Nurse-Client Relationship

Nurse-Client Relationship

basic foundation of nursing practice, emphasizing therapeutic communication, trust, respect, and collaboration

Dynamics

What needs to be understood in Nurse-client relationship for effective patient care

therapeutic alliance between nurse and client

What does Nurse-client relationship mean?

mutually agreed upon health goals

What does nurse-client relationship aims?

Enhances patient outcomes

Facilitate trust and open communication

Supports patient empowerment and engagement in their care

Importance of Nurse-client relationship

Trust

Respect

Empathy

Professional boundaries

Confidentiality

What are the key principle of Nurse-client relationship?

Trust

It is fundamental for effective communication and collaboration

Respect

Having this in client’s autonomy, beliefs, and values fosters positive relationship

Empathy

This means to understand client’s perspective to promote a supportive environment

Orientation phase

begins when the nurse and client meet and ends when the client begins to identify problems to examine

e nurse establishes roles, the purpose of meeting, and the parameters of subsequent meetings; identifies the client’s problems; and clarifies expectations

Introduction and establishing rapport, clarifiying roles and responsibility.

Nurse-client contracts

Confedentiality

Self-disclosure

What must be establish in the orientation phase?

Problem Identification

Exploitation

Two subphases of working phase

Working phase

Collaborative goal-setting and care planning

Implenting interventions to achieve goals

Providing support and education

Problem identification

A subphase of the working phase where the client identifies the issues or concerns causing problems

Exploitation

This is where the nurse guides client to examine feelings and responses and develop better coping skills and more positive self-image; this encourages behavior change and develops independence.

Termination phase

Summarizing progress and achievements

Reflection on the relationship

Planning for continuity of care

Termination phase

It begins when the problems are resolved and ends when the relationship is ended

Therapeutic communication

Nonverbal communication

Cultural considerations

Types of communication in Nurse-client relationship

Therapeutic communication

In this communication, it includes active listening, empathetic responses, open-ended questions and clarification and validation

Nonverbal communication

This includes body language, eye contact and facial expressions

Establishing trust

Addressing power imbalance

Managing conflict

These are the challenges and strategies in Nurse-Client Relationship

Establishing trust

A challenge in N-C Relationship wherein it needs building rapport gradually, consistency in actions and communication, and being transparent and honest

Addressing power imbalance

A challenge where there is a need for client participation in decision making

Managing conflict

This is where a nurse-client relationship needs an active listening, clarifying misunderstandings, and collaborative probem-solving.

Informed consent

Confidentiality

Professional boundaries

What are some of the legal and ethical considerations in Nurse-client relationship?

Congruence

When words and action of someone match

Values

standard that give a person sense of right and wrong, and establish code of conduct for living

Choosing

Prizing

Acting

Values Clarification Process

Choosing

A person consders a range of posibilities, and freely chooses the value that feels right

Prizing

A person considers the value, cherishes it, and publicly attaches it to him or herself

Acting

A person puts his or her value into action

Beliefs

Ideas that one holds to be true

Attitudes

a frame of reference around which a person organizes knowledge about the world

Therapeutic use of self

the nurse can begin to use aspects of his or her personality, experiences, values, feelings, intelligence, needs, coping skills, and perceptions to establish relationships with clients

Self-disclosure

means revealing personal information such as biographical information and personal ideas, thoughts, and feelings about oneself to clients.

Problem identification

client identifies the issues or concerns causing problems

Exploitation

nurse guides the client to examine feelings and responses and develop better coping skills and a more positive self-image; this encourages behavior change and develops independence

Teacher

Advocate

Caregiver

Parent Surrogate

Role of nurses in psychiatric nursing

a. the orientation phase of the relationship.

Building trust is important in

a. the orientation phase of the relationship.

b. the problem identification subphase of the relationship.

c. all phases of the relationship.

d. the exploitation subphase of the relationship.

a. values.

Abstract standards that provide a person with his or her code of conduct are

a. values.

b. attitudes.

c. beliefs.

d. personal philosophy.

c. beliefs.

Ideas that one holds as true are

a. values.

b. attitudes.

c. beliefs.

d. personal philosophy

b. attitudes.

The emotional frame of reference by which one sees the world is created by

a. values.

b. attitudes.

c. beliefs.

d. personal philosophy.

c. “Sounds like it has been a difficult time.”

The client tells the nurse, “My biggest problem right now is trying to deal with a divorce. I didn’t want a divorce and I still don’t. But it is happening anyway!” Which of the following responses by the nurse will convey empathy?

'a. “Can you tell me about it?”

b. “I’m so sorry. No wonder you’re upset.”

c. “Sounds like it has been a difficult time.”

d. “You must be devastated.”

C, F, E

Which are specific tasks of the working phase of a therapeutic relationship?

a. Begin planning for termination.

b. Build trust.

c. Encourage expression of feelings.

d. Establish a nurse–client contract.

e. Facilitate behavior change. f. Promote self-esteem.

A,C,D

Confidentiality means respecting the client’s right to keep his or her information private. When can the nurse share information about the client?

a. The client threatens to harm a family member.

b. Sharing the information is in the client’s best interest.

c. The client gives written permission.

d. The client’s legal guardian asks for information.

e. The client is discharged to the parent’s care. f. The client admits to domestic abuse.