Class 3 - Nurse Client Relationship

Question 1

therapeutic communication

Answer 1

specific techniques that encourage the expression of ideas and feelings.
convey acceptance and respect to others

Question 2

attending

Answer 2

physical + psychological presence
nurse pays close attention to the patient, both verbally and non-verbally
demonstrates respect, interest, involvement and caring

Question 3

FELOR

Answer 3

face the other person
eye contact
lean forward
open posture
relaxed posture

Question 4

Active listening

Answer 4

being attentive to what the person is saying verbally and non-verbally
the nurse hears, decodes, clarifies, and provides feedback regarding the message

Question 5

intracommunication

Answer 5

message–encode–send–decode–interpret then feedback.

contributes to more accurate info and stronger healthy relationships

Question 6

barriers to listening **

Answer 6

• over generalizing
• agreeing and disagreeing
• being defensive
• challenging
• probing
• testing
• rejecting
• changing topics
• false reassurance
• passing judgement
• giving common advice. “it will be fine”

Question 7

restating

Answer 7

repeats part of the message in the form of a question to challenge the validity of the clients statement without raising defences.
restating a self critical or irrational part of the message in a questioning manner focuses the clients attention to the possibility of an inaccurate or global assertion.

Question 8

paraphrasing

Answer 8

shorter more specific than the clients initial statement so the focus is on the care elements of the original statement
uses phrases like “it sounds like”, “what I think you’re saying is”

Question 9

therapeutic relationship

Answer 9

the nurse and the client join together for a defined period of time to achieve health-related treatment goals. must always be based on the needs of clients.

Question 10

components of the nurse client relationship

Answer 10

• trust
• respect
• professional intimacy
• empathy
• power
• confidentiality
• courtesy

Question 11

professional vs. non professional relationship

Answer 11

• remuneration
• length of relationship
• location of relationship
• purpose of relationship
• structure of relationship
• time spent in relationship
• power balance
• responsibility for relationship
• preparation for relationship

Question 12

abuse

Answer 12

the misuse of power and/or the betrayal of trust, respect, or intimacy
physical, verbal, emotional, sexual, financial, neglect

Question 13

advocate

Answer 13

acting on behalf of another person.
speaking for people who can’t speak for themselves
intervening to ensure that peoples views are heard
providing info to protect the right to choice
obtaining informed consent for nursing care
respecting patients decision

Question 14

yellow lights

Answer 14

behaviours which serve as a caution

the nurse may need to reflect on the nature of the nurse client relationship and clarify that is professional

Question 15

clarification

Answer 15

confirms the accuracy of your perceptions about the message
seeks to understand the message of the client by asking the other person to rephrase it, explain further, or give an example of what they mean
failure to clarify will result in acting on incomplete or inaccurate information

Question 16

clarification questions

Answer 16

very overused
may make client feel defensive
allow nurse to seek information needed for decision making
open-ended or closed-ended questions

Question 17

open ended question starters

Answer 17

what does that feel like?
can you tell me more about..?
what options have you thought about?
how do you see things changing?
can you tell me what this means for you?

Question 18

proposed behaviour

Answer 18

does this meet a clearly identified therapeutic need of the client, rather than the need of the nurse? if yes,
is the behaviour consistent with the role of nurses in the setting? if yes,
is this a behaviour you would want other people to know you had engaged in with a client? if yes.
proceed with the behaviour and document it.

if no for any of these things, abstain from the behaviour