CNO - Therapeutic Nurse Client Relationship Flashcards
Protect the public’s right to quality nursing services by
providing leadership to the nursing profession in self-regulation.
The CNO’s Mission
Excellence in nursing practice everywhere in Ontario.
The CNO’s vision
Nursing ___ are expectations that contribute to public protection.
standards
They inform nurses of their accountabilities and the public of what to expect of nurses.
Nursing standards
Apply to all nurses regardless of their role, job description, or area of practice.
Nursing standards
There are five components to the ___-___ relationship: trust, respect, professional intimacy, empathy, and power.
nurse-client
Critical in the nurse-client relationship because the client is in a vulnerable
position. Initially, it in a relationship is fragile, so it’s especially important that a nurse keep promises to a client.
Trust
If it is breached, it becomes difficult to re-establish.
Trust
The recognition of the inherent dignity, worth, and uniqueness of every individual,
regardless of socio-economic status, personal attributes and the nature of the health problem.
Respect
Inherent in the type of care and services that nurses provide. It may relate to the physical activities, such as bathing (which nurses perform), and with the client that creates closeness.
Professional intimacy
Professional
intimacy can also involve psychological, spiritual
and social elements that are identified in the plan
of care. Access to the client’s personal information,
within the meaning of the Freedom of Information
and Protection of Privacy Act, also contributes to
professional intimacy.
Can involve psychological, spiritual, and social elements that are identified in the plan of care. Access to the client’s personal information, within the meaning of the Freedom of Information and Protection of Privacy Act, also contributes to this.
Professional intimacy
The expression of understanding, validating, and resonating with the meaning that the health care experience holds for the client.
Empathy
Includes appropriate emotional distance from the client to ensure objectivity and appropriate professional response.
Empathy
The nurse-client relationship is one of unequal ___. Although the nurse may not
immediately perceive it, the nurse has more ___ than the client. The nurse has more authority and influence in the health care system, specialized knowledge, access to privileged information, and the ability to advocate for the client and the client’s
significant others.
power x2
The appropriate use of ___, in a caring manner, enables the nurse to partner
with the client to meet the client’s needs. A misuse of ___ is considered abuse.
power x2
T___ Nurse-Client Relationship includes four standard statements with indicators that describe a nurse’s accountabilities in the nurse-client relationship.
T-herapeutic
The misuse of the power imbalance intrinsic in the nurse-client relationship.
Abuse
It can also mean the nurse betraying the client’s trust, or violating the respect or professional intimacy inherent in the relationship, when the nurse knew, or ought to have known, the action could cause, or could be reasonably expected to cause, physical, emotional or spiritual harm to the client.
Abuse
May be verbal, emotional, physical, sexual, financial or take the form of neglect.
Abuse
The point at which the relationship changes from professional and therapeutic to
unprofessional and personal.
Boundary
Means that the care provider is misusing the power in the relationship to meet her/his personal needs, rather than the needs of the client, or behaving in
an unprofessional manner with the client.
Crossing a boundary
The misuse of power does not have to be i___ to be considered a boundary-crossing
i-ntentional
May be an individual, family, group, or community.
Client