Question

1. What are some factors that enhance the therapeutic relationship?

2. What are the four cardinal symptoms of posttraumatic stress disorder (PTSD)?

3. Name 3 self-care tips for nurses.

Answer 1

1.Factors enhancing the therapeutic relationship:-

Therapeutic relationship is the relationship between an healthcare professional and client or patient.It is the way in which the therapist and the client engage with each other.

Factors that enhances therapeutic relationship are,

A.Build trust:- If there is good trust between healthcare professional and client,the client can share their problems freely and sincerely.

B.Create a safe and controlled environment: safety is a vital aspect in therapeutic relationship as it values clients experience and understanding. Sometimes a client may take multiple sessions, months to share their experiences.so the therapeutic relationship should never go too fast.

C. Empower the client: Respect the client's right to not share details and their problems that they don't like to share at a particular time.

D. Clients strength and skills: Inform the client that severity of symptoms may vary through out the therapy. Try to develop a good emotional and coping skill in the client for therapeutic purpose.

E. Honour the meaning and function of client experience: Always be curious about the client's experiences and their feelings

F. Therapeutic barriers: Be alert about potential barriers like voice of therapist, language and the way of communication while interacting with clients

G. Share decision making, ability to correct problem or difficulty in the relationship are also important factors.

2. Cardinal symptoms of post traumatic stress disorder is a mental health condition that is enhanced by terrifying or fearful event, the symptoms are categorised as four

A.Intrusive memories: symptoms of this may include

* Recurrent, unwanted distressing memories of the traumatic event

* Upsetting dreams or nightmares of the traumatic event

* Severe emotional distress or physical reactions something that reminds about traumatic event

B.Avoidance: symptoms of avoidance may include

* Trying to avoid talking or thinking about traumatic event

* Trying to avoid places, activities and people that reminds the traumatic event

C.Negative changes in thinking and mood: symptoms of this includes

* Negative thoughts about themselves, other People and the world

* Hopelessness about the future

* Difficulty in maintaining close relationship

* Feeling separated from family and friends

* Difficulty in enjoying previously enjoyed activities

D.Changes in physical and emotional reactions: symptoms of this may include

* Be easily startled or frightened

* Self distructive behaviour

* Trouble sleeping

* Trouble concentrating

3. Self care tips for nurses: include

1.Stay healthy: wide variety of tasks are involved in daily duty of a nurse including heavy lifting, running here amd there. This means keeping yourself healthy is number one priority,so follow the good exercise regimen, plenty of water, healthy diet including vitamins.

2.Be kind and caring: A nurse may work long time may be up to 12 hours shift so that nurse should be prepared enough to give compassionate care to the patients without any lag or misstake. It is important for a nurse to have a good energy to treat the patient with attentive care. Try to treat them gently amd kindly always.

3. Enjoy the work and environment: The best way to reduce the difficulty or disappointment during work is to love and enjoy the work you do. Treat everyone like doctors,nurses, technician with friendly face. Duty shift will be more pleasant if nurses try to work along with everyone with good interpersonal relationship.