a part of interpersonal relationships, it is a constructive coping behavior. I will not share information with your family or friends without your permission, but I share information about you with other staff.

The patient will demonstrate behaviors that indicate: Therapeutic touch or the nurse's laying hands on or close to the body of an ill person for the purpose of helping or healing.

It will be as though I am talking about my own problems, and we can help each other by keeping it between us. If you tell me what is troubling you, I can help you solve your problems. With a depressed or withdrawn patient, the nurse's silence may convey support, understanding, and acceptance.

A trusting relationship with the patient is desirable. Each of us has distinct gifts that we can learn to use creatively to form positive bonds with others, historically referred to as the therapeutic use of self.

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Silence on the part of the nurse has varying effects depending on how the patient perceives it. It consists of repeating in fewer or different words the essential ideas of the patient and resembles paraphrasing.

In focusing on the patient, many of the nurse's personal needs are put aside, as well as some of the usual ways of relating to others.

Real listening is difficult. The patient has been silent most of the session. Broad openings, such as "What are you thinking about? Specific core conditions for facilitative interpersonal relationships can be divided into responsive dimensions and action dimensions 47 The responsive dimensions include genuineness, respect, empathic understanding, and concreteness.

They can relate to feelings depression or anxietybehavior rebelling against authority or withdrawalexperiences being loved or hurtor combinations of all three. I cannot tell anyone about you.