Which is the primary nursing goal when establishing a therapeutic relationship with a client?

Orientation:

  • In the beginning of the therapeutic relationship, the nurse and client are strangers to each other, yet each individual has preconceptions of what to expect – based on previous relationships, experiences, attitudes and beliefs 
  • The parameters of the relationship are established (e.g., place of meeting, length, frequency, role or service offered, confidentiality, duration of relationship)
  • The client and nurse begin to learn to trust and know each other as partners in the relationship
  • Trust, respect, honesty and effective communication are key principles in establishing a relationship

Working Phase:

  • The working or middle phase of the relationship is where nursing interventions frequently take place
  • Problems and issues are identified and plans to address these are put into action. Positive changes may alternate with resistance and/or lack of change 
  • It is important for the nurse to validate thoughts, feelings and behaviours 
  • The nurse assists the client to explore thoughts (e.g. views of self, others, environment, and problem solving), feelings (e.g. grief, anger, mistrust, sadness), and behaviours (e.g. promiscuity, aggression, withdrawal, hyperactivity)
  • The content to be explored is chosen by the client although the nurse facilitates the process
  • The nurse continues his/her assessment throughout all phases of the relationship
  • New problems and needs may emerge as the nurse-client relationship develops and as earlier identified issues are addressed
  • The nurse advocates for the client to ensure that the client’s perspectives and priorities are reflected in the plan of care

Resolution Phase:

  • The resolution or ending phase is the final stage of the nurse-client relationship
  • After the client’s problems or issues are addressed, the relationship needs to be completed before it can be terminated
  • The ending of the nurse-client relationship is based on mutual understanding and a celebration of goals that have been met 
  • Both the nurse and the client experience growth 
  • Termination may be met with ambivalence
  • The nurse and the client must recognize that loss may accompany the ending of a relationship 
  • Both should share feelings related to the ending of the therapeutic relationship
  • Validating plans for the future may be a useful strategy 
  • Increased autonomy of both the client and the nurse is observed in this phase 

Panel Members (2006)
Cheryl Forchuk, RN, PhD - Team Leader
Kathleen Carmichael, BScN, MScN
Gabriella Golea, RN, MN, CPMHN (C)
Nancy Johnston, RN, PhD
Mary-Lou Martin, RN, MEd MScN
Patricia Patterson, RN, BScN, MA, CPMHN (C)
Karen Ray, RN, MSc
Trish Robinson, RN, BScN, DBS (dip), MEd
Selinah Adejoke Sogbein, RN, BScN, MHA, MEd
Rani Srivastava, RN, MScN, PhD (cand.)
Tracey Skov, RN, BScN, MSN (cand.)

Panel Members (2002)
Ruth Gallop, RN, PhD (Team Leader)
Jacqueline Choiniere, RN, MA
Cheryl Forchuk, RN, PhD
Gabriella Golea, RN, MN, CPMHN(c)
Nancy Johnston, RN, MHSC, PhD (cand.)
Anne Marie Levac, RN, MN
Mary-Lou Martin, RN, MEd, MScN, PhD(c)
Trish Robinson, RN, BScN, CBS (dip)
Selinah Sogbein, RN, MHA, MEd, CPMHN(c)
Heather Sutcliffe, RN, BScN
Charmaine Howard, RPN
Francine Wynn, RN, PhD

Which is the primary nursing goalwhen establishing a therapeuticrelationship with a client?A.To promote client growthB.To develop the nurse’s personalidentityC.To establish a purposeful socialinteractionD.To develop communication skills

Nội dung chính

  • What is the main goal of the working phase of the nurse
  • Which of the following concepts is most important in establishing the therapeutic nurse
  • Which is the main purpose of the client nurse relationship?
  • How do you establish a therapeutic nurse

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Issues and Ethics in the Helping Professions

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Dynamics of a Therapeutic Nurse-ClientRelationship(cont.)Correct answer:The goal of a therapeutic nursing interaction is topromote client insight and behavioral changedirected toward client growth.A

Conditions Essential to Development of aTherapeutic RelationshipRapportTrustRespectGenuinenessEmpathy

Human to Human Relationship Theory(cont.)18Rapport Phase– rapport includes a“concern for others and an active interest inthem, a belief in the worth, dignity,uniqueness, and irreplaceability of eachindividual human being, and an accepting,nonjudgmental approach”The ill person exhibits both trust andconfidence in the nurse

Human to Human Relationship Theory19Original Encounter –characterized by firstimpressions by the nurse of the ill person andby the ill person of the nurseEmerging Identities –the nurse and the illperson perceive each other as uniqueindividuals and the bond of a relationship isbegins to form

Human to Human Relationship Theory(cont.)20Empathy Phase –An intellectual processand, to a lesser extent, emotioncomprehension of another person.Requires a combination of the disciplined intellectualapproach combined with the therapeutic use of self

Boundaries in the Nurse-ClientRelationshipProfessional boundaries limit and outlineexpectations for appropriate professionalrelationships with clients.

Boundaries in the Nurse-ClientRelationship(cont.)Professional boundary concerns commonlyinclude issues such as:Self-disclosureGift-givingTouchFriendship or romantic association

  • School Fairfield University
  • Course Title NURS 3305
  • Pages 25
  • Ratings 100% (1) 1 out of 1 people found this document helpful

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12. Which is the primary nursing goal when establishing a therapeutic relationship with a client?To promote client growthTo develop the nurse’s personal identityC. To establish a purposeful interaction D. To develop communication skillsCorrect answer: AThe goal of a therapeutic nursing interaction is to promote client insight and behavioral changedirected toward client growth.

13. A client threatens to kill himself, his wife, and their children if the wife follows through withdivorce proceedings. During the preinteraction phase of the nurse- patient relationship, whichinteraction should the nurse employ?

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1.Practice Questions Nursing Process Theories of PersonalityA staff nurse completes orientation to a psychiatric unit. This nurse may expect an

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In most states, prescriptive privileges are granted to master’s-prepared nursepractitioners who have taken special courses on prescribing medication. The nurseprepared at the basic level is permitted to perform mental health assessments, establishrelationships, and provide individualized care planning.A patient states, “I’m not worth anything. I have negative thoughts about myself. I feelanxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep andnever wake up.” Which nursing intervention should have the highest priority?

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ANS: DThe nurse would place a priority on monitoring and reinforcing suicide self- restraintbecause it relates directly and immediately to patient safety. Patient safety is always apriority concern. The nurse should monitor and reinforce all patient attempts to controlanxiety, improve sleep patterns, and develop self- esteem, while giving priority attentionto suicide self-restraint.

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What is the main goal of the working phase of the nurse

The goal of the working phase of the nurse-client therapeutic relationship is to resolve client problems by promoting behavioral change.

Which of the following concepts is most important in establishing the therapeutic nurse

It can be stated that empathy is not only a moral and philosophical issue but one of the most important competencies of a modern nurse. Without empathy there is no trust, without trust, there is no sincere and good therapeutic nurse‐patient relationship, which is helpful in the treatment process.

Which is the main purpose of the client nurse relationship?

The nurse-patient relationship enables nurses to spend more time, to connect, to interact with their patients as well as to understand their patient's needs. It assists nurses to establish a unique perspective regarding the meaning of the patient's illness, beliefs, and preferences of patients/families.

How do you establish a therapeutic nurse

Fostering therapeutic nurse-patient relationships.

Introduce yourself to your patient and use her name while talking with her. ... .

Make sure your patient has privacy when you provide care. ... .

Actively listen to your patient. ... .

Maintain eye contact. ... .

Maintain professional boundaries..

What is the main goal of the working phase of the nurse

The goal of the working phase of the nurse-client therapeutic relationship is to resolve client problems by promoting behavioral change.

Which of the following concept is most important in establishing a therapeutic nurse

It can be stated that empathy is not only a moral and philosophical issue but one of the most important competencies of a modern nurse. Without empathy there is no trust, without trust, there is no sincere and good therapeutic nurse‐patient relationship, which is helpful in the treatment process.

How does a nurse establish a therapeutic relationship?

A therapeutic nurse-patient relationship is defined as a helping relationship that's based on mutual trust and respect, the nurturing of faith and hope, being sensitive to self and others, and assisting with the gratification of your patient's physical, emotional, and spiritual needs through your knowledge and skill.

Which of the following is the purpose of the nurse

A therapeutic nurse-client relationship is established for the benefit of the client. It includes nurses working with the client to create goals directed at improving their health status. Goals are centered on the client's values, beliefs and needs.