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15 Cards in this Set

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  • Back
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Components of Therapeutic relationship
1) Trust
2) Genuine interest
3) Empathy
4) Acceptance
5) Postive regard
1) Trust
BUILDS when the client is conficent in the nruse and when the nurse conveys integrity and reliability

ERODES when client see an inconsistency between what the RN says and what is actually done.
IE
Nurse tells pt the he will return at 1pm and give him a pillow. The nurse comes at 1pm with a pillow for the patient (this displays congruence = when word and action match)
2) Genuine interest
When the RN is comfortable with themself, aware of their strengths and limitations, and clearly focused....the client perceives a genuine person showing genuine interest
IE
The nurse asks a question to the client and waits for an answer.
3a) Empathy
The ability of the nurse to perceive the meanings and feelings of the client and to communicate that understanding to the client.
IE
The RN walks into the room and sees that the patient is sad....RN says, "I see you are sad, how can I help?"
3b) Sympathy
RN demonstrate feelings of concern or compassion.
By expressing sympathy, the RN may project their personal concerns onto the client and inhibiting the clients expression of feelings
IE
The RN walks into the room and sees that the patient is sad,..RN says, "I feel sorry for you."
4) Acceptance
Avoiding judgement of the person no matter what the behavior

A nurse who does not become upset or respond negatively to a client's outburst, anger, or acting out conveys acceptance to the client.

It does not mean to accept the client's bad behavior, instead to accept the person as a worthy

Boundaries must be set for behavior in nurse-client relationship
ie
Client put arm around RN waist, an appropiate response to remove the hand is....Jacob, do not place your hand on me. We are working on your relationship with your girlfriend and that does not require you to touch me

inappropiate response....Jacob, stop that! What is going on with you. I am leaving and maybe will come back tomorrow.
5) Postive regard
It is unconditional nonjudgmental attitude

The nurse who appreciates the cleint as a unique worthwhile human being can respect the client regardless of his/her behavior.
ie
Calling the client by their name, spending time with them, and listening and responding openly are measures by which the rn conveys respect and positive regard.

.
5b) Presence (attending)
Using these verbal and nonverbal techniques to amek the client aware that he/she is receiving full attention
IE
nonverbal attending include leaning over to client, maintain eye contact, being relaxed, have arms at side, and having
an interest buy neutral attitude

verbal attending means that the nurse avoids communicating judements about the clients behavior
i.e. Pt tells rn that she was screaming at her mom and the nurse replies, "I can't believe you did that!" or "well that did not help now, did it?"
Process of develping an understanding of ones own values, beliefs, thoughts, feelings, attitude, etc.
Self awareness

It allows the nurse to observe, pay attention to, and understand the subtle response/reactions of clients interacting with them
ie
hard work, honesty, sincerity, cleanliness, and orderliness.
Value clarification system.

A process to gain insight into oneself and personal values It involves 3 steps
a) choosing
b) prizing
c) acting
a) when the person consideras a range of possibilities and freely chooses the value that feels right.
b) when the person considers the value, cherishes it, and publicly attaches it to themselves
c) when the person puts the value into action
ie
a college clean and orderly college student is roomed with a messy student. the clean one does not know she hesitates to return to the room
She realizes that they view the use of personal space differently (choosing). Next she discusses her conflict and choices with her friends/advisors (prizing). And finally, she decides to negotiate with her roommate for a compromise (acting)
Ideas that one holds to be true
Beliefs

>some have objective evidence to substantiate them
i.e. belief in evolution and the data that supports it

>some are irrational and may persist despite not having any supportive evidence
i.e. nativist hostility towards all people of color regardless if they were born in the same country
ie
"All old people are hard of hearing"
"All woman are whores"
"If the sun is shining, it will be a good day"
General feelings or frame of reference around which a person organizes knowledge about the world
Attitudes
ie (positive mental attitude)
In a crowded line, the person at the cashier is paying in change, the person waiting decideds this is a good time to do deep breathing exercises

i.e. 2 (negative mental attitude)
A person who has a negative experience with one waiter may develop a negative attitude towards all waiters
Process of developing an understanding of one's own values, beliefs, thoughts, feelings, attitudes, motivations, prejudices, strengths, and limitations and how these qualities affect others
Self Awareness
It allows the RN to observe, pay attention to and understand the subtle responses and reactions of clients when interacting with them.
By developing self wareness and beginning to understand their attitudes; the nurse can use aspects of their personality, experiences, values, fellings, needs, coping skills to establish relationship with clients
Therapeutic use of self

Nurses use themselves as a therapeutic tool to establish relationships with clients
Ways one person expects another to behave or speak (roadblock to the formation of an authentic relationship)
Preconception
ie
Mr Rico has a preconceived stereotypical belief that all male nurses are gay and refuses to have Ben care for him. Ben has a preconceived stereotypical belief that all latin men carry knives and is relieved that Mr Rico refuses to work with him. Both men are missing the opportunity to do some important work together because of incorrect preconceptions