Chapter 9 Flashcards
The Nurse-Patient relationship
the nurse and patient relationship is built on what ?
therapeutic communication
including verbal and nonverbal interactions
two of the most important communication concepts is what?
empathy and rapport
however, before we have empathy and rapport, the nurse must possess the ability of what and why ?
self awareness
because if we want to have empathy and rapport, we must understand our own idea of relationship, physical, emotional, social boundaries and limitations in order to provide adequate empathy and rapport to patients
to have an effective communication relationship, it need what 3 things ?
rapport
empathy
role of professional boundaries
what does rapport mean ?
friendly, harmonious relationship characterized by mutual understanding, agreement for empathy
what does empathy mean?
the ability to experience, in the present, a situation as another did at some time in the past
( ability to put oneself in another persons circumstances and to imagine what it would be like to share their feelings )
most of the time empathy is often confused with sympathy, describe the difference ?
empathy
- putting yourself in their shoes
( I understand how you feel )
sympathy
- compassion and kindness
( im so sorry that happened )
what does the role of professional boundaries mean when having effective communication from nurse to patient?
being able to stay professional, nurse to patient only!!
no establishing friendship with a patient
no exchanging of gifts, keeping secrets, spending more time with specific patient
the therapeutic nurse-patient relationship consists of three major and overlapping phases, which are?
orientation
working
resolution
what is the orientation phase?
in which the patient and nurse meet and establish the parameters of the relationship
meeting the patient and developing a trust
what is the working phase?
the patient identifies and explores problems
the trust has developed and the nurse will use various verbal and nonverbal techniques to help patient examine problems and support patient through healing process
what is the resolution phase ?
the patient has learned to manage problems and the relationship can be terminated
what are the 3 non therapeutic relationship for a patient ?
the orientation phase
the grappling and struggling phase
the phase of mutual withdraw
what are the 3 deteriorating relationship phases?
begins with a
withholding phase
continues through the phase of avoiding and ignoring phase
ends unstaisfactiorliy with a phase named
struggling with and making sense of
what is motivational interviewing?
a clinical method intended to engage a patients own decision making
engages a patient own decision making ability by focusing and reinforcing the clients own arguments for change
