therapeutic relationships Flashcards
paplau’s nursing roles in mental health nursing
- stranger
- resource person
- teacher
- leader
- surrogate
- technical expert
- counselor
Respect that you don’t know them and they don’t know you. Accept patient as he is and treat patient as an emotionally able stranger and relate to him on this basis until evidence shows him otherwise
stranger
Explain in language the person can understand, information related to the patient’s healthcare journey.
resource person
Identify learning needs and provide information required to patient and family
teacher
Patient will be permitted to be an active part of designing nursing plans for their own care with guidance from nurse.
leader
Nurse may be viewed as the mother, father, sibling, former teacher, or another nurse that provided care in the past. This can be positive or negative.
surrogate
Nurse understands various professional devices and possesses the clinical skills to provide interventions that are in the best interest of the patient
technical expert
Use of interpersonal techniques to assist patients in adapting to difficulties or changes in life.
counselor
factors of therapeutic use of self
use of personality consciously
must have self-awareness
beliefs
attitudes
values
factors for enhancing therapeutic relationships
build rapport
build trust
build respect
genuineness
empathy
phases of therapeutic nurse-client relationship
- preinteraction phase
- orientation introduction phase
- working phase
- transference
- counter-transference
- termination phase
Obtain information about client from chart, significant others, and in report and examine feelings, fears, anxiety and bias
preinteraction phase
Maintain trust and rapport, use a problem- solving model, overcome resistance behaviors, and evaluate progress/adjust goals
working phase
Environment of trust, assess, identify strengths/limitations, formulate diagnosis and goals, & plan of action
orientation (introductory) phase
Client unconsciously displaces to nurse feelings formed toward a person from the client’s past
transference phase