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35 Cards in this Set

  • Front
  • Back
VALUES
standards for decision making that endures for a significant amount of time in one's life (thinking, choosing, feeling & behaving)
Therapeutic Alliance
is a Professional Alliance.

Nurse & client work together fr a defined period of time to achieve health-related treatment goals.
Goal of a Therapeutic Relationship
promotion of client's health & well-being.
Difference between Social and Professional Relationship
distinct structural & functional differences.

Client-centered approach,
Professional therapeutic boundaries,
health-related goals,
defined beginning & ending
Client-Center Approach
requires a collaborative process in which client & nurse join together their personal & professional expertise to resolve health care problems.
Self Awareness
keen sense of self-awareness provides direction & acts as a barometer for the relationship process.
SELF-AWARENESS Process
required that nurses examines their personal value positions so personal biases & prejudices are NOT projected onto their clients.
Value and Belief Patterns
Attitudes, beliefs, and behaviors are often linked with values but are not the same as values
Attitude
is one's disposition toward an object or a situation; it can be a mental or emotional mindset, and it can be positive or negative
BELIEFS
are ideas that one accepts as true;

they may be expressed by such things as decisions, opinions, and creeds.
BEHAVIORS
are observable actions.

demonstrate the values that held priority.
Professional Nursing Values
* Commitment to client, family
* Advocacy for health & safety
* Responsibility & accountability for individual practice
* Competence
Professional Boundaries
interpersonal limits on what is acceptable behavior in a professional alliance.

protect client's vulnerability & enhance functional integrity of the relationship.
Boundaries
interpersonal limits on what is acceptable behavior in a professional alliance.
Level of Involvement
* Overinvolvement
* Transference & Countertransference
* Disengagement
Overinvolvement
is a form of countertransference.

It can happen when positive feelings about the relationship override objectivity, when the client is needy or effusively grateful, or when the client reminds the nurse of a similarly unresolved care situation.
Transference
feelings from your past interactions with others that you transfer into current relationships.
Countertransference
nurse's transference of feelings towards the client.
Warning Signs of Overinvolvement
* giving extra time & attention to certain clients
* visiting client in off hours
* doing things for clients that clients can do for themselves
* feeling resentment about the ways other health team members care for the client
* persistently thinking about client
Warning Signs of Overinvolvement
* giving extra time & attention to certain clients
* visiting client in off hours
* doing things for clients that clients can do for themselves
* feeling resentment about the ways other health team members care for the client
* persistently thinking about client
Disengagement
signs include withdrawal, limited perfunctory contacts, minimizing the client's suffering, and defensive or judgmental communication.
Characteristics of a Therapeutic Relationship
science & art of healing (Miller & Keane 1972)

pertaining to a treatment or beneficial act ( Potter & Parry 1989)

helping relationship, which is one that promotes growth & development & improved coping w/ life for the other person (Rogers 1961)
Therapeutic Communication
purposeful communication designed to increase the self-worth of the client or alleviate psychological distress
- done in a caring, concerned & empathetic manner
- focus on client's needs
Characteristics of
Therapeutic Communication
* Planned interaction
* use Skills for the benefit of patients
* Active listening
* Caring attitude
* Empathy
* Honesty
* Trust
* Respectful
* Nonjudgemental attitude
Self-Awareness
provides direction and acts as a barometer of the relationship process, allows nurses to treat each client w/ respect.
-discovery, learning new info abt self as well as being aware of existing bias & prejudices
Steps in Caring
C - Connect, offer attention, show intent to care
A - Appreciate client's situation
R - respond to client's needs
E - empower client to problem solve w/ you
Characteristics of Caring
* Trustworthy
* Knowledgeable
* Nonjudgmental
* Empathetic
* Genuine
* Accepting
* Warm
* Patient
* Authentic
* Respectful
* Understanding
* Use of Humor
Anxieties of the Nurse & Client in a Therapeutic Relationship
vague, persistent feeling of impeding doom

can be a barrier to therapeutic communication
Strategies to Reduce Client Anxiety

(part 1)
* Active listening to show acceptance
* Honesty ; answering all questions at the client’s level of understanding
* Clear explanation of procedures, surgery, policies & reassurance based on data
* Acting CALM & unhurried
Strategies to Reduce Client Anxiety

(part 2)
Speaking clearly & firmly
Giving information lab tests, meds, treatments, & restrictions
Setting reasonable limits & providing structure
Encouraging clients to explore reasons for anxiety
Encouraging self-affirmation “I will”, “I can”
Using play therapy dolls, puppets, games
Drawing for young clients
Use therapeutic touch warm baths, back rub
Initiating recreational activities physical exercise, music, card games, crafts, reading
Teaching breathing & relaxation exercises
Using guided imagery
Practicing covert rehearsal
Therapeutic Tasks of @ Phase of Nurse-Client Relationship
* Pre-interaction
* Orientation
* Working
* Termination
Pre-Interaction
Reviewing data & planning the interaction
Orientation
- meet & greet
- estab purpose of relationship & time frame avail for work to be done
Working
- sets goals & works towards solving problems & meeting goals
Termination
- evaulates what has been accomplished
- brings relationship to a close