What do you feel are essential aspects of a good nurse-client
relationship?
What do you feel are essential aspects of a good nurse-client
relationship?
Solutions
Expert Solution
The roles, goals, rules and limitations of the relationship are
defined, nurse gains trust of the client, and the mode of
communication are acceptable for both nurse and patient is set.
Acceptance is the foundation of all therapeutic
relationship
Acceptance of others requires acceptance of self first.
Rapport is built by demonstrating acceptance and non-judgmental
attitude.
Acceptance of patient means encouraging the patient verbally
and non-verbally to express both positive and negative feelings
even if these are divergent from accepted norms and general
viewpoint.
The nurse can encourage the client to share his/her feelings by
making the client understand that no feeling is wrong.
Trust of patient is gained by being consistent.
Assessment of the client is made by obtaining data from primary
and secondary sources.
The patient set the pace of the relationship.
During this phase, the problems are not yet been resolved but
the client’s feelings especially anxiety is reduced, by using
palliative measures, to enable the client to relax enough to talk
about his distressing feelings and thoughts.
This stage progresses well when the nurses show empathy provide
support to client and temporary structure until the client can
control his own feelings and behavior.
Reality testing – is accepting the patient’s perceptions,
feelings and thoughts as neither right nor wrong, but at the same
time offering other options or points of view to the client in a
non-argumentative manner for the purpose of helping the client
arrive at more realistic conclusions.
To provide structure is to intervene when the client loses
control of his own feelings and behaviors by medications, offering
self, restrain, seclusion and by assisting client to observe a
consistent daily schedule.
The focus of the assessment and of the relationship is the
client’s behavior and the focus of the interaction is the client’s
feelings.
The nurse should realize that the client’s feelings of security
are developed by being consistent at all times.
Perception of reality, coping mechanisms and support systems
are identified.
The nurse assists the patient to develop coping skills,
positive self concept and independence in order to change the
behavior of the client to one that is adaptive and appropriate.
The nurse uses the techniques of communication and assumes
different roles to help the client.
the nurse terminates the relationship when the mutually agreed
goals are met, the patient is discharged or transferred or the
rotation is finished. The focus of this stage is the growth that
has occurred in the client and the nurse helps the patient to
become independent and responsible in making his own decisions. The
relationship and the growth or change that has occurred in both the
nurse and the patient is summarized.
Client may become anxious and react with increased dependence,
hostility and withdrawal, these are normal reactions and are signs
of separation anxiety, these feelings and behavior should be
discussed with the client.
The nurse should be firm in maintaining professionalism until
the end of the relationship. She should not promise the client that
the relationship will be continued.
The time parameters should be made early in the relationship
and meetings are set further and further apart near the end to
foster independence of the patient and prepare the latter gradually
for the separation.
The nurse should not give her address or telephone numbers to
the patient.
Referral for continuing health care and support after discharge
provides additional resources for the client and the family
The Nurse-Client Relationship
In this discussion, we'll talk about the nurse-client
relationship and the use of therapeutic communication as an
important part of that relationship. Please answer the following
questions:
What are your concerns or fears about mental health nursing in
general? Are you interested in mental health nursing, or do you
approach the topic with some anxiety?
What do you feel are essential aspects of a good nurse-client
relationship?
Please include an example of how you established good rapport...
What do you feel is the relationship between personal ethics and
business ethics? Are they or should they be the same?
***This is a Business Policy and Strategy course****
What do you feel is the relationship between personal ethics and
business ethics? Are they or should they be the same?
Your response should be 200 words in length.