Mental Health Nursing: Therapeutic communication and the nurse-patient relationship · Phases of the Nurse-Patient Relationship
How a therapeutic nurse-patient relationship is built, worked through and ended, following the phases first described by Hildegard Peplau.
For learning, not medical advice: for your own health, ask a doctor or another qualified professional.
Try 3 questions
1. Who first described the nurse-patient relationship as an interpersonal process unfolding in phases, in a landmark 1952 book?
- Florence Nightingale
- Virginia Henderson
- Hildegard Peplau
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Answer: Hildegard Peplau
Peplau's Interpersonal Relations in Nursing framed nursing itself as a therapeutic interpersonal process, laying the foundation of psychiatric nursing.
2. What most distinguishes a therapeutic relationship from a social one?
- It centers on the patient's needs and goals
- Both people share their problems equally
- It continues with no planned ending
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Answer: It centers on the patient's needs and goals
In a therapeutic relationship the nurse's own needs are met elsewhere; its purpose, focus and ending are all defined around the patient's growth.
3. Before meeting a new patient, a nurse reviews the chart and reflects on their own feelings about people who self-harm. Which phase is this?
- Orientation phase
- Working phase
- Pre-orientation phase
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Answer: Pre-orientation phase
In the pre-orientation phase the nurse gathers information and examines personal feelings, biases and fears that could affect care.
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