NURS 321: Lecture 8 - Ethics and Boundaries and Integrative Therapy

What is mandatory ethics in counseling?

Ethical functioning at the minimum level of professional practice.

What is aspirational ethics?

Doing what is in the best interests of the client.

What is positive ethics?

When healthcare professionals seek to incorporate aspirational ethics into their practice, rather than just mandatory ethics.

What is fear-based ethics?

Acting in a way to avoid punishment.

What does concern-based ethics involve?

Asking yourself how to be the best nurse possible.

What is the CNA Code of Ethics?

A statement of the ethical values of registered nurses that demonstrates their commitment to persons with health-care needs.

The CNA code of ethics is both aspirational and regulatory (True/False).

True

1 multiple choice option

What is the purpose of a professional code of ethics?

To provide a basis for accountability, protect individuals from unethical practice, and reflect on and improve practice.

The CNA code of ethics is designed to help RNs solve every ethically challenging situation (True/False).

False

1 multiple choice option

Theoretical assumptions apply to all clients from all backgrounds (True/False).

False

1 multiple choice option

What are professional boundaries in nursing?

The spaces between the nurse's power and the patient's vulnerability.

What is a boundary crossing?

A brief excursion across professional lines of behavior that may be inadvertent or purposeful to meet a special therapeutic need.

What is a boundary violation?

A serious breach that can cause harm and is considered unethical.

What are the 3 parts of the continuum of professional behaviour?

Underinvolvement, therapeutic relationship, and overinvolvement.

Therapeutic relationship is the optimal section of the continuum of professional behaviour (True/False).

True

1 multiple choice option

What signs indicate potential boundary violations?

Excessive self-disclosure, special treatment, favoritism, overprotective behavior, and secretive behavior.

What is the best practice for preventing boundary violations?

Be aware of your feelings and behavior, evaluate interactions, and always act in the best interest of the patient.

What should nurses do when encountering ethical dilemmas?

Refer to the code of ethics and seek help when needed.

What is the importance of cultural preparedness in counseling?

Counsellors should assess their ability to establish therapeutic relationships with clients from diverse backgrounds, including ethnicity, gender, age, sexual orientation, spirituality, and socioeconomic status.

What does integration in therapeutic practice involve?

Combining, mixing, and coordinating different elements of therapy to create a comprehensive approach that addresses the complexities of human behaviour.

What characterizes an integrative practitioner?

They're open to various theories and techniques, enhancing the efficiency and applicability of their practice.

When practicing integrative therapy, it's important to just "talk" and identify which approaches you used afterwards, rather than going in with a plan. This allows you to be more genuine and gain more insight into your counselling style. (True/False)

False

1 multiple choice option

What is a primary focus of Psychoanalytic Therapy?

It emphasizes the therapist as an expert and addresses issues stemming from developmental deficiencies, with little focus on the therapeutic relationship.

What is the significance of the therapist's attitude in Person-Centered Therapy?

The therapist's congruence, unconditional positive regard, and empathy are crucial for fostering a strong therapeutic relationship.

What is the role of the therapist in Cognitive Behavioral Therapy?

The therapist acts as a teacher, helping clients learn new techniques to impact their thinking and behavior, often incorporating homework.

What does Reality Therapy emphasize?

It focuses on five basic needs, with love and belonging being the most important, and utilizes the WDEP technique to enhance relationships.

What is a key technique used in Solution-Focused Brief Therapy?

It employs questioning techniques, such as the miracle question, to facilitate brief interventions.

What is the focus of Narrative Therapy?

It centers on hearing clients' stories and helping them create new narratives.

What does the integrative approach summary suggest about therapy?

Different therapeutic approaches may work better in different situations or with various clients, emphasizing the need for flexibility.

What is a suggested activity for developing a unique integrative approach?

Create a concept map that includes therapies resonating with you, their assumptions, strategies, microskills, and their benefits and limitations.

What does Jeffrey Kottler suggest about insight in therapy?

He argues that insight alone is not enough; a combination of insight and action is necessary for effective therapy.

The "who" is more important than "what" we do in integrative counselling (True/False).

True

1 multiple choice option

What is a key takeaway regarding the development of counseling skills?

As a beginner, counselors should take time to learn theories and strategies, practicing them to determine their preferred approaches.