Week 3- Therapeutic Relationship New Terms Flashcards
A therapeutic relationship is…
A professional interpersonal alliance in which the nurse and client join together for a defined period to achieve health-related treatment goals
Each is unique
___________ ____________ are invisible structures imposed by legal, ethical, and professional standards of nursing that respect nurse and client rights
Protects the functional integrity of the alliance
Professional boundaries
__________ __________ take advantage of the clients vulnerability and represent a conflict of interest harmful to the therapeutic relationship
Sexual encounters,accepting expensive gifts, excessive disclosure, requests and special favours
Boundary violations
__________ __________ less serious infractions
Give the appearance of impropriety but do not actually violate prevailing ethical standards
Boundary crossings
Countertransference is..
Occurs when something in the client activates a nurses unconscious unresolved feelings from previous relationships or life events
Disengagement is…
When the nurse withdraws from client because of a client suffering behaviour
What are the ways of a “therapeutic use of self”
Authenticity
Self aware
Presence
What are the phases of the therapeutic process
Preinteraction phase
Orientation phase
Working phase
Termination phase
What are the goals of preinteraction phase?
Set the professional goals
Create the best environment
What are the 6 goals of the orientation phase?
Clarify the purpose of the relationship Establish trust Identify client needs Observe/self reflect Define the problem Define the goals
What are the 5 goals in the working phase?
Tune in to the clients response patterns
Shared decision making
Defuse challenging behaviours
Self disclosure
What are the goals of the termination phase?
Keep boundaries
Evaluate
What are the 5 components if the nurse client relationships?
Trust Respect Professional intimacy Empathy Power
What are the 4 standard statements of CNO
Therapeutic communication
Client-centered care
Maintaining boundaries
Protecting client from. Abuse
