When does the nurse-patient relationship begin

The client in the termination phase of the nurse-client relationship is being very confrontational. How should the nurse interpret this behavior?

Possible Answers:

The treatment should revisit the working phase

The nurse has done something to offend the client

The patient should be admitted to the hospital

This behavior is common for a client in the termination phase

Correct answer: This behavior is common for a client in the termination phase

Explanation: Confrontational behavior is very common for a client in the termination phase. The nurse should not assume that she offended the client, and further action in terms of therapy should not be addressed until completing the termination phase.

The nurse is in the orientation phase of the nurse-client relationship where the client has been sexually assaulted. During this phase, the nurse should:

Possible Answers:

Identify themes of patterns of patient behavior and possible coping mechanisms

Explore personal ideas, stereotypes, and biases that my affect the nurse-client relationship

Actively listen to the client express his thoughts and feelings

Establish acceptance, trust, and boundaries

Correct answer: Establish acceptance, trust, and boundaries

Explanation: During the orientation phase the nurse should establish acceptance, trust, and boundaries with the client, which will be built upon in later phases.

Acceptance, trust and boundaries are established during which phase of the therapeutic nurse-client relationship?

Possible Answers:

Termination

Orientation

Preinteraction

Working

Correct answer: Orientation

Explanation: Acceptance, trust, and boundaries are established in the orientation phase of therapy.

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1. Hallet C.E., Austin L., Caress A., Luker K.A. Community nurses’ perceptions of patient “compliance” in wound care: A discourse analysis. JAN. 2000;32:115–123. doi: 10.1046/j.1365-2648.2000.01407.x. [PubMed] [CrossRef] [Google Scholar]

2. DeWolf Bosek M.S., Jannette J., Rambur B. Attitudes of nurses toward patient-directed dying: A pilot study. JONA’s Healthc. Law Ethics Regul. 2013;15:135–139. doi: 10.1097/NHL.0000000000000017. [PubMed] [CrossRef] [Google Scholar]

3. Sharp S., McAllister M., Broadbent M. The vital blend of clinical competence and compassion: How patients experience person-centred care. Contemp. Nurse. 2015;52:300–312. doi: 10.1080/10376178.2015.1020981. [PubMed] [CrossRef] [Google Scholar]

4. Fahlberg B. “No education about me without me”: A shared decision-making approach to patient education. Nursing. 2015;45:15–16. doi: 10.1097/01.NURSE.0000459549.75744.3a. [PubMed] [CrossRef] [Google Scholar]

5. Fellowes D., Wilkinson S., Moore P. Entrenamiento en habilidades comunicativas para los profesionales con pacientes con cáncer, sus familias y cuidadores [Training in communication skills for professionals with cancer patients, their families and caregivers] La Bibl. Cochrane Plus. 2008;2:1–19. [Google Scholar]

6. George T.P. How nurses can encourage shared decision making. Nursing. 2013;43:65–66. doi: 10.1097/01.NURSE.0000431767.44118.c3. [PubMed] [CrossRef] [Google Scholar]

7. Davison I., Cooke S. How nurses’ attitudes and actions can influence shared care. J. Ren. Care. 2015;41:96–103. doi: 10.1111/jorc.12105. [PubMed] [CrossRef] [Google Scholar]

8. Gray T.F. How Can I Change My Patients’ Treatment Decision Making by Becoming a Nurse Scientist? Clin. J. Oncol. Nurs. 2017;21:263. doi: 10.1188/17.CJON.263. [PubMed] [CrossRef] [Google Scholar]

9. Griscti O., Aston M., Warner G., Martin-Misener R., McLeod D. Power and resistance within the hospital’s hierarchical system: The experiences of chronically ill patients. J. Clin. Nurs. 2017;26:238–247. doi: 10.1111/jocn.13382. [PubMed] [CrossRef] [Google Scholar]

10. Sherner T. Making Treatment Decisions Together. ONS Connect. 2016;31:16–20. [PubMed] [Google Scholar]

11. Cahill J. Patient participation: A review of the literature. JAN. 1998;7:119–128. doi: 10.1111/j.1365-2702.1998.00132.x. [PubMed] [CrossRef] [Google Scholar]

12. Truglio-Londrigan M. The Patient Experience with Shared Decision Making: A Qualitative Descriptive Study. J. Infus. Nurs. 2015;38:407–418. doi: 10.1097/NAN.0000000000000136. [PubMed] [CrossRef] [Google Scholar]

13. Arroyo-Arellano F. La Investigación y la bioética. [Research and Bioethics] 1st ed. Edimec; Quito, Ecuador: 2014. pp. 34–212. [Google Scholar]

14. Kleiman S., Frederickson K., Lundy T. Using an electric model to educate students about cultural influences on the nurse-patient relationship. Nurs. Educ. Perspect. 2004;25:249–253. [PubMed] [Google Scholar]

15. Grffith R., Tengnah C. Shared decision-making: Nurses must respect autonomy over paternalism. Br. J. Community Nurs. 2013;18:303–306. doi: 10.12968/bjcn.2013.18.6.303. [PubMed] [CrossRef] [Google Scholar]

16. Phillips G. Nurses are best placed to ensure the ethical application of DNRs. Nurs. Etand. 2016;30:31. doi: 10.7748/ns.30.37.31.s37. [PubMed] [CrossRef] [Google Scholar]

17. Griffith R. Understanding the Code: Acting in a patient’s best interests. Br. J. Community Nurs. 2015;20:458–461. doi: 10.12968/bjcn.2015.20.9.458. [PubMed] [CrossRef] [Google Scholar]

18. Fahlberg B., Foronda C., Baptiste D. Cultural humility: The key to patient/family partnerships for making difficult decisions. Nursing. 2016;46:14–16. doi: 10.1097/01.NURSE.0000490221.61685.e1. [PubMed] [CrossRef] [Google Scholar]

19. Henderson S. Power imbalance between nurses and patients: A potential inhibitor of partnership in care. J. Clin. Nurs. 2003;12:501–508. doi: 10.1046/j.1365-2702.2003.00757.x. [PubMed] [CrossRef] [Google Scholar]

20. Malaquin-Pavan É. Is nursing care an intrusion? Soins. 2015;794:21. doi: 10.1016/j.soin.2015.02.004. [PubMed] [CrossRef] [Google Scholar]

21. Price B. Countering the stereotype of the unpopular patient. Nurs. Older People. 2013;25:27–34. doi: 10.7748/nop2013.07.25.6.27.e448. [PubMed] [CrossRef] [Google Scholar]

22. Higgs J., Titchen A. Practice Knowledge and Expertise in the Health Professions. 1st ed. Butterworth-Heinemann; Oxford, UK: 2001. pp. 35–41. [Google Scholar]

23. Brown A. Implications of patient shared decision-making on wound care. Br. J. Community Nurs. 2013;18:S26–S32. doi: 10.12968/bjcn.2013.18.Sup6.S26. [PubMed] [CrossRef] [Google Scholar]

24. Kolovos P., Kaitelidou D., Lemonidou C., Sachlas A., Sourtzi P. Patient Participation in Decision Making During Nursing Care in Greece—A Comparative Study. Nurs. Forum. 2015;50:147–157. doi: 10.1111/nuf.12089. [PubMed] [CrossRef] [Google Scholar]

25. Pearce L. Introducing the patient’s choice. Nurs. Stand. 2014;28:24. doi: 10.7748/ns.28.37.24.s23. [PubMed] [CrossRef] [Google Scholar]

26. Esposito L. The effects of medication education in adherence to medication regimens in an elderly population. JAN. 1995;21:935–943. doi: 10.1046/j.1365-2648.1995.21050935.x. [PubMed] [CrossRef] [Google Scholar]

27. Moore K.N. Compliance or collaboration? The meaning for the patient. Nurs. Ethics. 1995;2:1. doi: 10.1177/096973309500200109. [PubMed] [CrossRef] [Google Scholar]

28. Marinker M. The current status of compliance. ERR. 1997;8:235–238. [Google Scholar]

29. Buchmann W.F. Adherence: A matter of self-efficacy and power. JAN. 1997;26:132–137. doi: 10.1046/j.1365-2648.1997.1997026132.x. [PubMed] [CrossRef] [Google Scholar]

30. Maroudy D. Should we tell the truth to patients? Soins. 2014;789:1. [PubMed] [Google Scholar]

31. Cameron C. Patient compliance: Recognition of factors involved and suggestions for promoting compliance with therapeutic regimens. JAN. 1996;24:244–250. doi: 10.1046/j.1365-2648.1996.01993.x. [PubMed] [CrossRef] [Google Scholar]

32. Nunes S.R., Rego G., Nunes R. Right or duty of information: A Habermasian perspective. Nurs. Ethics. 2016;23:36–47. doi: 10.1177/0969733014557116. [PubMed] [CrossRef] [Google Scholar]

33. Meadow S.L. Defining the doula’s role: Fostering relational autonomy. Health Expect. 2015;18:3057–3068. doi: 10.1111/hex.12290. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

34. Cole C., Wellard S., Mummery J. Problematising autonomy and advocacy in nursing. Nurs. Ethics. 2014;21:576–582. doi: 10.1177/0969733013511362. [PubMed] [CrossRef] [Google Scholar]

35. Luker K.A., Austin L., Caress A., Hallet C.E. The importance od “Knowing the patient nurses” construction of quality in providing palliative care. JAN. 2000;31:775–782. doi: 10.1046/j.1365-2648.2000.01364.x. [PubMed] [CrossRef] [Google Scholar]

36. Appelin G., Bertero C. Patients’ experiences of palliative care in the home: A phenomenological study of a swedish sample. Cancer Nurs. 2004;27:65–70. doi: 10.1097/00002820-200401000-00008. [PubMed] [CrossRef] [Google Scholar]

37. Lusk J.M., Fater K. A concept analysis of patient-centered care. Nurs. Forum. 2013;48:89–98. doi: 10.1111/nuf.12019. [PubMed] [CrossRef] [Google Scholar]

38. Oudshoorn A., Ward-Griffin C., McWilliam C. Client-nurse relationship in home-abased palliative care: A critical analysis of power relations. J. Clin. Nurs. 2007;16:1435–1443. doi: 10.1111/j.1365-2702.2006.01720.x. [PubMed] [CrossRef] [Google Scholar]

39. Lotfi M., Zamanzadeh V., Valizadeh L., Khajehgoodari M. Assessment of nurse-patient communication and patient satisfaction from nursing care. Nurs. Open. 2019;6:1189–1196. doi: 10.1002/nop2.316. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

40. Karaca A., Zehra D. Patient satisfaction with the quality of nursing care. Nurs. Open. 2019;6:535–545. doi: 10.1002/nop2.237. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

41. Aiken L.H., Cerón C., Simonetti M., Lake E.T., Galiano A., Garbarini A., Soto P., Bravo D., Smith H.L. Hospital nurses staffing and patient outcomes. Rev. méd. Clín. Las Condes. 2018;29:322–332. doi: 10.1016/j.rmclc.2018.04.011. [CrossRef] [Google Scholar]

42. Ramírez P., Müggenburg C. Personal relationships among between the nurse and the patient. Enf. Univ. 2015;12:134–143. doi: 10.1016/j.reu.2015.07.004. [CrossRef] [Google Scholar]

43. Foucault M. «La incorporación del hospital en la tecnología moderna». Conferencia de 1974 en la universidad de Río de Janeiro. [(accessed on 28 January 2020)];Rev. Centroam. de C.S. 1978 :6. Available online: http://hist.library.paho.org/Spanish/EMS/4931.pdf

44. Holmes D., Gastaldo D. Nursing as means of governmentality. JAN. 2002;38:557–565. doi: 10.1046/j.1365-2648.2002.02222.x. [PubMed] [CrossRef] [Google Scholar]

45. Foucault M. Historia de la Sexualidad. la Voluntad del Saber. 30th ed. Siglo XXI; Buenos Aires, Argentina: 2005. [Google Scholar]

46. Foucault M. The Hermeneutics of the Subject. Lectures at the College de France 1981–1982. 1st ed. Palgrave Macmillan; New York, NY, USA: 2005. pp. 198–227. [Google Scholar]

47. Foucault M., Rabinow P. Politics and Ethics: An Interview. The Foucault Reader. An Introduction to Foucault’s Thought. Pantheon Books; New York, NY, USA: 1984. [Google Scholar]

48. Bartol T. Responding to criticism: A choice to grow. J. Nurse. Pract. 2016;41:12–14. doi: 10.1097/01.NPR.0000473386.62874.f5. [PubMed] [CrossRef] [Google Scholar]

49. Gafni A., Charles C. The physician–patient encounter: An agency relationship. In: Edwards A., Elwyn G., editors. Shared Decision-making in Healthcare: Achieving Evidence-based Patient Choice. 2nd ed. Oxford University Press; Oxford, UK: 2009. pp. 73–78. [Google Scholar]

50. Cribb A., Entwistle M.A. Shared decisión making: Trade-offs between narrower and broader conceptions. Health Expect. 2011;14:210–219. doi: 10.1111/j.1369-7625.2011.00694.x. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

51. Entwistle V.A., Carter S.A., Cribb A. McCaffery, KSupporting patient autonomy: The importance of clinician-patient relationship. J. Gen. Intern. Med. 2010;25:471–475. [PMC free article] [PubMed] [Google Scholar]

52. Duke G., Yarbrough S., Pang K. The patient self-determination, act: 20 years revisited. J. Nurs. Law. 2009;13:114–123. doi: 10.1891/1073-7472.13.4.114. [CrossRef] [Google Scholar]

53. Calloway S.J. The effect of culture on beliefs related to autonomy and informed consentc. J. Cult. Divers. 2009;16:68–70. [Google Scholar]

54. Ho A. Relational autonomy or undue pressure? Family’s role in medical decision-making. Scand. Int. J. Caring Sci. 2008;22:128–135. doi: 10.1111/j.1471-6712.2007.00561.x. [PubMed] [CrossRef] [Google Scholar]

55. Epstein R.M., Peters E. Beyond information: Exploring patients preferences. JAMA. 2009;302:195–197. doi: 10.1001/jama.2009.984. [PubMed] [CrossRef] [Google Scholar]

56. Nelson W.L., Han P.K.J., Fagerlin A., Stefanek M., Ubel P.A. Rethinking the objectives of decision-aids: A call for conceptual clarity. Med. Decis. Making. 2007;27:609–618. doi: 10.1177/0272989X07306780. [PubMed] [CrossRef] [Google Scholar]

57. Sevdalis N., Harvey N. Predicting preferences: A neglected aspect of shared decision-making. Health Expect. 2006;9:245–251. doi: 10.1111/j.1369-7625.2006.00391.x. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

58. Dowie J. The role of patients_ meta-preferences in the design and evaluation of decision-support systems. Health Expect. 2002;5:16–27. doi: 10.1046/j.1369-6513.2002.00160.x. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

59. Emmanuel E.J., Emmanuel L.L. Four models of the physician–patient relationship. JAMA. 1992;267:2221–2224. doi: 10.1001/jama.1992.03480160079038. [PubMed] [CrossRef] [Google Scholar]

60. Ramos M.C. The nurse-apatient relationship: Theme and variations. JAN. 1992;17:496–506. [PubMed] [Google Scholar]

61. Guarinoni M.G., Dignani L., Motta P.C. Shared decision making: A scoping review. Prof. Inferm. 2016;69:141–149. doi: 10.7429/pi.2016.693141. [PubMed] [CrossRef] [Google Scholar]