Boundaries And Therapeutic Relationships
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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
- 1.BOUNDARIES ARE DESCRIBED AS:
- 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.THE ABILITY TO ESTABLISH A THERAPEUTIC RELATIONSHIP WITH A FORENSIC PATIENT IS ONE OF THE MOST IMPORTANT COMPETENCIES REQUIRED BY STAFF WORKING IN A FORENSIC SETTING. WHICH OF THE FOLLOWING STATEMENTS ARE "RED FLAGS OF CAUTION" IN A FORENSIC SETTING?
- 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
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