Boundaries And Therapeutic Relationships

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Boundaries And Therapeutic Relationships

Boundaries: Objectives: ·Identify purposes of boundaries ·Define concepts related to boundaries, including challenges, crossings and violations ·Identify risk factors that contribute to boundary violations ·Identify preventative interventions Therapeutic Relationships: Objectives: ·Differentiate between social and a therapeutic relationship ·Describe elements that are not part of a therapeutic relationship ·Describe the elements of therapeutic communication


Questions and Answers
  • 1. 
    • A. 

      RULES OF BEHAVIOR WHICH GUIDE INTERACTION WITH OTHERS.

    • B. 

      LIMITS THAT ALLOW A PATIENT AND STAFF TO CONNECT SAFELY IN A THERAPEUTIC RELATIONSHIP BASED ON PATIENTS' NEEDS.

    • C. 

      HELP US CONTROL THE IMPACT OTHERS HAVE ON US AS WELL AS OUR IMPACT ON OTHERS.

    • D. 

      ALL OF THE ABOVE

  • 2. 
    PURPOSE OF BOUNDARIES INCLUDE ALL OF THE FOLLOWING EXCEPT:
    • A. 

      PROTECT CLIENT VULNERABILITY

    • B. 

      PROVIDE LEGAL PROTECTION FOR CLIENT AND STAFF

    • C. 

      KEEPS THE FOCUS ON STAFF

    • D. 

      PROTECT STAFF FROM BECOMING OVER-INVOLVED WITH THE CLIENT

  • 3. 
    WHICH OF THE FOLLOWING IS NOT EXAMPLES OF BOUNDARY CHALLENGES:
    • A. 

      THE CLIENT ASKS YOU TO PICK UP SOME CIGARETTES FOR HIM AT THE STORE

    • B. 

      THE CLIENTS ASKS ABOUT YOUR CREDENTIALS

    • C. 

      THE CLIENTS ASKS FOR YOUR TELEPHONE NUMBER

    • D. 

      THE CLIENT GIVE YOU A GIFT

  • 4. 
    EXAMPLES OF BOUNDARY CROSSING INCLUDE:
    • A. 

      VISITING A CLIENT ON YOUR DAY OFF

    • B. 

      ATTENDING A CLIENT'S WEDDDING

    • C. 

      GIVING THE CLIENT YOUR CELL PHONE NUMBER

    • D. 

      ALL OF THE ABOVE

  • 5. 
    WHICH OF THE FOLLOWING ARE TRUE STATEMENTS ABOUT BOUNDARY VIOLATIONS:
    • A. 

      BOUNDARY VIOLATIONS OFTEN BEGIN WITH GOOD INTENTIONS

    • B. 

      BOUNDARY VIOLATIONS ARE NOT ALWAYS HARMFUL TO THE PATIENT

    • C. 

      BOUNDARY VIOLATIONS CAN ALTER THE LIMITS OF CLIENT STAFF RELATIONSHIP

    • D. 

      A AND C

  • 6. 
    WAY TO PREVENT BOUNDARY CROSSINGS/VIOLATIONS INCLUDE:
    • A. 

      REVIEW CURRENT POLICIES AND ETHICAL CODES

    • B. 

      RESIST FLATTERY AND FLIRTATION

    • C. 

      REFLECT ON HOW OTHER STAFF MEMBERS WILL PERCEIVE YOUR INTENTIONS

    • D. 

      A AND B ONLY

    • E. 

      ALL OF THE ABOVE

  • 7. 
    WHICH OF THE FOLLOWING STATEMENTS DO NOT DESCRIBE A THERAPEUTIC RELATIONSHIP:
    • A. 

      IT IS A GOAL DIRECTED PROCESS WITH FOCUS ON THE NEEDS OF THE CLIENT

    • B. 

      INDIVIDUALS SHARE MUTUAL IDEAS, FEELINGS AND EXPERIENCES

    • C. 

      THE CLIENT IS ENCOURAGED TO PROBLEM WITH OUT INTERJECTING PREFERENCES

    • D. 

      THE STAFF IS MAINLY RESPONSIBLE FOR MAINTAINING THE RELATIONSHIP

  • 8. 
    • A. 

      THE PATIENT STATES: "YOU ARE THE ONLY WHO UNDERSTANDS ME."

    • B. 

      INAPPROPRIATE SELF-DISCLOSURE OFTEN OCCURS IN NON-THERAPEUTIC RELATIONSHIPS

    • C. 

      THE PATIENT STATES: "I THOUGHT YOU WERE MY FRIEND."

    • D. 

      ALL OF THE ABOVE

    • E. 

      A AND C ONLY

  • 9. 
    STAFF'S RESPONSE TO PATIENTS SHOULD FOLLOW ALL OF THE FOLLOWING APPROACHES EXCEPT:
    • A. 

      ACT IN A PROFESSIONAL MANNER RATHER THAN A SOCIAL MANNER

    • B. 

      SET APPROPRIATE VERBAL BOUNDARIES ON PATIENT'S BEHAVIOR

    • C. 

      USE A RELAX PLAYFUL APPROACH

    • D. 

      CONSULT YOUR SUPERVISOR FOR ASSISTANCE

  • 10. 
    AN EXAMPLE OF BOUNDARY CHALLENGE IS A PATIENT ASKING YOU FOR YOUR PHONE NUMBER.
    • A. 

      TRUE

    • B. 

      FALSE

  • 11. 
    BOUNDARY ISSUES ARE ALWAYS CLEARLY DEFINED AND CAN BE GROUPED INTO THREE CATEGORIES: CHALLENGES, CROSSINGS AND VIOLATIONS.
    • A. 

      TRUE

    • B. 

      FALSE

  • 12. 
    YOU HAVE BEEN WORKING WITH A CLIENT FOR MONTHS. YOUR CLIENT'S SISTER, WHOM YOU HAVE MET, IS GETTING MARRIED AND YOU HAVE BEEN INVITED TO THE WEDDING. IT WOULD BE APPROPRIATE FOR YOU TO ATTEND.
    • A. 

      TRUE

    • B. 

      FALSE

  • 13. 
    BOUNDARY VIOLATIONS, ALTHOUGH SERIOUS, ARE USUALLY NOT HARMFUL TO THE CLIENT.
    • A. 

      TRUE

    • B. 

      FALSE

  • 14. 
    PATIENTS WITH UNIQUELY SIMILAR PERSONAL SITUATIONS AND STAFFS' STRONG IDENTIFICATION WITH THAT PATIENT ARE FACTORS THAT USUALLY ALLOW THE STAFF TO WORK EFFECTIVELY WITH THAT PATIENT.
    • A. 

      TRUE

    • B. 

      FALSE

  • 15. 
    SIGNS OF BEING OVER-ONVOLVED IN A PROFESSIONAL RELATIONSHIP INCLUDE: VISITING A PATIENT DURING OFF DUTY HOURS, GIVING EXTRA ATTENTION TO A CLIENT AND HAVING STRONGE EMOTIONAL FEELINGS ABOUT HOW OTHER STAFF TREAT YOUR CLIENT.
    • A. 

      TRUE

    • B. 

      FALSE

  • 16. 
    YOU RUN INTO A FORMER CLIENT AT THE STORE SIX MONTHS AFTER DISCHARGE. HE ASKS YOUR FOR A DATE. YOU REFUSE. THIS IS AN EXAMPLE OF A BOUNDARY CHALLENGE.
    • A. 

      TRUE

    • B. 

      FALSE

  • 17. 
    SELF-AWARENESS IS CRITICAL IN THE PREVENTION OF STAFF/PATIENT BOUNDARY CROSSING.
    • A. 

      TRUE

    • B. 

      FALSE