NURS1032 Study Guide - Fall 2018, Comprehensive Midterm Notes - Nursing, Trust Law, Anxiety
NURS1032
MIDTERM EXAM
STUDY GUIDE
Fall 2018
Developing therapeutic relationships Chapter 10 September 20th 2017
Roles of the Nurse: (Box 10)
Stranger
Surrogate
oAct on clients behalf, they don’t have ability right now so nurse steps in to
help get clients needs
Leader
oTry to get client to do own care but we have to help them and show them
Counsellor
Teacher
Resource
Four Phases:
Pre-interaction Phase
oClient does not participate directly
oDevelop professional goals based on nursing knowledge
oUnderstand the situation/ anticipate needs
oEx: coming in to work early and reading new patients chart
Orientation Phase
oStranger role, basic introductions
oDefine purpose, nature, and length of relationship (Do this for client
visitation)
Ex: purpose- company, getting to spend time as a nursing student
to better create relationships
Nature-therapeutic professional relationship
Length- ends
oEstablish trust
oIdentify needs
oDefine problems
oDefine goals
Working Phase
oActive problem solving
oInterventions
oEncourage self-direction and self-management
oChoice talk/ option talk/ decision talk
Termination Phase
oExplore meaning of the relationship
oEvaluate response to treatment
oAssess goal achievement
oDischarge planning/ referrals
find more resources at oneclass.com
find more resources at oneclass.com
NURS1032 Sept 18th 2017
The Nurse-client relationship: a building block of professional nursing practice
1984 nurses + 1 lawyer wrote
8700 RNs in NB
oOut of 8700 nurses, get 20 complaints in a year, 13 serious
Mandate:
Regulates RNs and NPs in NB to ensure the provision of safe, competent and
ethical care in the interest of the public
Under the nurses act, NANB is legally responsible to protect the public by
regulating members of the nursing profession in NB care
Regulatory framework:
Promote good practice
Prevent poor practice
Intervening when practice is unacceptable
oEmployer should intervene first and then go to NANB if still needed,
need to make formal complaint and anyone can make a complaint
(employer, public, co-worker, student nurse)
oCant turn a blind eye, need to report if see something or can go down
for it
oEx: in a long time care facility, a RN was verbally harassing a patient
with dementia and nurses turned a blind eye, they could also get in
trouble but the nurse was reported by a superior
Accountability
RNs receive direction for their practice in a variety of ways.
4 components that outline what RNs can or cannot do: (all result in safe,
competent, ethical care)
oStandards of practice
oLegislation
oEmployers policies
oIndividual competence
Standards
A standard is:
oAn authoritative statement
oA description of the required and expected behaviour of ever RN
oUsed to evaluate individual performance
Practice standard: the therapeutic nurse-client relationship
oAccountability
oEpisode of care
oPlanned, time limited, goal directed
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Surrogate: act on clients behalf, they don"t have ability right now so nurse steps in to help get clients needs. Leader: try to get client to do own care but we have to help them and show them. Pre-interaction phase: client does not participate directly, develop professional goals based on nursing knowledge, understand the situation/ anticipate needs, ex: coming in to work early and reading new patients chart. Orientation phase: stranger role, basic introductions, define purpose, nature, and length of relationship (do this for client visitation) Ex: purpose- company, getting to spend time as a nursing student to better create relationships. Length- ends: establish trust, identify needs, define problems, define goals. Working phase: active problem solving, interventions, encourage self-direction and self-management, choice talk/ option talk/ decision talk. Termination phase: explore meaning of the relationship, evaluate response to treatment, assess goal achievement, discharge planning/ referrals. The nurse-client relationship: a building block of professional nursing practice.
