NR 320 Exam 1 Mental Health Study Guide Chamberlain College of Nursing

NR 320 Exam 1 Mental Health Study Guide Chamberlain College of Nursing

Chapter 7: Therapeutic Relationships
• Therapeutic Relationship: An interaction between two people (usually a caregiver and a care receiver) in which
input from both participants contributes to a climate of healing, growth promotion, and/or illness prevention
o Therapeutic Nurse-Patient Relationships
â–ª Goal-oriented, Facilitates communication
â–ª Use the problem-solving model to bring about some type of change in the pts life
• Roles of the Psychiatric Nurse
o Peplau (1991) identified several subroles within the role of the RN:
â–ª Stranger: RN is at first a stranger to the pt
â–ª Resource: RN explains, in a language the pt can understand, information r/t the pts health care
â–ª Educator: RN identifies learning needs & provides information required to improve health situation
â–ª Leader: democratic leadership allows pt to be an active participant in their health
â–ª Surrogate: pts perceive RN as symbols of other people, such as mother figure, sibling, teacher, another RN
â–ª Counselor: help the pt to remember & understand fully what is happening in the present situation
• Dynamics of a Therapeutic Nurse-Client Relationship
o The goal of a therapeutic relationship may be based on a problem solving model
▪ Directed at learning & growth promotion  to bring about some type of change in the pts life
o Therapeutic Use of Self
â–ª Require the RN to have a great deal of self-awareness & self-understanding
â–ª Strongly influenced by an internal value system a combination of intellect & emotions
o Gaining Self-Awareness
â–ª RN needs self-awareness: know own biases
â–ª Values Clarification
 Beliefs: an idea that one holds to be true
 Rational beliefs: objective evidence exists
 Irrational beliefs: delusions, no objective evidence exists
 Faith: an ideal held true even though no objective evidence exists
 Stereotypes: a socially shared belief that describes a concept in an
oversimplified matter
 Attitudes: a frame of reference around which an individual
organizes knowledge about their world
 Values: abstract standards, + or -, that represent an individual’s ideal
mode of conduct & ideal goals
 Action oriented or action producing (different from beliefs & attitudes)

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