NURS 1098 Study Guide Exam With Advanced Answers.

What is a Therapeutic Relationship - correct answer A professional interpersonal alliance in which the nurse and the client join together for a defined period to achieve health related treatment goals Who Can The Client Be - correct answer Patient, family, group, community How Therapeutic Relationships Differ From Other Relationships - correct answer Goal oriented Boundaries Not a friendship, non-sexual 5 Components of Therapeutic Relationship - correct answer Trust: expects nurse to have knowledge, skill, caring Respect: dignity, worth, fair Professional intimacy: physical, spiritual, emotional Empathy: understanding, validating, meaning Power: misuse of power=abuse 4 Standard Statements of Therapeutic Relationships (CNO) - correct answer Therapeutic communication Client centred care Maintaining boundaries Protecting client form abuse Therapeutic Communication Indicators (CNO) - correct answer Introducing herself/himself to the client by name and category12 and discussing with the client the nurse's and the client's role in the therapeutic relationship Informing the client that information will be shared with the health care team and identifying the general composition of the health care team Modifying communication style, as necessary, to meet the needs of the client (for example, to accommodate a different language, literacy level, developmental stage or cognitive status Client Centred Care - correct answer Honours the clients right to self determination Nurses work with clients to ensure that behaviours and actions meet the therapeutic needs of the client Client Centred Care Indicators (CNO) - correct answer Actively including the client as a partner in care because the client is the expert on his/her life,15 and identifying the client's goals, wishes and preferences and making them the basis of the care plan Gaining an understanding of the client's abilities, limitations and needs related to his/her health condition and the client's needs for nursing care or services Demonstrating sensitivity and respect for the client's choices, which have grown from the client's individual values and beliefs, including cultural and/or religious beliefs How to Maintain Boundaries - correct answer The nurse is responsible for setting and maintaining boundaries Represent invisible structures imposed by legal, ethical and professional standards of nursing that respect nurse and client rights, and protect the functional integrity of the alliance between nurse and client Maintaining Boundaries Indicators (CNO) - correct answer Setting and maintaining the appropriate boundaries within the relationship, and helping clients understand when their requests are beyond the limits of the therapeutic relationship Ensuring that the nurse-client relationship and nursing strategies are developed for the purpose of promoting the health and well-being of the client and not to meet the needs of the nurse,19 especially when considering self-disclosure, giving a gift to or accepting a gift from a client Why Boundaries are Important - correct answer Make it safe for the client - rules of relationship, nurse has to follow these rules Level of involvement Boundary Crossing - correct answer Less serious, actions appear improper but don't violate ethical standards Boundary Violation - correct answer Serious offence, take advantage of a clients vulnerability Protecting Client from Abuse - correct answer Preventing, stoping or reporting abuse Verbal, physical, sexual, emotional, financial and neglect (all abuse) Duty to report and look for signs Protecting Client from Abuse Indicators (CNO) - correct answer Intervening and reporting a health care provider's behaviours or remarks toward a client that may reasonably be perceived by the nurse and/or others to be romantic, sexually suggestive, exploitive and/or sexually abusive Wait 1 year to engage again The Concept of Role - correct answer Multidimensional psychosocial concept defined as a traditional pattern of behaviour and self expression, performed by or expected of an individual within a given society The Role of a Nurse - correct answer Professional role socialization is an educational process through which student nurses acquire the norms, values and attitudes associated with the nursing profession Group Process - correct answer Forming Storming Norming Performing Adjourning Concept of Groups - correct answer Members are similar - emotionally, intellectually and interact in a meaningful way Work groups: choose members with comparable interests, complementary knowledge and essential skills to achieve goals Forming - correct answer When the group