Therapeutic Nurse-Client Relationship Flashcards
appropriate use of self disclosure
when it benefits the client
- orientation phase
- model change
encouraging and receiving information in a non-judgemental and interested manner
acceptance
presenting the client with a different reality of the situation
confrontation
expressing or voicing doubt when a client relates a situation
doubt
putting into words what the client is implying or feeling
interpretation
stating to the client what the nurse is observing
observation
introducing an idea and letting the client respond
open-ended statement
redirecting the idea back to the client
reflection
repeating the main idea expressed; lets the client know what was heard
restatement
remaining quiet, but nonverbally expressing interest during an interaction
silence
clarifying the nurse’s understanding of the situation
validation
boundaries common challenges
inability to differentiate the professional relationship from a social one
attempting to have personal needs met through the nurse-client relationship
NANB standards warning signs
- spending extra time with a pt
- changing asn to have that pt
- feeling others do not understand that pt like you do
- disclosing personal problems
- dressing differently
- thinking about the pt frequently
- keeping secrets with a client
- guarded or defensive when someone questions your interactions
- spending time off duty with pt
- ignoring policies
- giving pt your number
behaviours that may be acceptable
gift receiving
gift giving
providing services to family, friends, acquaintances, termination prior to end of an “episode of care”
power
nurses have advantage of having specialized body of knowledge, access to client info, influence over other health care providers, influence over client’s sig. others
