Nurse Client Relationship

Question 1

NANB mandate

Answer 1

• NANB regulated RNs and NPS in NB to ensure the provision of safe, competent, and ethical care in the interest of the public
• NANB is responsible to protect the public by regulating members of the nursing profession in NB care

Question 2

4 components of accountability that outlines what RNs can or cannot do

Answer 2

• legislation
• standards of practice
• employers policies
• individual competence

Question 3

practice standards of therapeutic nurse client relationship

Answer 3

• episode of care
• planned, time limited, goal directed
• client needs
• client health and well being
• boundaries
• accountability

Question 4

components of therapeutic nurse client relationship

Answer 4

• power
• trust
• respect
• professional intimacy

Question 5

power

Answer 5

• unequal power

- form authority of own position in health care system, specialized knowledge, influence with others, access to info

Question 6

trust

Answer 6

• trust is critical because client is in vulnerable position
• need to keep promises to patients
• difficult to re-establish

Question 7

respect

Answer 7

• respect for dignity and worth of client
• nurse needs to know and understand culture and other aspects of patient
• being non-judgmental of client
• discover meaning behind certain client behaviours

Question 8

professional intimacy

Answer 8

• activities RN performs for and with client which creates personal and private closeness on many levels
• can be physical, emotional, and spiritual elements

Question 9

warning signs of over involvement (12)

Answer 9

• spending extra time with client
• changing assignment to care for specific client
• feelings others do not understand client
• disclosing personal problems to client
• dressing differently around client
• thinking about them a lot when away form work
• being defensive when someone questions relationship
• spending off duty time with them
• ignoring policies when working with them
• keeping secrets
• giving out personal info (phone number, email etc.)
• they only talk to one RN and no others

Question 10

giving and receiving gifts depends on…

Answer 10

• the intent
• the appropriateness
• the monetary value
• impact on nurse-client relationship
• impact on other clients or RNs

Question 11

social media

Answer 11

• central concern is patient confidentiality and privacy

Question 12

social media challenges

Answer 12

• ethical
• permanence of info
• reputation damage
• professionalisms and organizational credibility