Podcast
Questions and Answers
According to the College of Nurses of Ontario Practice Standard, what is the primary focus of a nurse's accountabilities in the nurse-client relationship?
According to the College of Nurses of Ontario Practice Standard, what is the primary focus of a nurse's accountabilities in the nurse-client relationship?
Therapeutic communication and interpersonal skills
What is the purpose of the indicators accompanying the standard statements in the College of Nurses of Ontario Practice Standard?
What is the purpose of the indicators accompanying the standard statements in the College of Nurses of Ontario Practice Standard?
To provide broad statements that nurses can modify to their particular practice reality
How many standard statements are described in the College of Nurses of Ontario Practice Standard?
How many standard statements are described in the College of Nurses of Ontario Practice Standard?
Four
What is the significance of the indicators in the College of Nurses of Ontario Practice Standard?
What is the significance of the indicators in the College of Nurses of Ontario Practice Standard?
What is the goal of a nurse's communication strategies in the nurse-client relationship?
What is the goal of a nurse's communication strategies in the nurse-client relationship?
Who published the College of Nurses of Ontario Practice Standard: Therapeutic Nurse-Client Relationship?
Who published the College of Nurses of Ontario Practice Standard: Therapeutic Nurse-Client Relationship?
What is the term used to describe the misuse of power imbalance in the nurse-client relationship, which can cause physical, emotional, or spiritual harm to the client?
What is the term used to describe the misuse of power imbalance in the nurse-client relationship, which can cause physical, emotional, or spiritual harm to the client?
What is the primary focus of the client-centred care approach?
What is the primary focus of the client-centred care approach?
What is the purpose of the decision tree on page 11?
What is the purpose of the decision tree on page 11?
What is the term used to describe the respect and professional intimacy inherent in the nurse-client relationship?
What is the term used to describe the respect and professional intimacy inherent in the nurse-client relationship?
What is the term used to describe the nurse's ability to advocate for the client and the client's community?
What is the term used to describe the nurse's ability to advocate for the client and the client's community?
What is the term used to describe the nurse's access to privileged information in the healthcare system?
What is the term used to describe the nurse's access to privileged information in the healthcare system?
What is the term used to describe the betrayal of the client's trust, violating the respect or professional intimacy inherent in the nurse-client relationship?
What is the term used to describe the betrayal of the client's trust, violating the respect or professional intimacy inherent in the nurse-client relationship?
What is the term used to describe a client who may be an individual, family, group, or community?
What is the term used to describe a client who may be an individual, family, group, or community?
What should a nurse do if they are unsure about performing an activity with a client?
What should a nurse do if they are unsure about performing an activity with a client?
Why is it important for employers to have a policy regarding nurses performing certain activities?
Why is it important for employers to have a policy regarding nurses performing certain activities?
What should a nurse consider before engaging in a behavior with a client?
What should a nurse consider before engaging in a behavior with a client?
What is an important aspect of documenting a behavior or activity with a client?
What is an important aspect of documenting a behavior or activity with a client?
Why is it crucial for nurses to consider the client's unmet needs when determining how to address a situation?
Why is it crucial for nurses to consider the client's unmet needs when determining how to address a situation?
What should a nurse do if they are unsure about abstaining from a behavior with a client?
What should a nurse do if they are unsure about abstaining from a behavior with a client?
What are some key components of a quality practice setting that promotes therapeutic nurse-client relationships?
What are some key components of a quality practice setting that promotes therapeutic nurse-client relationships?
What is a sign of an unhealthy nurse-client relationship, according to the provided content?
What is a sign of an unhealthy nurse-client relationship, according to the provided content?
How does a quality practice setting support nurses in establishing therapeutic relationships with clients?
How does a quality practice setting support nurses in establishing therapeutic relationships with clients?
What is the role of leadership in a quality practice setting that promotes therapeutic nurse-client relationships?
What is the role of leadership in a quality practice setting that promotes therapeutic nurse-client relationships?
What should a nurse do if they witness another nurse or a member of the health care team abusing a client?
What should a nurse do if they witness another nurse or a member of the health care team abusing a client?
What is the result when someone intervenes in an incident of abuse, according to CNO research?
What is the result when someone intervenes in an incident of abuse, according to CNO research?
What measures should a quality practice setting have in place to prevent and address abuse?
What measures should a quality practice setting have in place to prevent and address abuse?
What is a nurse's responsibility if they witness unsafe practice or unethical conduct by a health care provider?
What is a nurse's responsibility if they witness unsafe practice or unethical conduct by a health care provider?
What is the importance of debriefing after critical incidents in a quality practice setting?
What is the importance of debriefing after critical incidents in a quality practice setting?
How does a quality practice setting promote positive collegial and interprofessional relations?
How does a quality practice setting promote positive collegial and interprofessional relations?
What should a nurse do if an unregulated care provider abuses a client?
What should a nurse do if an unregulated care provider abuses a client?
What is the significance of recognizing potential boundary violations in a quality practice setting?
What is the significance of recognizing potential boundary violations in a quality practice setting?
What is a nurse's responsibility to the client after intervening in an incident of abuse?
What is a nurse's responsibility to the client after intervening in an incident of abuse?
How does a quality practice setting support staff well-being in the context of therapeutic nurse-client relationships?
How does a quality practice setting support staff well-being in the context of therapeutic nurse-client relationships?
What is an example of a boundary violation in the nurse-client relationship, according to the provided content?
What is an example of a boundary violation in the nurse-client relationship, according to the provided content?
Why is it important for a nurse to document all relevant discussions with the client in the health record?
Why is it important for a nurse to document all relevant discussions with the client in the health record?
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Study Notes
Influencing Factors in the Nurse-Client Relationship
- Nurses have an imbalance of power in the nurse-client relationship due to their specialized knowledge, access to privileged information, and ability to advocate for the client.
- This imbalance can lead to boundary crossing or abuse if not managed properly.
Defining Abuse
- Abuse is the misuse of power in the nurse-client relationship, which can cause physical, emotional, or spiritual harm to the client.
- Abuse can take many forms, including verbal, emotional, physical, sexual, financial, or neglect.
- Nurses must be aware of the potential for abuse and take steps to prevent it.
Client-Centred Care
- Client-centred care involves advocacy, empowerment, and respect for the client's autonomy, voice, self-determination, and participation in decision-making.
- It is not just about delivering services to the client, but rather about treating the client as a whole person.
Therapeutic Nurse-Client Relationship
- The College of Nurses of Ontario has established practice standards for the therapeutic nurse-client relationship, which include four standard statements with accompanying indicators.
- The indicators are not exhaustive, but rather broad statements that nurses can modify to their particular practice reality.
Standard Statements
- Therapeutic communication is essential in establishing, maintaining, re-establishing, and terminating the nurse-client relationship.
- Nurses must use a wide range of effective communication strategies and interpersonal skills to achieve this.
Boundary Crossing
- Boundary crossing occurs when a nurse's behaviour towards a client is not appropriate, such as disclosing personal information or spending off-duty time with a client.
- Nurses must be aware of their own feelings and motivations to avoid boundary crossing.
Abuse Intervention
- If a nurse witnesses abuse, they must take action to stop it and report it to the employer or other authority responsible for the health care provider.
- The nurse must also inform the client of their right to contact the police.
Quality Practice Setting
- A quality practice setting will promote reflective practice, support client-centred care, and provide resources to support nurses in establishing therapeutic relationships.
- The setting should also recognize potential risks for boundary violations, provide expert resources, and have a zero-tolerance policy for abuse.
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