Nursing Ethics and Therapeutic Relationships Quiz

Therapeutic Nurse-Client Relationship and Practice

• Therapeutic relationships focus on both content and emotions, emphasizing empathetic communication and a shared understanding of the health experience.
• The Therapeutic Nurse-Client Relationship is defined as a professional, interpersonal alliance with specific treatment goals.
• Standards for Therapeutic Nurse-Client Relationships include therapeutic communication, client-centered care, maintaining boundaries, and protecting clients from abuse.
• Nurses require background knowledge, reflective practice/self-awareness, and the ability to recognize and act in appropriate phases of therapeutic relationships.
• The Pre-Interaction Phase of the Nurse-Patient Relationship involves the nurse reflecting on goals, addressing knowledge gaps, and preparing for the client interaction.
• Relational Nursing Practice requires an understanding of patients' healthcare needs within complex contexts, focusing on intrapersonal, interpersonal, and social structural factors.
• Relational capacities in nursing practice include being compassionate, curious, committed, competent, and corresponding in relational inquiry.
• The Orientation Phase of the Nurse-Patient Relationship involves introductions, establishing rapport, defining goals, and developing a therapeutic contract.
• Orientation Phase focuses on developing the relationship, building trust, and being physically and mentally present while actively listening and responding to the client.
• The Orientation Phase also involves the therapeutic use of self, which requires authenticity, seeking understanding, and demonstrating presence.
• The Working Phase of the Nurse-Patient Relationship involves problem-solving, supporting self-management, self-monitoring, shared decision-making, and giving feedback.
• Patient-centered care (PCC) relationships require a holistic understanding of patient preferences and life goals, emphasizing shared decision-making between clinicians and patients.

Nursing Care and Ethical Considerations Summary

• Shared Decision Making (SDM) opportunities include bedside shift report, reviewing care plans with patients, and asking about patient/family priorities.
• The Nurse-Patient Relationship includes phases like Evaluation, Planning/referrals, and Termination, including Warm Referrals to address clients' feelings and minimize potential stress.
• The Evaluation of the Therapeutic Nurse-Client Relationship involves assessing problem definition, interventions chosen, implementation, patient progress, follow-up care, and patient satisfaction.
• Role Communication & Boundaries Standards & Therapeutic Nurse-Client Relationships Standards by CNO (2006) include therapeutic communication, client-centered care, maintaining boundaries, and protecting the client from abuse.
• Ethical values guide care provision within the therapeutic nurse-client relationship, including client well-being, client choice, privacy and confidentiality, respect for life, dignity, commitments, truthfulness, and justice.
• Legal considerations for nursing care include confidentiality, informed consent, professional liability, and protecting the person's privacy, guided by provinces and territories' personal health information legislation and nursing standards.
• Confidentiality in nursing care involves releasing information with express or implied consent, providing only necessary information to other healthcare providers, and reporting breaches of confidentiality.
• Professional sharing of confidential information is acceptable in specific forums like nursing reports, interdisciplinary team case conferences, and one-on-one healthcare provider conversations, among others.
• Mandatory reporting varies among provinces and territories, centering around child abuse or neglect, public health, and communicable disease legislation and disclosure of information to protect public health and safety.
• Informed consent process requires the person to be informed about the treatment, alternatives, risks, and benefits, given the opportunity to ask questions, and be competent to provide consent.
• Professional boundaries in nursing respect nurse and client rights, and protect the functional integrity of the alliance between nurse and client, imposing invisible structures based on legal, ethical, and professional standards.
• The ethical basis of the relationship is rooted in philosophy, dealing with questions of right and wrong and guiding care provision within the therapeutic nurse-client relationship.

Nursing Care and Ethical Considerations Summary

• Shared Decision Making (SDM) opportunities include bedside shift report, reviewing care plans with patients, and asking about patient/family priorities.
• The Nurse-Patient Relationship includes phases like Evaluation, Planning/referrals, and Termination, including Warm Referrals to address clients' feelings and minimize potential stress.
• The Evaluation of the Therapeutic Nurse-Client Relationship involves assessing problem definition, interventions chosen, implementation, patient progress, follow-up care, and patient satisfaction.
• Role Communication & Boundaries Standards & Therapeutic Nurse-Client Relationships Standards by CNO (2006) include therapeutic communication, client-centered care, maintaining boundaries, and protecting the client from abuse.
• Ethical values guide care provision within the therapeutic nurse-client relationship, including client well-being, client choice, privacy and confidentiality, respect for life, dignity, commitments, truthfulness, and justice.
• Legal considerations for nursing care include confidentiality, informed consent, professional liability, and protecting the person's privacy, guided by provinces and territories' personal health information legislation and nursing standards.
• Confidentiality in nursing care involves releasing information with express or implied consent, providing only necessary information to other healthcare providers, and reporting breaches of confidentiality.
• Professional sharing of confidential information is acceptable in specific forums like nursing reports, interdisciplinary team case conferences, and one-on-one healthcare provider conversations, among others.
• Mandatory reporting varies among provinces and territories, centering around child abuse or neglect, public health, and communicable disease legislation and disclosure of information to protect public health and safety.
• Informed consent process requires the person to be informed about the treatment, alternatives, risks, and benefits, given the opportunity to ask questions, and be competent to provide consent.
• Professional boundaries in nursing respect nurse and client rights, and protect the functional integrity of the alliance between nurse and client, imposing invisible structures based on legal, ethical, and professional standards.
• The ethical basis of the relationship is rooted in philosophy, dealing with questions of right and wrong and guiding care provision within the therapeutic nurse-client relationship.