A | B |
Social relationship | Primarily initiated for friendship or enjoyment. |
Therapeutic relationship | Initiated to enhance client growth by focusing on client's ideas, experiences and feelings. |
Therapeutic encounter | Informal, limited relationship where nurse uses effective assessment and communication skills to help clients confront problems. |
Accountability | Nurse assumes responsibility for conduct and consequences. |
Focus for mental health care | Client's needs |
Clinical competence | Involves awareness and knowledge appropriate to the situation |
Delaying judgement | Avoid putting own values and belief on others. |
Transference | Client unconsciously displaces onto the nurse feelings and behaviors related to significant figures in own past. |
Blurred boundaries | Relationship slips into social context or when nurses needs are met at the expense of the client's needs. |
Nurse is overly envolved | Inability of the client to perform tasks he was capable of performing |
Nurse is not involved | Nurse avoids spending time with the client. |
Countertransference | The nurse unconsciously displaces own feelings onto the client. |
Rapport | An atmosphere in which trust and understanding can grow. |
Situations where confidential information must be shared | Child or elder abuse, threats or harm to self or others, intention not to follow through. |
Confidential information shared by contract | May be with clinical supervisor, physician, staff, or other students in conferences. |
Orientation phase | Begining of therapeutic relationship where an atmosphere for trust is started |
Working phase | Phase of therapeutic relationship where nurse and client explore areas causing problems inthe client's life. |
Termination phase | Sometimes difficult phase of relationship where goals achieved are summarized. |
Empathy | Helper attempts to understand the world from the others point of view. |
Sympathy | Feels the feelings of another person |