1. cha
Answer
2. therapeutic relationship
Answer Professional interpersonal alliance based on mutuality.Each Interaction is unique because disease, response
and context ditter
3. therapeutic relationships are facilitated by what?
Answer Facilitated by empathy, Requires an integration of the nurse's focus and the client's focus creating a common
ground. w/o this ettective decision making is limited.
4. what are the 7 goals of therapeutic relationships?
Answer 1. Support clients and families to
understand the client's experience of an illness.
2. Provide support to help clients and families make health care decisions
3. Assist clients to cope and find meaning in their illness
4. Connect clients and families with other members of the team
,5. Empower clients with knowledge and tools they need to navigate and negotiate their care
6. Helping clients and their families learn practical strategies o ettectively self manage chronic health conditions
7. helping clients discover new directions in line with their interests and capabilities.
5. Client Centered Care (CCC)
Answer An approach to practice established through the formation and fostering of therapeutic relationships between
all care providers.
6. what is the focus of client centered care?
Answer Focuses on individual preferences, values, beliefs and needs as fundamental considerations. core value in
health care delivery.
7. what are the guiding principles of client centered care?
Answer Presence, Purpose, Positive Regard, Mutuality, Authenticity, Empathy, Respect for the dignity of the person &
Confidentiality (these strengthen the healing influence of a therapeutic relationship)
8. Review 4 ways of knowing (empirical, personal, aesthetic & ethical) helps
nurse guide patient in client centered care
Answer
,9. authenticity
Answer therapeutic use of self in nurse/ Pt. relationship. genuineness, requires self awareness; it means recognizing and
acknowledging your personal vulnerabilities, strengths, and limitations; ex
nurse realized that the respiratory therapist would be better equipped to explain the process of weaning the client from a
ventilator; she arranged for the therapist to explain it and she provided her support by staying w/ client during the explanation;
requires admitting mistakes like forgetting a med.
10. empathy
Answer the ability to be sensitive to and communicate understanding of the client's feelings. putting yourself
in their position (don't have to remember this def., just know in case he ask a situation about client centered care)
11. mutuality
Answer Experience of real or symbolic commonalities of visions, goals, sentiments, or characteristics, including shared
acceptance of ditterence that validates the person's worldview. Sharing of collective knowledge
, 12. what is another definition for mutuality?
Answer An on-going sharing of knowledge between health- care professionals and shared decision making helps
ensure patient satisfaction. basically means that the nurse and the Pt. agree on the client's health problems and the means for
resolving them and that both parties are committed to enhancing the client's well-being.
13. veracity
Answer when clients know they can expect the truth, the development of trust is promoted and helps build
the relationship
14. presence
Answer to expose themselves to the client's and their own experiences, being there and being with; examples- active
listening, sharing of skills, full attention of the nurse for the Pt.
15. self- awarenessAnswer not the same as authenticity; nurse needs to know that parts of the relationship with the Pt. may be
painful, distasteful or uncomfortable. nurses need to be clear about their personal beliefs, values, stereotypes and personal
perspectives bc of their potential influence on client;
16. Validation
Answer Consciously seeking out our clients' opinions and feelings at each phase of the nursing process.