module 1
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| Therapeutic Relationship | Self-Awareness = values, biases, feelings, attitude
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| Therapeutic Relationship (cont.) | Use of Self – “personal style”, genuineness, authenticity, hope, respect, acceptance, and EMPATHY “actor-observer bias”
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| Therapeutic Relationship (cont.) EMPATHY Actor-Observer Bias | - Actor-situational causation (traffic, can’t find parking, car won’t start, etc…)
-Observer-dis positional causation (lazy, don’t care, irresponsible, etc…)
*When a student comes to class late
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| Social Relationship vs. Therapeutic Relationship SOCIAL | Mutual satisfaction (both-sided)
-both people get something out of it
Similar self-disclosure
Unplanned; indefinite, and often gradual termination
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| Social Relationship vs. Therapeutic Relationship THERAPEUTIC | Client focus (one-sided)
-manage anxiety
-well being
-growth
Client’s thoughts (thinking), feelings, and behaviors (doing)
Time limited
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| Phrases of Nurse-Client Relationship 1.Pre-interactive (per-orientation) | Nurse only – preparing and collecting client’s medical history
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| Phrases of Nurse-Client Relationship 2.Orientation (initial,introductory) | -‘Get acquainted’ (what brings you here?)
-Identify initial nursing diagnoses (collecting of data from pre-orientation)
-Formulate verbal contract (building trust)
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| Phrases of Nurse-Client Relationship COMPONENTS OF VERBAL CONTRACT 2.Orientation(initial,introductory) | components of verbal contract—
-Purpose-set boundaries, client focused
-Roles/responsibilities
-Boundaries 1:1 (time & place, frequency, length of session, termination)
-Confidentiality
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| Phrases of Nurse-Client Relationship 3.Working (middle) | -Nursing actions (goals)
-Nurse and client work together to develop client competency
-Fine-tune nursing diagnoses
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| Phrases of Nurse-Client Relationship 4.Termination | -Summarize what occurred in 1:1s
-Evaluate goals (expected outcomes)
-Expression of feelings (sadness, anger, denial, etc…)
-“GOOD-BYE”
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| Phrases of Nurse-Client Relationship 5.Post-termination | Nurse only (is necessary to review to develop nursing skills)
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| Interactions with Clients(Do's and Don'ts) DO'S | -Actively listen
-Be unhurried
-Be sensitive to nonverbal communication
-Be professional (accepting, supportive, and objective)
-Be open to recognize
-Respect culturally influenced behaviors
-Use language client understands
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| Interactions with Clients(Do's and Don'ts) DO'S | -Recognize how own feelings, beliefs, and attitudes affect own behaviors
-Avoid: multiple questions (“whys”) and advice (try to explore for options)
-Develop repertoire of communication skills to acquire “your” most effective style
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| Interactions with Clients(Do's and Don'ts) DON'TS | -Assume client will or will no accept you
-Deprive the client of their individuality
-Minimize or exaggerate severity of situation
-Express moral or ethical judgments (“that’s a great idea!”
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| Interactions with Clients(Do's and Don'ts) DON'TS | -Try to impress with your knowledge
-Be defensive
-Divulge (make to public) confidential information
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