N302 Chapter 5

  1. Therapeutic relationship
    Professional alliance in which the nurse and client join together for a defined period of time to achieve health related treatment goals.
  2. Client-centered approach
    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.
  3. Self-awareness
    The means by which a person gains knowledge and understanding of all aspects of self-concept.
  4. Boundaries
    interpersonal limits on what is acceptable behavior in a professional alliance
  5. Professional boundaries
    In a therapeutic relationship, represent invisible structures imposed by legal, moral, and professional standards of nursing that respect nurse and client rights.
  6. Overinvolvement
    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.
  7. Healing presence
    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.
  8. Authenticity
    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.
  9. Empathy
    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"
  10. Self-disclosure
    Intentional revealing of personal experiences or feelings that are similar to or different from those of the client.
  11. Empowerment
    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.
  12. Orientation PHase
    Sets the stage for the rest of the relationship.

    Correlates with the assessment phase of the nursing process.
  13. Working phase
    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.
  14. Termination (resolution) 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.
Card Set
N302 Chapter 5
Key Terms Ch 5