hbdcjnNurse client relationship Flashcards
process of developing an understanding
of one’s own values, beliefs, thoughts, feelings, attitudes, motivations,
SELF AWARENESS
Abstract standards that give a person a sense of right and wrong
VALUES
ideas that one holds to be true,
BELIEFS
nurse can begin to use aspects of his or her personality,experiences, values, feelings, intelligence, needs, coping skills, and
perceptions to establish relationships with client
THERAPEUTIC USE OF SELF
Tool that is useful in learning more about oneself, which creates a “word portrait” of a person in four areas and indicates how well that person knows him or herself and communicates with others.
JOHARI WINDOW TOOL
The four areas :
Quadrant 1:
Quadrant 2:
Quadrant 3:
Quadrant 4:
Quadrant 1: Open/public
Quadrant 2: Blind/unaware
Quadrant 3: Hidden/private
Quadrant 4: Unknown
ways one person EXPECTS another to behave or speak,
PRECONCEPTIONS
A type of relationship is primarily initiated for the purpose of friendship, socialization, companionship, or accomplishment of a task
SOCIAL RELATIONSHIP
A type of relationship involves two people who are emotionally committed to each other. Both parties are concerned about having their
individual needs met and helping each other meet the needs.
INTIMATE RELATIONSHIP
Focuses on the needs, experiences, feelings, and ideas of the client only.
THERAPEUTIC RELATIONSHIP
Phases of nurse client relationship:
- Pre orientation
- Orientation
- Working
- Termination
Client
* Seeks assistance
* Conveys needs
* Asks questions
* Shares preconceptions
and expectations of
nurse based on past
experience
ORIENTATION
Establishing specifics of
the relationship time,
date, place, and duration
of meetings (can be
written as a formal
contract or stated as an
informal contract)
ORIENTATION
Establishing confidentiality
ORIENTATION
Gathering data, Promoting self-esteem, Overcoming resistance
WORKING
Sharing of the termination experience with the client demonstrates the partnership and the
caring of the relationship
TERMINATION
The decision requires the nurse to
notify intended victims and police of such a threat.
DUTY TO WARN
means revealing personal information such
as biographical information and personal ideas, thoughts, and feelings about
oneself to clients
SELF DISCLOSURE
The working phase of the nurse–client relationship is usually divided into
two subphases.
- PROBLEM IDENTIFICATION
- EXPLOITATION
a subcategory in working phase where the nurse guides the client to examine feelings and responses and develop better coping skills and a more positive self-image
EXPLOITATION
a subcategory in working phase where the client identifies the issues
or concerns causing problems.
PROBLEM IDENTIFICATION
the final stage in the nurse–client relationship. It begins when the problems are resolved and ends when the relationship is ended.
TERMINATION OR RESOLUTION PHASE
a type of secondary traumatic stress or burnout that comes from working through traumatic experiences with clients
COMPASSION FATIGUE
a type of secondary traumatic stress or burnout that comes from
working through traumatic experiences with clients
Unclear boundaries
Intimacy
Abuse of power
Therapeutic roles of the nurse in the nurse–client relationship
Teacher
Advocate
Caregiver
Parent surrugate
