O the technical expert the nurse understands various

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o The technical expert- the nurse understands various devices and possesses the clinical skills necessary to perform interventions that are in the best interest of the client o The counselor- the nurse uses “interpersonal techniques” to assist clients in adapting to difficulties or changes in life experiences Dynamics of a therapeutic Nurse-Client Relationship
Both the nurse & the recipient of care have needs met when each views the other as a unique human being, not as an “illness”, etc. Therapeutic relationships are goal oriented. o Identify what is troubling the client at the present time o Encourage client to discuss changes he/she would like to make o Discuss with the client which changes are possible or aren’t o Discuss alternative strategies for creating changes desired o Weight the benefits/consequences of each alternative o Encourage client to implement changes o Provide positive feedback when attempt is made o Assist client to evaluate outcomes of change & make modifications as needed Therapeutic Use of Self Defined as the ability to use one’s personality consciously and in full awareness in an attempt to establish relatedness and to structure nursing intervention Requires that the nurse have a great deal of self-awareness and self- understanding, having arrived at a philosophical belief about life, death, and the overall human condition. Belief -an idea that one holds true, and it can take several forms Rational Beliefs -ideas for which objective evidence exists to substantiate their truth Irrational Beliefs -ideas that an individual hold as true despite the existence of objective contradictory evidence. Delusions can be a form of irrational beliefs. Faith -blind beliefs; is a belief in something or someone that does not require proof Stereotype -socially shared belief that describes a concept in an oversimplified or undifferentiated matter Attitude -frame of reference around which an individual organizes knowledge about his or her world Values -abstract standards, positive, or negative that represent an individual’s ideal mode of conduct and ideal goals The Johari Window The open or Public Self The Unknowing Self The Private Self The Unknown Self Conditions Essential to Development of a Therapeutic Relationship Rapport- implies special feelings on the part of both the client and nurse based on acceptance, warmth, friendliness, common interest, a sense of trust, and a non-judgmental attitude.
Trust- to trust another, one must feel confidence in that person’s presence, integrity, veracity, and sincere desire to provide assistance when requested. The nurse must convey an aura of trustworthiness, which requires that he/she possess a sense of self-confidence. Confidence in the self is derived from knowledge gained through achievement of personal & professional goals as well as the ability to integrate these roles and to function as a unified whole Many psychiatric clients experience concrete thinking , which focuses their

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