Chapter 2: The Client-Nurse Relationship- A Helping Relationship Flashcards
Why was the Client-Nurse Relationship established?
To help the client achieve and maintain optimal health
Who is the Client-Nurse Relationship meant to benefit?
The client-nurse relationship is entered into for the benefit of the client
When is the client-nurse relationship most effective?
It is more effective if it is mutually satisfying
What are the goals for the Client-Nurse Relationship?
Goals are directed toward the growth of the clients
It may also be a mutual learning experience
What are the abilities to facilitate a therapeutic encounter?
Cognitive
Affective
Psychomotor
Client’s Cognitive Abilities to Facilitate a Therapeutic Encounter?
Preferred ways of perceiving and judging
Knowledge and beliefs about illness in general and their illness in particular
Knowledge and beliefs about health promotion and maintenance in general and information about their own healthcare activities
Ability to problem-solve
Ability to learn
Client’s Affective Abilities to Facilitate Therapeutic Encounter:
Cultural values
Feelings about seeking help from a nurse
Attitudes toward nurses in general
Attitudes toward treatment regimen
Values about preventing illness
Willingness to take positive action about own health status at this time with this particular nurse
Client’s psychomotor Abilities to Facilitate a Therapeutic Encounter
Ability to relate and to communicate with others
Ability to carry out own healthcare management
Ability to learn new methods of self-care
Nurse’s Cognitive Ability to Facilitate a Therapeutic Encounter
Preferred ways of perceiving and judging
Knowledge and beliefs about illness in general
Knowledge about their clinical specialty and knowledge and beliefs about health behaviors that prevent illness and promote, regain, and maintain health
Ability to problem-solve
Knowledge about factors that increase client compliance with treatment regimen
Nurse’s Affective Abilities to Facilitate a Therapeutic Encounter
Cultural values
Feelings about being a nurse-helper
Attitudes about clients in general
Biases about nursing treatment regimen
Value placed on being healthy
Value placed on people’s active prevention of illness or enhancement of well-being
Willingness to help clients take positive action to improve their well-being
Nurse’s Psychomotor Abilities to Facilitate Therapeutic Encounter
Ability to relate to and communicate with others
Proficiency in administering effective nursing
interventions
Ability to teach nursing interventions to client
Clients’ Rights as Consumers of Healthcare Service
To expect a systematic and accurate investigation of their health concerns by thorough and well-organized nurses
To be informed about their health status and have all their questions answered so that they clearly understand what nurses mean
To receive healthcare from nurses who have current knowledge about their diagnosis and are capable of providing safe and efficient care
To feel confident that they will be treated courteously and that their nurses show genuine interest in them
More Clients Rights as Consumers of Healthcare Service
To trust that the confidentiality of any personal information will be respected
To be informed about any plans of action to be carried out for their benefit
To refuse or consent to nursing treatments without jeopardizing their relationship with their nurses
To secure help conveniently, without hassles or roadblocks
To receive consistent quality of care from all nurses
What are the characteristics of a successful client-nurse relationship?
Partnership between clients and nurses
Philosophy about human nature and what motivates humans in health and illness
Purposeful and productive objectives
Preservation of the client’s present level of health and protection from future health threats
Palliation of clients’ worries and fears through
nurses’ reassurances
Easing of pain
A psychic or morale boost
Therapeutic Communication Techniques:
Listening/Remaining silent
Establishing guidelines
Making open-ended comments
Reducing distance
Acknowledging/Restating/Refecting
Seeking clarification
Seeking consensual validation
Focusing/Summarizing/Planning
