Nurse-Client Relationship Quiz

Created by

@EnviousSerpentine2770

Study Notes

A relationship is an association between two or more people that develops over time.
Nurse-client relationships are established when nursing services are provided.
The nurse-client relationship requires the nurse to respond to the client's needs.
The nurse performs four basic roles to meet the client's needs: caregiver, educator, collaborator, and delegator.

A therapeutic relationship aims to improve health.
It differs from a social relationship by being client-centered and focused on goal achievement.
The relationship is time-limited and ends when goals are achieved.
The nurse treats each client as a unique person and respects their feelings.
The nurse promotes the client's physical, emotional, social, and spiritual well-being.
The nurse encourages client participation in problem-solving and decision-making.

Introductory phase: The period of getting acquainted. Techniques for a positive first impression include: dressing appropriately, being well-groomed, smiling, making eye contact, greeting with a handshake, and showing confidence, avoiding offensive personal odors.
Working phase: The period during which tasks are performed. Mutual planning and implementation of the client's care plan are key. The nurse should not hinder the client's independence.
Terminating phase: The period when the relationship ends. The phase is self-limiting, occurring when the nurse and client agree the client's health problems have improved. A caring attitude and compassion help the client transition to other care services or independent living.

Communication is the exchange of information between two or more people.
Feedback is important to ensure the information was understood or requires clarification.
Communication can be verbal (using words) or nonverbal (body language and tone).
Verbal communication includes speaking, reading and writing. Clients and nurses use verbal communication to gather facts, instruct, clarify, and share ideas.

Therapeutic communication should be brief, clear, and concise.
During therapeutic communication, do not ask personal questions, give personal opinions, be judgmental, belittle client's feelings, give advice, or give false reassurances.

Listening is as important as speaking during communication.
Active listening involves attending to and becoming fully involved in what the client says.
Giving attention to the client provides stimulus for meaningful interaction.
Avoid giving signals of boredom or impatience (e.g., eye contact, nodding).

Nonverbal communication is the exchange of information without using spoken or written words.
Facial expressions, posture, gestures and body movements communicate messages.

To create a positive impression, assume a position at eye level with the client.
Relax arms, legs, and feet; do not cross body parts.
Maintain eye contact.
Lean forward to demonstrate interest and attention.
Keep legs as still as possible.

Touch can be task-oriented or affective.
Affective touch is therapeutic in various situations (e.g., loneliness, discomfort, near-death, anxiety, disorientation, coma, disfigurement, visual impairment).

Demonstrates full attention to what's being said (content and unspoken messages).
Gives clients the opportunity to be heard to organize thoughts and evaluate the situation.
Nurses use empathy to perceive client's emotional state and needs for support, understanding client's experience.