Nurse-Client relationship: 2

292 FINAL EXAM – BLUEPRINT SPRING 2018 Nurse-Client relationship: 2 <> Characteristics of Nurse-Client Relationship  Mutual respect  Client focused  Meets client’s needs  Emotional needs of nurse cannot interfere  Purposeful and goal oriented  Goals mutually established  Collaborative  Shared decision making  Promotes client’s independence  Agreement or contract is established  Boundaries are maintained Phases of the Nurse-Client relationship  Pre-interaction  begins before nurse meets client, nurse reviews data, considers personal feelings and thoughts  Orientation phase  introductory phase, initial encounter, develop trust, establish verbal contract and boundaries, collect data, formulate nursing diagnosis, develop goals, and initial plan of care  Working phase  Termination phase  end of the relationship, evaluate outcomes, express feelings about ending the relationship Conditions essential to developing a therapeutic relationship  Rapport  Trust  Respect  Genuineness  Empathy Transference  client transfers feelings and behavioral dispositions formed towards the nurse from past  Do you have a boyfriend?  Where do you live? Countertransference  nurses behavioral and emotional responses to the client  Poor boundaries  Nurse begins to interfere with patient’s health decisions