MODULE 1-3
Severe Anxiety
Anxiety characterized by distorted perception; confusion; hyperactivity or withdrawal;
learning is not possible. Remain with the client; maintain safety; speak calmly; minimize
environmental stressors
Panic Anxiety
Anxiety characterized by disorganized behavior; irrational responses; may freeze or
become aggressive. Ensure physical safety; do not leave the client alone; initiate
immediate de-escalation
Sensorimotor Stage
(0-2 years) Learning through movement and sensation. Use comfort, touch, routine;
verbal teaching is ineffective.
Preoperational Stage
(2-6 years) Magical but egocentric thinking. Use visual aids, concrete terms, and simple
choices.
Concrete Operational Stage
(6-12 years) Logical thinking tied to concrete, observable events. Use demonstration,
real-life examples, and interactive learning.
Formal Operational Stage
(12+ years) Abstract, hypothetical reasoning. Use discussion, reflection, and problem-
solving scenarios.
Therapeutic Relationship
A professional, goal-oriented interaction focused on the client's safety, growth, and
wellbeing; exists only for the patient's benefit.
Orientation Phase
The phase of the relationship where the nurse and client meet and establish roles,
expectations, and boundaries. Trust-building begins here.
Working Phase
The nurse and client work together to explore problems, process emotions, and
implement solutions.
, Termination Phase
The phase that marks the end of the relationship, ideally when the client's goals have
been met.
Empathy
The ability to perceive and communicate understanding of another person's feelings and
experiences without taking on their emotions. Fosters trust and therapeutic rapport.
Sympathy
Taking on another person's feelings.
Unconditional Positive Regard
Respecting and valuing the client without judgment. It promotes self-worth and allows
the client to share openly.
Transference
When a client unconsciously transfers feelings about someone else onto the nurse.
Countertransference
When the nurse unconsciously transfers feelings onto the client.
Therapeutic Use of Self
The conscious use of one's own personality, insights, and perceptions in establishing a
therapeutic relationship.
Trust
The foundation of all therapeutic relationships, developed through consistency, honesty,
and reliability.
Social Relationship
A mutual, informal interaction based on personal needs and interests rather than client
goals.
Therapeutic Communication
An intentional interaction that focuses on the client's needs and promotes healing;
allows for the establishment of rapport, assessment of client needs, promotion of
understanding, and support of healing while maintaining clear boundaries and a client-
centered focus.
Active Listening