Phases of therapeutic relationship:
Pre-Orientation:
• This is a phase in which a nurse goes through before the actual interaction with the client.
• This phase begins when the nurse is assigned a client to develop therapeutic relationship with him, till she goes to him for interaction.
• Reaction of the nurse in pre- interaction phase .
• The nurse feels and thinks about the client before interaction according to her knowledge, fears and mis-concepts
• Express feelings of inadequacy and fear of hurting or exploiting the client .
• Fear of psychiatric clients related to the stereotyped psychiatric clients abusive and violent behavior. https://www.youtube.com/watch?v=JWhBc5d3KkQ
Orientation:
• The parameters of the relationship are established (e.g., place of meeting, length, frequency, role or service offered, confidentiality, duration of relationship).
• Trust, honesty, respect,
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The therapeutic nurse-client relationship is established for the purpose of promoting client health and well-being.
RNs practice in accordance with standards for nursing practice and the Code of Ethics for Registered Nurses (CNA 2008).
RNs are responsible for setting and maintaining the appropriate boundaries within the therapeutic nurse-client relationship regardless of the wishes of a client or the setting in which the relationship occurs.
RNs are responsible and accountable for their own actions in the therapeutic nurseclient relationship, including actions which result in outcomes that may have been unintended, but should have been foreseen.
RNs recognize the impact that the determinants of health*and individual characteristics of the client have on both the therapeutic nurse-client relationship and the health of the client.