Phases of Therapeutic Relationship: Communication in Nursing

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Questions and Answers

What is the main focus of the pre-interaction phase in the therapeutic nurse-client relationship?

Building trust with the client

Direct participation of the client

Gathering relevant client information (correct)

Problem-solving activities

Which phase of the therapeutic nurse-client relationship is characterized by the nurse providing the client with basic information to build trust?

Pre-interaction phase

Orientation phase (correct)

Working phase

Termination phase

During which phase of the therapeutic relationship does mutual learning occur?

Termination phase

Pre-interaction phase

Orientation phase

Working phase (correct)

When does the termination phase of the therapeutic relationship occur?

When the care provided by the nurse is no longer required Signup and view all the answers

Which of the following phases is the only one where the client does not directly participate in the therapeutic relationship?

Pre-interaction phase Signup and view all the answers

What is the primary focus of the working phase in the therapeutic nurse-client relationship?

Problem-solving activities Signup and view all the answers

What is the last step of the diagnostic process?

Formulating diagnostic statements Signup and view all the answers

In the PES format of nursing diagnosis, what does 'P' stand for?

Problem Signup and view all the answers

Which phase of the nursing process involves formulating patient-specific goals based on EDP guidelines?

Working phase Signup and view all the answers

What is the main focus of the orientation phase in a nurse-client relationship?

Establishing trust and rapport Signup and view all the answers

Which statement best describes the termination phase of a nurse-client relationship?

Preparing for closure and separation Signup and view all the answers

What is the purpose of creating a nursing care plan in the planning stage of the nursing process?

Formulating patient-specific goals Signup and view all the answers

What is the purpose of a nursing care plan?

To document the patient's needs and wants and nursing interventions planned Signup and view all the answers

When does the planning phase in nursing care begin?

Once the medical team confirms the patient's diagnosis Signup and view all the answers

Who typically develops the initial comprehensive plan of care in nursing?

The nurse performing the admission assessment Signup and view all the answers

In nursing, what is an example of a short-term goal?

Patient will report increased appetite within 24 hours Signup and view all the answers

Why is ongoing planning important in nursing care?

It helps maintain continuity of care and update plans as needed Signup and view all the answers

What does discharge planning in nursing involve?

Anticipating and planning for needs after discharge Signup and view all the answers

Study Notes

Therapeutic Nurse-Client Relationship

A relationship where both participants recognize each other as unique and important human beings
A relationship where mutual learning occurs

Phases of Therapeutic Nurse-Client Relationship

Pre-Interaction Phase
- The nurse prepares to meet the client by gathering relevant client information and anticipating client concerns prior to the first interaction
Orientation Phase
- The nurse builds a sense of trust by providing the client with basic information
Working Phase
- The problem-solving phase of the relationship, paralleling the planning and implementation phases of the nursing process
Termination Phase
- When the care provided by the nurse is no longer required for the context of care

Focus of Nursing

Nursing as a caring profession
The purpose of a nursing care plan is to document the patient's needs and wants, as well as the nursing interventions planned to meet these needs

Planning in Nursing

The planning phase begins once the medical and nursing team confirms the patient's diagnosis
The care plan is used to establish continuity of care
Types of planning:
- Initial Planning: performed by the nurse who develops the initial comprehensive plan of care
- Ongoing Planning: done by all nurses who work with the client, starting from the beginning of shift
- Discharge Planning: the process of anticipating and planning for needs after discharge

Short-Term and Long-Term Goals

Short-Term Goal: something you want to do in the near future (e.g., today, this week, this month, or this year)
Long-Term Goal: something you want to do further in the future, requiring time and planning

Diagnostic Process

Identifying Health Problems, Risks, and Strengths: after data analysis, the nurse and client identify strengths and problems
Formulating Diagnostic Statements:
- Basic Two-Part Statement: includes problem (P) and etiology (E)
- Basic Three-Part Statement (PES format): includes problem (P), etiology (E), and signs and symptoms (S)

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Description

Explore the phases of therapeutic relationship in nursing, where mutual learning and recognition of each other's uniqueness is essential. Learn about the pre-interaction phase, the only phase where the client does not directly participate.

Phases of Therapeutic Relationship in Nursing

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