Which interactions are likely outcomes of a well-established ...

[codyclark]

Which interactions are likely outcomes of a well-established therapeutic alliance? Select all that apply.
 
  a. The nurse states, I'm not here to judge but rather to help.
  b. The patient states, I really think I can handle this problem now.
  c. The patient asks his abusive father to attend counseling with him.
  d. The nurse sets boundaries for a patient who has few social skills.
  e. The patient with anger issues voluntarily goes into the seclusion room.

Question 2

Which nursing interventions are directly related to the principles on which a therapeutic alliance is based? Select all that apply.
 
  a. Graciously declining to, Come visit when I get discharged.
  b. Establishing the topic to be discussed at each group session
  c. Explaining to the patient the purpose of terminating the alliance
  d. Sharing how the nurse also has experienced the same problems
  e. Providing subjective feedback to the patient's efforts at therapy

[bpool94]

Answer to Question 1

ANS: A, B, C, E
The alliance serves as a vehicle that provides patients with an opportunity to freely discuss their needs and problems in the absence of judgment and criticism, to gain insight into their abilities, to practice new coping skills, and to heal emotional wounds. Setting boundaries is not an outcome of such an alliance.

Answer to Question 2

ANS: A, B, C
The principles that focus on the development and maintenance of a healthy alliance include: the relationship is therapeutic rather than social; the focus remains on the patient's needs and problems rather than on the nurse; the relationship is purposeful and goal directed; the rela-tionship is objective rather than subjective in quality; and the relationship is time-limited ra-ther than open-ended. The sharing of experiencing is not patient centered.