NURS 1710 Study Guide - Midterm Guide: Acute Stress Reaction, Fokker E.Ii, Autonomic Nervous System
Introduction to Nursing Midterm #2 Study Guide
Questions
Week Five (October 16 - 20)
1. Name the five components of Nurse-Client Relationship
a. Trust
b. Respect
c. Professional Intimacy
d. Power
2. Name and describe the four standard statements of the nurse-client relationship.
a. Standard Statements
- Nurses use a wide range of effective communication strategies and interpersonal
skills to appropriately establish, maintain, re-establish and terminate the nurse-
client relationship.
- Introducing himself/herself, Address the client, Listening, Healthcare
team, Verbal and non-verbal, Adapting communication, Advocate.
b. Client-Centered Care
- Nurses work with the client to ensure that all professional behaviours and actions
meet the therapeutic needs of the client.
- Client as partner, Abilities, limitations, and needs, Expectations, Negotiate
roles, Well-being and relationship, Acknowledge bias.
c. Maintain Boundaries
- Nurses are responsible for effectively establishing and maintaining the limits or
boundaries in the therapeutic nurse-client relationship.
- Communicate limits, Comprehensive care plan, Consider setting, Client’s
personal relationships, Disclosure of personal information, Clarify role.
- Giving and accepting gifts.
- Individual gifts, team gift, gifts to clients.
→ Can’t keep it for yourself.
→ Gifts imply that you can buy care.
d. Protecting the Client from Abuse
- Nurses protect the client from harm by ensuring that abuse is prevented, or
stopped and reported.
- Intervene and report disrespect, Intervene and report violence/threat,
Intervene and report sexually inappropriate, Maintain boundaries, If
psychotherapeutic then one year limits.
3. Name and describe the four RNAO recommendations for establishing therapeutic
relationships.
RNAO: Establishing Therapeutic Relationships
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●Recommendation 1
a. The nurse must acquire the necessary knowledge to participate effectively in
therapeutic relationships.
●Recommendation 2
a. Establishment of a therapeutic relationship requires reflective practice. This
concept includes the required capacities of: self-awareness, self-knowledge,
empathy, awareness of boundaries and limits of the professional role.
●Recommendation 3
a. The nurse needs to understand the process of a therapeutic relationship and be
able to recognize the current phase of his/her relationship with the client.
●Recommendation 4
a. All entry-level nursing programs must include in-depth learning about the
therapeutic process, including both theoretical content and supervised practice.
●Recommendation 5
a. Organizations will consider the therapeutic relationship as the basis of nursing
practice and, over time, will integrate a variety of professional development
opportunities to support nurses in effectively developing these relationships.
Opportunities must include nursing consultation, clinical supervision and
coaching.
●Recommendation 6
a. Health care agencies will implement a model of care that promotes consistency
of the nurse-client assignment, such as primary nursing.
●Recommendation 7
a. Agencies will ensure that at minimum, 70 per cent of their nurses are working on
a permanent, full-time basis.
●Recommendation 8
a. Agencies will ensure that nurses’ workload is maintained at levels conducive to
developing therapeutic relationships. (can’t assign a nurse 10 patients and
expect wonderful care for all 10)
●Recommendation 9
a. Staffing decisions must consider client acuity, complexity level, complexity of
work environment, and the availability of expert resources.
●Recommendation 10
a. Organizations will consider the nurse’s well-being as vital to the development of
therapeutic nurse-client relationships and support the nurse as necessary.
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●Recommendation 11
a. Organizations will assist in advancing knowledge about therapeutic relationships
by disseminating nursing research, supporting the nurse in using these findings,
and supporting his/her participation in the research process.
●Recommendation 12
a. Agencies will have a highly visible nursing leadership that establishes and
maintains mechanisms to promote open conversation between nurses and all
levels of management, including senior management.
●Recommendation 13
a. Resources must be allocated to support clinical supervision and coaching
processes to ensure that all nurses have clinical supervision and coaching on a
regular basis. (orientation, ALS training, cardiac training etc.)
●Recommendation 14
a. Organizations are encouraged to include the development of nursing best
practice guidelines in their annual review of performance indicators/quality
improvement, and accreditation bodies are also encouraged to incorporate
nursing best practice guidelines into their standards.
4. State the five phases of the nursing process in order.
a. Assessment
a.i. Subjective and objective data.
b. Diagnosis
b.i. Data analysis
b.ii. Problem identification
b.iii. Label
c. Planning
c.i. Priorities
c.ii. Goals
c.iii. Interventions
d. Implementation
d.i. Nurse-initiated treatments
d.ii. Physician-initiated treatments
e. Evaluation
e.i. Data
e.ii. Diagnosis
e.iii. Etiologies
e.iv. Plans
e.v. Interventions
5. Name and describe the four types of diagnosis
Actual nursing
diagnosis
Describes human responses to levels of wellness that have a
readiness for enhancement
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Document Summary
Week five (october 16 - 20: name the five components of nurse-client relationship, trust, respect, professional intimacy, power, name and describe the four standard statements of the nurse-client relationship, standard statements. Nurses use a wide range of effective communication strategies and interpersonal skills to appropriately establish, maintain, re-establish and terminate the nurse- client relationship. Introducing himself/herself, address the client, listening, healthcare team, verbal and non-verbal, adapting communication, advocate: client-centered care. Nurses work with the client to ensure that all professional behaviours and actions meet the therapeutic needs of the client. Client as partner, abilities, limitations, and needs, expectations, negotiate roles, well-being and relationship, acknowledge bias: maintain boundaries. Nurses are responsible for effectively establishing and maintaining the limits or boundaries in the therapeutic nurse-client relationship. Communicate limits, comprehensive care plan, consider setting, client"s personal relationships, disclosure of personal information, clarify role. Gifts imply that you can buy care: protecting the client from abuse.
