Term
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Definition
| the process of understanding one's own values, beliefs, and pre-conceived ideas and how they affect others |
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Term
| patients (can/cannot) generally perceive information about us that we do not display. |
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Definition
| can; this is why it's important to be extremely self-aware |
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Term
| once you understand your own thoughts and feelings, what precaution can you take before engaging a patient? |
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Definition
| You can choose not to project them onto your patient, and therefore assess them more objectively |
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Term
| effective communication skills |
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Definition
| one of the foundations of all successful relationships |
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Term
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Definition
using words to communicate, but also involves:
underlying emotion
context
and connotation |
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Term
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Definition
| using facial expressions, body language, and gestures to convey meaning--> must be aware of own non-verbals so as not to misconvey your meaning |
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Term
True or False
As a nurse, you're in a position of authority, and therefore are in a good position to offer therapeutic advice. |
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Definition
| False, one should avoid giving advice in a therapeutic relationship. Advice-giving insinuates the judgment that the action they're currently taking is wrong--not just unhealthy. Being non-judgmental is essential to building a therapeutic relationship |
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Term
| Self-disclosure is warranted... |
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Definition
| ...only when offering has a specific therapeutic purpose, the communication should be centered around the patient |
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Term
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Definition
| a therapeutic method of ensuring the patient knows they're being heard, may use repetition, clarification, or other like methods |
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Term
| Verbal Technique: Silence |
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Definition
| many MHCs make conversation laborious, so it is important that nurses not try to break the silence, but rather wait for the patient to respond |
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Term
| Passive vs. Active Listening |
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Definition
| simply listening vs. engaging with the verbal and non-verbal communication of the patient, validating when necessary, and guiding the conversation toward a therapeutic outcome |
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Term
| Verbal Technique: Interpretation |
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Definition
Putting patient's remarks into mental health terms, i.e.:
"I couldn't sleep last night for fear of being raped."
"It sounds like you were very afraid last night" |
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Term
Definition of and Rationale for the following blocks to communication:
Agreement
Challenges
Reassurance
Disapproval |
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Definition
A: judgment is bad either way, agreeing puts pressure on the pt not to change
C: challenging statements fosters competition--> bad for therapeutic relationships
R: Undermining MHCs demotivates patients from trying to get better
D: Disapproval is judgmental and shows a lack of self-awareness |
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Term
| True or false: it is the responsibility of the nurse to find the deeper meaning behind the words spoken by the patient. |
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Definition
| True: mental health assessment requires us not to simply take what is said at face value, but to interpret the underlying meaning |
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Term
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Definition
| conveying understanding and respect, with a nonjudgmental attitude which lessens pt's loneliness |
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Term
| True or False: in building a rapport it is important not to become too territorial over personal boundaries. |
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Definition
| False: marking one's territory/boundaries is a very important aspect of a therapeutic relationship. Once everyone understands where they can and cannot go, a SMART outcome can be formulated |
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Term
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Definition
| coping mechanisms that can either be adaptive (like repression) or maladaptive (like substance abuse) |
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Term
| True or False: keeping a patient's secrets is a good way to build the therapeutic relationship |
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Definition
| false: keeping secrets takes you out of the professional role in their minds, and into a friendly one which is dangerous to the therapeutic relationship |
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Term
| Orientation Phase of the Nurse-Patient Relationship |
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Definition
"Honeymoon Phase," simply building the relationship
may see "testing behaviors" they may lash out at you, "forget" you in order to test your authenticity |
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Term
| Working Phase of the Nurse-Patient Relationship |
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Definition
| nurse and patient begin enacting care plan. may see transference (pt sees someone else in you) or countertransference (you see someone else in the patient) |
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Term
| Resolution Phase of the Nurse-Patient Relationship |
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Definition
| Two stages: completion of care plan (Resolution) and Termination of the relationship (begins on day 1, may yield some anger) |
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Term
| Nontherapeutic and Deteriorating Relationships |
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Definition
Nontherapeutic: Orientation, Grappling, and Withdrawal phases--> failed to reach goal, but no harm done
Deteriorating: Witholding, Avoiding, and Struggling phases--> end as enemies |
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