FINAL EXAM NUR 350 RS QUESTIONS AND COMPLETE ANSWERS
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Course
NUR 350
Institution
NUR 350
What are the RNAO's four requisite capacities for establishing therapeutic relationships? 1) Self-awareness - the ability to reflect on one's thoughts, feelings, and actions
2) Self-knowledge - recognition that one's own experience is shaped by nationality, race, culture, health, gender, education...
FINAL EXAM NUR 350 RS QUESTIONS
AND COMPLETE ANSWERS
What are the RNAO's four requisite capacities for establishing therapeutic
relationships? ✅1) Self-awareness - the ability to reflect on one's thoughts, feelings,
and actions
2) Self-knowledge - recognition that one's own experience is shaped by nationality,
race, culture, health, gender, education, childhood, relationships, beliefs, etc.
3) Empathy - the ability of one to enter into the client's world and see the world as the
client sees it to explore the meaning it has for the client
4) Awareness of boundaries and limits of professional role - nurse is obligated to place
the client's need before their own needs
Define the "therapeutic relationship". ✅The therapeutic relationship is grounded in an
interpersonal process that occurs between the nurse and the client. The relationship is:
- Purposeful
- Goal directed
- Directed at advancing the best interest and outcome of the client
- Based on trust, respect, collaboration and a mix of knowledge and skills
What types of knowledge are needed for establishing therapeutic relationships? ✅-
Background (nurse)
- Theory
- Diversity
- Person (patient)
- Health/illness
- Influences on health care/policy
- Health care system
Describe the difference between affect and mood. ✅Affect refers to the visible or
objective manifestations of a person's emotional state whereas mood is a person's
internal feel state (subjective).
Define "affective attunement". ✅The ability to assess for small changes in affect and
adjust communication accordingly.
List some examples of defense mechanisms which are used to alleviate anxiety. ✅-
Projection is when the client projects their feelings onto the nurse
, - Projection identification is when the nurse "identifies" with this projection and responds
defensively (automatic response)
- Purposeful intervention is when the nurse pays attention to the "emotional message"
(not the words), and gives it back to the client therapeutically (purposeful response).
What are some indications that boundaries may have been crossed in the therapeutic
relationship? ✅- Having special clients.
- Spending extra time with clients.
- Keeping secrets with clients.
- Doing activities with clients that you do not share with colleagues.
Name the three phases of the therapeutic relationship. ✅1) Orientation
2) Working
3) Termination
NOTE: Each phase defines tasks and roles required of the nurse in that situation.
Describe the orientation phase. ✅Mostly one-way contact as nurse identifies
themselves by name and professional status, states the purpose, nature, and time they
have for the client, set the tone for the current and future interactions, and conveys
professional interest and receptivity to the client.
- Nurse and client come to know each other as persons.
- Client begins to trust the nurse.
Describe the working phase. ✅This is where the nurse establishes and addresses
concerns, problems, issues, and goals. Explore the client and their family's beliefs,
define the problem, explore and validate client strengths, and plan and implement
interventions.
1) Identification - of problems
2) Exploitation - makes full use of the services offered
Provide some examples of good communication techniques. ✅- Acknowledgement
- Reflecting
- Restating
- Eye contact
- Tone of voice
- Facial expressions
- Body language
- Personal space
- Gestures
Describe the termination phase. ✅This is the time the actual problems are resolved
and the relationship is terminated.
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