NURS 3554 Chapter Notes - Chapter 8: Proxemics, Psychiatric And Mental Health Nursing, Participant Observation
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Self-a(cid:449)a(cid:396)e(cid:374)ess: p(cid:396)o(cid:272)ess of de(cid:448)elopi(cid:374)g a(cid:374) u(cid:374)de(cid:396)sta(cid:374)di(cid:374)g of o(cid:374)e"s o(cid:449)(cid:374) (cid:448)alues, (cid:271)eliefs, thoughts, feelings, attitudes, motivations, prejudices, strengths and limitations and how these qualities affect others: be aware of own biases. Therapeutic use of self: the nurse beginning to use aspects of his/her personality, experiences, values, feelings, intelligence, needs, coping skills and perceptions to establish relationship with clients. Nu(cid:396)se"s beha(cid:448)io(cid:396)s/attitude: needs of patient identified and explored, clear boundaries established, problem-solving approaches taken, new coping skills developed, behavioral change encouraged, establish boundaries, the contract, physical space, personal space. Countertransference (cid:374)u(cid:396)se displa(cid:272)es feeli(cid:374)gs (cid:396)elated to people i(cid:374) (cid:374)u(cid:396)se"s past o(cid:374)to client. Patie(cid:374)t"s t(cid:396)a(cid:374)sfe(cid:396)e(cid:374)(cid:272)e to (cid:374)u(cid:396)se ofte(cid:374) (cid:396)esults i(cid:374) (cid:272)ou(cid:374)te(cid:396)t(cid:396)a(cid:374)sfe(cid:396)e(cid:374)(cid:272)e i(cid:374) (cid:374)u(cid:396)se. Common sign of countertransference in nurse is over-identification with the patient; feeling either strongly positive or strongly negative towards client. Transference client unconsciously displaces onto individual in current life emotions and behaviors from childhood that originated in relationships with significant others. E(cid:454): (cid:272)lie(cid:374)t states, (cid:862)you (cid:396)e(cid:373)i(cid:374)d (cid:373)e of (cid:373)(cid:455) daughte(cid:396)/so(cid:374). (cid:863)
