The nurse practitioner / patient relationship 100% pass

The nurse practitioner / patient relationship 100% pass Establishing rapport and professional therapeutic relationships 1) non judgment approach 2) mutual trust 3) professional boundaries 4) confidentiality 5) cultural competency - respect - spiritual needs *** evil eye = belief in some latin populations, evil eye that i look at you a certain way and cast a spell - avoid this! - may be wearing jewelry to ward off evil eye - might need to ask, tell me about your belief ** native american family - you are their provider but family member is about to code and they say seeing you for years and i know you understand but we want to be in room when dad dies and bring medicine man in and its important to us, what do you say? let them in! *** what if a jehovas witness and H & H is low and they dont want blood, what do you do? See if they are competent first! some have a card and it is informed consent. If competent you respect there needs *** Asian, from Tawaiin and looks at floor? this is a sign of respect! ** watch for body language avoid judgment!! verbal and non verbal cues Therapeutic communication listen!!! more than talk - this is key! tell me ... - tell me is a great way to open ended communication - tell me what i can do for you? whats bothering you? feeling about situation? never as "why?" - tell me, or I need to know a little more about blank - what was going on at the time - how are you feeling - why sets up a conversation that you are better than they are! judgment! and its a NO ON THE TEST!! BARRIER TO THERAPEUTIC COMMUNICATION focus on feelings!! - mad sad glad afraid ashamed do NOT mince words; no euphemisms "I am concerned about alcoholism" " I'm sorry but, she died" - be sensitive! Crisis intervention 1) ensure safety/ boundaries - call security if necessary 2) establish