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Therapeutic attitude
Dr.V.Jesinda Vedanayagi,
Department of mental health nursing,
Sacred heart nursing college,
Madurai.
Attitude:
Attitude is one’s physical and
emotional position and manner
with respect to another
person,thing or situation.
Acceptance
Acceptance implies that the nurse treats the
client as an important individual who has
inherent worth and not as a diagnostic
entity or a set of psychiatric symptoms. It
implies that the nurse tries to understand
the meaning, the client is conveying
through his behaviour. She encourages
the client to express his feelings to her,
realizing that in this way he is able to
relieve emotional tensions
Non judgmental attitude
A non judgmental attitude is neither
condemning nor approving. Through tone
of voice and manner, the nurse conveys to
the client a helpful attitude without morally
judging his behavior.
Consistent attitude
The consistent nurse maintains the same
basic attitude toward the client so that he
drives security from being able to predict
her behavior. Consistency helps lessen
the client’s anxiety by avoiding
uncertainties.
Attitude of indulgence
This indicates that an unusual amount of
flexibility is called for in dealing with the
patient’s adherence to his therapeutic
routine. It does mean that a certain
amount of divergence from his
schedule(diet,activities,non essential
medications) is to be accepted.
Unnecessary issues are to be avoided,
harmless favors are to be granted, even if
little convenience is involved.
Attitude of active friendliness
The word active indicates that the nurses are
to assume the initiative in making friendly
overtures and showing a special interest in
the patient. The quality and quantity of
interest shown should be controlled at all
times and adjusted to meet the therapeutic
needs of the patient.
The attitude of passive friendliness
The nurses and their assistance should
make it clear that they are available to the
patient and they should preserve contact
with him but should not force attention
upon him.
The attitude of matter of factness
This has in it an element of casualness, but
without any implication of disinterest.
The attitude of watchfulness
This is appropriate when any aspects of the
patient’s total condition is such that he
requires essentially continuous
observation. Watchfulness always
demands a thoroughness of execution, but
it can involve widely varying degrees of
conspicuousness.
The attitude of kind firmness
This requires that a feeling of assurance be
conveyed by the nurse to the patient that
she knows exactly what is to be done and
she expects her requests to be carriedout.
The nurse’s statement should be direct,
clear and quietly confident, but never
overbearing or challenging.
Attitudes in specific situations
Attitudes to be used in answering requests of
the patient:
1.Grant if feasible
If they are beyond safe limits or for some
other reason, completely impractical, the
nurse should, of course, not completely
but should indicate to the patient that his
request is sympathetically received.
2.Aid patient to make decision
Nurse should whenever possible, help
the patient to evaluate
Therapeutic attitude

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Therapeutic attitude

  • 1. Therapeutic attitude Dr.V.Jesinda Vedanayagi, Department of mental health nursing, Sacred heart nursing college, Madurai.
  • 2. Attitude: Attitude is one’s physical and emotional position and manner with respect to another person,thing or situation.
  • 3. Acceptance Acceptance implies that the nurse treats the client as an important individual who has inherent worth and not as a diagnostic entity or a set of psychiatric symptoms. It implies that the nurse tries to understand the meaning, the client is conveying through his behaviour. She encourages the client to express his feelings to her, realizing that in this way he is able to relieve emotional tensions
  • 4. Non judgmental attitude A non judgmental attitude is neither condemning nor approving. Through tone of voice and manner, the nurse conveys to the client a helpful attitude without morally judging his behavior.
  • 5. Consistent attitude The consistent nurse maintains the same basic attitude toward the client so that he drives security from being able to predict her behavior. Consistency helps lessen the client’s anxiety by avoiding uncertainties.
  • 6. Attitude of indulgence This indicates that an unusual amount of flexibility is called for in dealing with the patient’s adherence to his therapeutic routine. It does mean that a certain amount of divergence from his schedule(diet,activities,non essential medications) is to be accepted. Unnecessary issues are to be avoided, harmless favors are to be granted, even if little convenience is involved.
  • 7. Attitude of active friendliness The word active indicates that the nurses are to assume the initiative in making friendly overtures and showing a special interest in the patient. The quality and quantity of interest shown should be controlled at all times and adjusted to meet the therapeutic needs of the patient.
  • 8. The attitude of passive friendliness The nurses and their assistance should make it clear that they are available to the patient and they should preserve contact with him but should not force attention upon him.
  • 9. The attitude of matter of factness This has in it an element of casualness, but without any implication of disinterest.
  • 10. The attitude of watchfulness This is appropriate when any aspects of the patient’s total condition is such that he requires essentially continuous observation. Watchfulness always demands a thoroughness of execution, but it can involve widely varying degrees of conspicuousness.
  • 11. The attitude of kind firmness This requires that a feeling of assurance be conveyed by the nurse to the patient that she knows exactly what is to be done and she expects her requests to be carriedout. The nurse’s statement should be direct, clear and quietly confident, but never overbearing or challenging.
  • 12. Attitudes in specific situations Attitudes to be used in answering requests of the patient: 1.Grant if feasible If they are beyond safe limits or for some other reason, completely impractical, the nurse should, of course, not completely but should indicate to the patient that his request is sympathetically received.
  • 13. 2.Aid patient to make decision Nurse should whenever possible, help the patient to evaluate