N302 Chapter 5

Professional alliance in which the nurse and client join together for a defined period of time to achieve health related treatment goals.

First described by Carl Rogers.

Requires a collaborative process in which the nurse and client join together their personal and professional expertise to resolve health care problems. Client is considered expert in his/her own life, the nurse is the expert on health care matters.

The means by which a person gains knowledge and understanding of all aspects of self-concept.

interpersonal limits on what is acceptable behavior in a professional alliance

In a therapeutic relationship, represent invisible structures imposed by legal, moral, and professional standards of nursing that respect nurse and client rights.

Form of countertransference that can happen when positive feelings about the relationship override objectivity, when the client is needy and/or effusively grateful, or when the client reminds the nurse of a similarly previously unresolved care situation.

The condition of being consciously and compassionately in the present moment with another or with others, believing in and affirming their potential for wholeness, wherever they are in life.

Precondition for the therapeutic use of self in the nurse-client relationship.

To be authentic is to be true to oneself or to one's being.

Should be a core component of all phases of the therapeutic relationship, it assures the client that the nurse has truly heard and understood the client's perspective.

"Being able to fully understand the expereince of another without loss of self"

Intentional revealing of personal experiences or feelings that are similar to or different from those of the client.

Helping people develop the knowledge skills and other resources they need to set their own health agendas and to take a primary role in their health care.

Sets the stage for the rest of the relationship.

Correlates with the assessment phase of the nursing process.

Divided into two aspects: identification and exploitation.

• Identification: focuses on mutual clarification of ideas and expectations, and corresponds to the planning phase of the nursing process.
• Exploitation, uses the client's personal strengths and community resources to help the client resolve health care issues, and parallels the implementation phase.

Corresponds to the evaluation phase of the nursing process.

Final phase.

The nurse assists the client in evaluating the resolution of issues that initially brought the client into treatment.