Questions and Answers
What is a nurse not allowed to accept for a client, with few exceptions?
Power of attorney for personal care or property
What is the purpose of the decision tree tool in the context of the nurse-client relationship?
To guide client care discussions
What should a nurse do if they are named power of attorney for a client?
Decline the client assignment and inform the manager
What does empathy include in a nursing context?
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What is the primary goal of the therapeutic nurse-client relationship?
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What is the significance of power in the nurse-client relationship?
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What is the purpose of maintaining emotional distance in a nursing context?
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What should a nurse consider before making a decision to provide care to a family member or friend?
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What is the role of the manager in the context of the nurse-client relationship?
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What is an important aspect of maintaining boundaries when providing nursing care to a family member, friend, or acquaintance?
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What is the purpose of self-reflection in the context of the nurse-client relationship?
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What characterizes the nurse-client relationship?
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What is the consequence of misusing power in the nurse-client relationship?
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What is a potential consequence of a nurse providing care to their sexual partner?
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What should a nurse do when providing care to a family member, friend, or acquaintance?
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What is the primary goal of the nurse-client relationship?
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What does the College of Nurses of Ontario Practice Standard focus on?
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What is a key component of maintaining a therapeutic nurse-client relationship?
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What is included in the College of Nurses of Ontario Practice Standard?
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What is the purpose of discussing the situation with colleagues and employer before making a decision to provide care to a family member or friend?
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What is considered physical abuse?
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When is an individual considered a client?
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What is an example of neglect?
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When is an individual not considered a client?
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What is an example of physical abuse?
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What is an indicator of the nurse meeting the standard by considering the client’s preferences?
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How does the nurse meet the standard by enabling the client to make informed decisions?
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What is an example of the nurse recognizing that all behaviour has meaning and seeking to understand the cause of a client's unusual comment, attitude or behaviour?
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What is an indicator of the nurse meeting the standard by promoting client choice and autonomy?
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What is an example of the nurse meeting the standard by integrating the client's values, opinions, needs and ethnocultural beliefs into the care plan?
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What is an indicator of the nurse meeting the standard by respecting the client's autonomy and dignity?
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What is an example of the nurse meeting the standard by considering the client's preferences when advocating on the client's behalf?
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What is an indicator of the nurse meeting the standard by demonstrating cultural sensitivity and respect?
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What is an example of the nurse meeting the standard by reflecting on interactions with the client and the health care team?
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What is an indicator of the nurse meeting the standard by promoting client autonomy and empowerment?
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Study Notes
Empathy
- Empathy is the expression of understanding, validating, and resonating with the client's feelings and perspectives.
- In nursing, empathy includes maintaining appropriate emotional distance to ensure objectivity and a professional response.
Therapeutic Nurse-Client Relationship
- The nurse-client relationship is one of unequal power, with the nurse having more authority and power than the client.
- The nurse must use their power appropriately, in a caring manner, to partner with the client and meet their needs.
- Misuse of power is considered abuse.
Practice Standard
- The College of Nurses of Ontario Practice Standard outlines four standard statements with indicators that describe a nurse's accountabilities in the nurse-client relationship.
- Indicators include:
- Introducing oneself to the client and discussing their role in the therapeutic relationship.
- Addressing the client by their preferred name and title.
- Giving the client time to explain themselves and listening to understand their concerns.
- Informing the client that information will be shared with the healthcare team and identifying the team's composition.
- Refraining from self-disclosure unless it meets a specific therapeutic client need.
- Reflecting on interactions with the client and the healthcare team to continually improve communication skills.
Boundaries
- Nurses must maintain appropriate boundaries in the nurse-client relationship, including:
- Being aware of their verbal and non-verbal communication style and how it may be perceived by the client.
- Modifying communication style to meet the client's needs.
- Not accepting the position of power of attorney for personal care or property for a client, except in specific circumstances.
- Not engaging in personal or financial relationships with clients that could compromise the nurse-client relationship.
- Not providing care to family members or friends if it could interfere with the care of other clients or the dynamics of the healthcare team.
Decision Tree
- The decision tree is a tool used to determine whether a particular activity or behavior is appropriate within the context of the nurse-client relationship.
- It can be used for self-reflection, peer input, and guiding client care discussions.
Physical and Emotional Abuse
- Physical abuse includes, but is not limited to, hitting, pushing, slapping, using force, and handling a client in a rough manner.
- Neglect includes, but is not limited to, non-therapeutic confining or isolation, denying care, and ignoring the client's needs.
College of Nurses of Ontario
- The College of Nurses of Ontario is responsible for regulating the nursing profession in Ontario.
- Their practice standard outlines the expectations for nurses in maintaining a therapeutic nurse-client relationship.
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Description
This quiz assesses your understanding of empathy in nursing, including its expression and importance in nurse-patient communication. It covers key concepts and skills required for effective empathy in nursing practice.
