Therapeutic Relationships Flashcards
What is one of the most important skills a nurse can develop?
Creating a therapeutic relationship
What are the components of a therapeutic relationship?
Trust Genuine Interest Empathy Acceptance Positive regard
Trust
develops when the client is confident in the nurse and when the nurse’s presence conveys integrity and reliability
What is the key to trust?
Congruence
Congruence
occurs when words and actions match
Genuine Interest
the nurse is comfortable with their-self, aware of their strengths and limitations, and clearly focused, the client perceives a genuine person
Empathy
Putting oneself in the client’s shoes
Acceptance
no judgments; set boundaries
Positive Regard
unconditional nonjudgemental attitude
Self-awareness
process of developing an understanding of one’s values, beliefs, thoughts, feelings, attitudes, motivations, limitations, strengths, and prejudices and how qualities affect others
Values
sense of right and wrong, code of conduct for living
What are the 3 steps for values clarification?
Choosing
Prizing
Acting
Choosing
a person considers a wide range of possibilities and freely chooses the values that feel right
Prizing
when the person considers the the value, cherishes it, and publicly attaches to it
Acting
when the person puts the value into action
True or False: A nurse displays empathy by showing feelings of concern and compassion
False
Empathy is putting oneself into the client’s shoes
Therapeutic Use of Self
use of aspects of personality, experience, values, feelings, intelligence, needs, coping skills, perceptions to establish relationships beneficial to clients
Johari Window
tool to learn about oneself
What are the four quadrants for Johari’s window?
- Open/public self
- Blind/unaware self
- Hidden/private self
- Unknown
Open/Public Self
self-qualities one knows about oneself and others do too
Blind/Unaware Self
self-qualities known only to others
Hidden/Private Self
qualities known only to self
Uknown
qualities undiscovered to self and others
Patterns of Knowing
Ways of observing/understanding client interactions Empirical Personal Ethical Aesthetic Unknowing
Empirical
obtained from the science of nursing
Personal
from life experiences
Ethical
moral knowledge of nursing
Aesthetic
art of nursing
Unknowing
Nurse admits lack of knowledge of client or understanding of client’s subjective world
Types of Relationships
Social
Intimate
Therapeutic
Social
purpose of friendship, socialization, companionship, or task accomplishment
Intimate
Emotional commitment of two persons
Therapeutic
Focus on needs, experiences, feelings, ideas of client only
Peplau’s Establishing a Therapeutic Relationship Phases
Orientation
Working
Termination
Orientation Phase
Meeting nurse, client
Establishment of roles
Discussion of purposes, parameters of future meetings
Nurse-client contract, confidentiality, duty to warn
Working Phase
Problem identification
Examination of feelings and responses
Termination Phase
Begins when the clients problems are resolved
Ends when relationship ends
Deals with feelings of anger or abandonment that mat occur
