lesson 5 part 1 Flashcards
the purposeful, goal-directed relationships between a nurse and a client’ based on meeting the needs of the client
therapeutic nurse-client relationship
what is the theory of Hildegard Peplau?
Therapeutic Nurse-Patient Relationship Theory
The model can be used to understand
and document the progress of ‘interpersonal interactions between the nurse and the patient/client’
THERAPEUTIC NURSE-PATIENT RELATIONSHIP THEORY
What are the THREE PHASES OF Therapeutic Nurse-Patient Relationship Theory
orientation
working
termination
The relationship can only be developed when the nurse has developed ______
self awareness
this phase begins when the nurse and client meet
orientation
this phase ends when the client begins to identify
problems to examine
orientation
in this phase, the nurse establishes roles, the purpose of meeting, and the parameters of subsequent meetings
orientation
this phase, identifies the client’s problems and clarifies expectations
orientation
The nurse reads background materials available
on the client, becomes familiar with any medications the client is taking, gathers necessary paperwork, and
arranges for a quiet, private, comfortable setting
orientation
in this phase, this is a time for self-assessment
orientation
The nurse begins to build trust during this phase
orientation
what are important in orientation phase?
nurse-client contract
confidentiality
self-disclosure
outlines the responsibilities of the nurse and client
nurse-client contract
it should state the time, place
and length of sessions, the timeframe, the treatment plan and those involved as well as specific responsibilities
of both parties
nurse-client contract
respecting the client’s ‘right to keep private any information’ about his or her mental and physical
health and related car
confidentiality
revealing personal information such as biographical information and personal ideas
self-disclosure
nurse must
be careful with providing his/her own personal information and must give this some thought.
self disclosure
working phase contains 2 SUBPHASES:
problem identification
exploitation
where the client identified issues or concerns that are causing problems
problem identification
where the nurse guides the client to explore feelings and responses to develop
better coping skills and a more positive self – image
exploitation
this subphase is where behavior changes occur, and the client develops independence
exploitation
Problems which can arise in working phase can be:
transference
countertransference
the ‘client unconsciously transfers to the nurse’ the feelings he/she has for others
transference
the nurse RESPONDS to the client based on personal unconscious needs and problems
cpuntertransference
this phase begins when the problems are resolved
termination
the phase ends when the relationship between the nurse and client is ended
termination
they feel termination as an impending loss by displaying anger or stating that the problem has not been
resolved
client
