Beruflich Dokumente
Kultur Dokumente
NUR 132
Case Study
Orientation: Therapeutic relationship are not instantaneous; they take time.
The goal of the introductory phase is to establish rapport and build a
foundation for further work. Nurses focus on the following.
The expectations the nurse and the client have of each other and of
their relationship are discussed and clarified (Peplau, 1952).
The nurse gathers information and ensures that priority issues are
appropriately addressed.
Working Phase: clients are involved actively in achieving goals set during the
initial phase. They make progress by testing new behaviors, identifying
resources, and discovering avenues for change.
Problems and issues are identified and plans to address these are put
into action.
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 behaviors (e.g. promiscuity, aggression,
withdrawal, hyperactivity).
The nurse advocates for the client to ensure that the clients
perspectives and priorities are reflected in the plan of care.
Validating plans for the future may be a useful strategy (Hall, 1997;
Sundeen et al., 1989).
Increased autonomy of both the client and the nurse is observed in this
phase (Sundeen et al., 1989).
http://pda.rnao.ca/content/process-therapeutic-relationship
Wanda K. Mohr, Psychiatric-Mental Health Nursing, Evidence-Based
Concepts, Skills and Practices (2013). 8th Edition
B. How can the student nurse convey the essential elements of a
therapeutic relationship in talking to clients? Therapeutic
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