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
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.
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