Intro to Therapeutic Relationships Flashcards
Which 5 components is the TNCR based on?
- Trust
- Respect
- Empathy
- Power
- Professional Intimacy
Why is TRUST important to the TNCR?
- trust is fragile; once broken, it is difficult to reestablish
- keep promises to client
- avoid saying “Ill be back in 1 minute” unless you are 100% sure that you will be back - if you promise that you will be back in 5 with medication and you are not back in 5 - the client is less likely to trust in your word
Why is RESPECT important to the TNCR?
- recognize the dignity, worth, ad uniqueness or every individual
- you must treat a patient convicted of murder the same way you would an ill patient
Why is PROFESSIONAL INTIMACY important to the TNCR?
- physical: baths, wound care
- psychological: mental illness, poor, intimate life details
- social: family/friend dynamics
- understanding personal health info
Why is EMPATHY important to the TNCR?
- important to understand, validate, and resonate with the meaning that the health care experience holds for the client
Why is POWER important to the TNCR?
- misuse of power = abuse
- appropriate use of power (specialized knowledge and access to info) can help meet the clients needs
What is the therapeutic relationship?
1) PURPOSEFUL and 2) GOAL-DIRECTED relationships
- aimed at advancing the best interest and outcome of the client
- interpersonal process between the nurse and the client
What is the reason we have shifted the term from “patient” to “client”?
- Patient emphasizes the power imbalance between the nurse and the client
- Client encompasses a person, group, community
- patient is used in acute care settings (ie.hospitals)
What is the goal of the TNCR?
- allow the client to have SELF-EXPRESSION to promote health growth
A therapeutic relationship is NOT _____________.
Psychotherapy
- a TNCR can be applied to other disciplines (pyschotherapy)
What is the objective of the nursing process?
- to assess, diagnose, plan, and provide and evaluate client-centred care
- to understand the significance of the clients problem
- to help identify and resolve problems
How is the TNCR established/maintained?
- by the nurse using their knowledge and skills, caring attitudes/behaviours
- by providing services that contribute to the clients health
How is the TNCR demonstrated?
- having respect and empathy and interest for clients
- maintaining boundaries between professional therapeutic relationships and (non-professional) personal relationships
- collaborating with clients and their families in a way that recognizes their needs, values, and beliefs
- recognizing the potential and preventing client abuse (being aware of the power imbalance)
- stop or report abuse
Nurse Considerations in the TNCR
- Personal values, beliefs, and experiences
- Self-assessment and awareness
- must be aware of words/body language (ie. clients with a past of abuse can be triggered by “Can I grab your arm to take your BP”) - Mental health status
- Personal qualities
- Components of the TNCR
Client Considerations in the TNCR
- Personal values, beliefs, and experiences
- Mental and physical health
- Developmental stage
- Psychosocial factors
- Spiritual Factors