Chapter 5- Relationship Devel and Therapeutic Commun Flashcards
essential conditions
rapport
trust
respect
genuineness
empathy
rapport
create a sense of harmony based on knowledge and appreciation of each individual’s uniqueness
trust
must possess self confidence
remain confidentiality
maintain honesty
keep promises
respect
unconditional positive regard
nonjudgemental
genuineness
nurse’s ability to be open, honest, and “real” in interactions with the patient
empathy
the ability to see beyond outward behavior and to understand the situation from the patient’s point of view while remaining emotionally seperate
phases of therapeutic relationship development
- pre-interaction (explore self- perceptions)
- orientation (establish trust and form diagnosis and goals)
- working (promote change)
- termination (ensure therapeutic closure)
transference
when the pt unconsciously displaces to the nurse feelings formed toward a person from his or her past
countertransference
the nurse’s behavioral and emotional response to the patient
interventions to transference
sort out past from present
reassign meaning to current relationship
interventions to countertransference
receive assistance from other staff
have evaluative sessions after
professional bounderies
spaces between the nurse’s power and the patient’s vulnerability
paralanguage
vocal component of the spoken word
SOLER
nonverbal techniques for effective listening
Sit facing patient
Observe an open posture
Lean forward
Establish eye contact
Relax
motivational interviewing
an evidence-based, patient-centered style of communication that promotes behavior change by guiding patients to explore their own motivation for change and the advantages and disadvantages of their decisions
