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Therapeutic RelationshipsPsychiatric Nursing: Contemporary Practice

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Question Answer
Redirecting an idea back to a patient for classification of important emotional overtones, feelings, and experiences is called _________. It is used when a patient is asking for the nurse's approval or judgment and allows the nurse to remain nonjudgmenta
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Reflection.
___________ is the process of repeating the main idea expressed by a patient. It shows the patient that they were heard. It is used for clarification.
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Restating
________ is a communication technique used when the nurse is trying to understand a situation a patient is trying to describe. It allows the nurse to ensure understanding of a situation.
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Validation
Advice, Agreement, Challenges, Reassurance and Disapproval are all communication techniques that __________ communication.
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inhibit
_______ is defined as interpersonal harmony characterized by understanding and respect.
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Rapport
How is rapport developed?
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By showing interpersonal warmth, a nonjudgmental attitiude and demonstrating understanding.
_________ is explicitly checking out one's own thoughts and feelings with another person.
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Validation. Characterized by I statements.
________ is the ability to experience in the present a situation as another did at some time in the past.
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Empathy
What is considered the intimate zone?
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Being within 6-18 inches of a patient
What is considered the personal zone?
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Being within 18-47 inches of a patient
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What are some common indicators that a nurse's professional boundaries are possibly breached?
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Gift-giving on either party's part, spending more time than usual with the patient, defending or explaining a patient's behavior to others, keeping secrets, thinking about the patient outside of work, or feeling as though you are the only one who understa
The _________ phase of the nurse-patient relationship begins when the nurse and patient meet and ends when the patient begins to identify problems to examine.
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Orientation
What are the major goals of the orientation phase of a nurse-patient relationship?
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To develop trust and and security within the relationship
When does the working phase of a nurse-patient relationship begin?
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When the patient begins identifying problems to work on
What are the major threats to the success of the working phase of a nurse-patient relationship?
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Transference and countertransference
During the ________ phase of the nurse-patient relationship, the patient connects with community resources, solidifies understandings, and practices new behaviors.
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Resolution phase
When does termination of the nurse-patient relationship begin?
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The first day of the relationship
What are the three phases of a non-therapeutic relationship?
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Orientation, grappling/struggling, and mutual withdrawal
A teenager expressing anger at his parents by staying out late at nights is an example of what defense mechanism?
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Acting out: using actions rather than reflections or feelings during periods of emotional conflict.
Turning to others for help or support, sharing problems with others without implying that they are responsible for them, is an example of what defense mechanism?
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Affiliation
Dedicating one's life to meeting the needs of others, for example, joining the Peace Corps after breaking up with a boyfriend, is an example of what type of defense mechanism?
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Altruism
  
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