During which phase of the helping relationship process does the nurse assist the client to explore thoughts feelings and actions?

June 4, 2020
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What are the phases of a helping relationship in nursing?
What are the phases of the helping relationship?
In what phase of nurse patient helping relationship where we encourage and help the patient express feelings about his or her health?
What are the 5 stages of nurse patient relationship in order?

Phases of Therapeutic Nurse-Patient Relationships

Pre-interaction phase
- Obtain information about the patient from chart, significant others, or other health team members.
- Examine one’s own feelings, fears, and anxieties about working with a particular patient.

Orientation (introductory) phase
- Create an environment for trust and rapport.
- Establish contract for intervention.
- Gather assessment data and identify patient’s strengths and limitations.
- Formulate nursing diagnoses and set mutually agreeable goals.
- Develop a realistic plan of action.
- Explore feelings of both patient and nurse.

Working phase
- Maintain trust and rapport.
- Promote patient’s insight and perception of reality.
- Use problem-solving model to work toward achievement of established goals.
- Overcome resistance behaviors.
- Continuously evaluate progress toward
  goal attainment.

Transference: Occurs when the patient unconsciously displaces (or “transfers”) to the nurse feelings formed toward a person from the past
Countertransference: Refers to the nurse’s behavioral and emotional response to the patient

Termination phase
- Therapeutic conclusion of relationship occurs when
- Progress has been made toward attainment of the goals.
- A plan of action for more adaptive coping with future stressful situations has been established.
- Feelings about termination of the relationship are recognized and explored.

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What are the phases of a helping relationship in nursing?

Hildegarde Peplau describes four sequential phases of a nurse-client relationship, each characterized by specific tasks and interpersonal skills: preinteraction; orientation; working; and termination.

What are the phases of the helping relationship?

Time dependent. Ideally, the therapeutic relationship has a clear starting point and ending point. It progresses through the four stages outlined above: commitment, process, change, and termination.

In what phase of nurse patient helping relationship where we encourage and help the patient express feelings about his or her health?

Orientation Stage Rapport is built by demonstrating acceptance and non-judgmental attitude. Acceptance of patient means encouraging the patient verbally and non-verbally to express both positive and negative feelings even if these are divergent from accepted norms and general viewpoint.

What are the 5 stages of nurse patient relationship in order?

There are five components to the nurse-client relationship: trust, respect, professional intimacy, empathy and power. Regardless of the context, length of interaction and whether a nurse is the primary or secondary care provider, these components are always present.