Ch. 6 Relationship Development and therapeutic Communication Flashcards
Preinteraction phase
- first encounter
- obtain info from patient chart, significant others, or health team members.
- examine ones feelings, fears, and anxieties
Orientation (introductory) phase
- become acquainted
- create environment for trust and rapport
- establish a contract for intervention that details the expectations and responsibilities of nurse/client
- gather assessment info to build strong client base
- identify client’s strengths and limitation
- formulating nursing diagnosis
- setting goals mutually agreeable with nurse and client
- develop plan of action that is realistic for meeting established goals
- exploring feelings of client and nurse
Working phase
- maintaining trust and rapport
- promote client’s insight and perception of reality
- problem solving
- overcome resistance behaviors
- continuously evaluate progress toward goal attainment
Termination phase
- progress has been made toward attainment of mutually set goals
- plan for continuing care during stressful life experiences is mutually established by nurse and client
- nurse and client might feel sadness (client experiences growth
when client unconsciously displaces to the nurse feelings formed towards a person from past
transference
refers to the nurse’s behavioral & emotional response to the client
countertransference
physical property that can be seen
material boundaries
boundaries established within a culture and define how individuals are expected to behave in social situations
social boundaries
boundaries defined for themselves; physical distance boundaries; physical space; emotional boundaries
personal boundaries
allow client to control discussion; organize thoughts
silence
conveys positive regard
accepting
acknowledging, indicating awareness
giving recognition
making oneself available
offering self
allow client to select the topic
giving broad openings
encourage client to continue
offering general leads
clarifies the relationship of events in time
“what seemed to lead up to…?
“was this before or after..?”
placing the event in time or sequence
verbalizing what is observed or percieved
making observations
asking client to verbalize what is being perceived
encouraging description of perceptions
asking client to compare similarities and differences in ideas
encouraging comparison
let client know whether an expressed statement has or has not been understood
restating
direct question or feelings back to client so they feel recognized and accepted
reflecting
taking notice of a single idea or word
focusing
delving further into subject
exploring
striving o explain what is vague and searching for mutual understanding
seeking clarification and validation
clarifying misconceptions that client may be trying to say or express
presenting reality
expressing uncertainty as to the reality of client’s perception
voicing doubt
putting into words what client has only implied
verbalizing the implied
putting into words the feelings the client has expressed only indirectly
attempting to translate words into feelings
striving to prevent anger or anxiety escalating to unmanageable level whens stressor recur
formulating plan of action