This document discusses the nurse-patient relationship and the different phases it progresses through. It outlines the pre-orientation, orientation, working, and termination phases. It also discusses transference and countertransference, as well as the importance of viewing the patient in a holistic, non-judgmental manner to build rapport and trust. Finally, it briefly touches on the concepts of mental hygiene, mental health maintenance, and rehabilitation as approaches to promoting mental health.

1. By
Mr. Vincent Ejakait

2. 10/5/2017Psychnebppt. 2
 Series of interactions between the nurse
and the patient in which the nurse assists
the patient to attain positive behavioral
change

3. 10/5/2017Psychnebppt. 3
 Goal-directed
 Focused on the needs of the patient
 Planned
 Time-limited
 Professional

4. 10/5/2017Psychnebppt. 4
 Trust
 Rapport
 Unconditional positive regard
 Setting limits
 Therapeutic communication

5. 10/5/2017Psychnebppt. 5
 Pre-orientation phase
 Orientation phase
 Working phase
 Termination phase

6. 10/5/2017Psychnebppt. 6
 Begins when the nurse is assigned to a patient
 Phase of Nurse-Patient Relationship in which
the patient is excluded as an actual
participant
 Nurse feels certain degree of anxiety

7. 10/5/2017Psychnebppt. 7
 Includes all of what the nurse thinks and
does before interacting with the patient
 Tasks include data gathering, planning for
the first interaction
 Major task is to develop self-awareness

8. 10/5/2017Psychnebppt. 8
 Begins when the nurse and the patient interacts
for the first time
 Parameters of the relationship are to be laid
 Nurse begins to know about the patient
 Tasks include establishing rapport, developing
trust, assessment (and formulation of a nursing
diagnosis).
 Major task is to develop a mutually acceptable
contract

9. 10/5/2017Psychnebppt. 9
 It is highly individualized
 More structured than the orientation phase
 The longest and most productive phase of the nurse-
patient relationship
 Limit-setting is employed
 Tasks include planning and implementation
 Major task is identification and resolution of the
patient’s problems

10. 10/5/2017Psychnebppt. 10
 It is a gradual weaning process
 It is a mutual agreement
 It involves feelings of anxiety, fear and loss
 It should be recognized in the orientation phase
 Tasks include evaluation
 Major task is to assist patient to review what has been
learned and to transfer his learning to his relationship
with others

11. 10/5/2017Psychnebppt. 11
 Occurs when the client displaces onto the
nurse attitudes and feelings that the client
originally experience in other relationships
 These patterns are automatic and unconscious
 Example:
A client falls in love with the nurse.

12. 10/5/2017Psychnebppt. 12
 Occurs when the nurse displaces onto the client
attitudes or feelings from his or her past.
 Example:
 A female nurse who has teenage children and who is
experiencing extreme frustration with an adolescent client
may respond by adopting a parental or chastising tone.
 The nurse is countertransfering her own attitudes
and feelings toward her children onto the client.

13.  Development of ambivalent feelings
toward self-exploration
10/5/2017Psychnebppt. 13

14. 10/5/2017Psychnebppt. 14

15. 10/5/2017Psychnebppt. 15
 The nurse views the patient as a holistic
human being.
 The nurse accepts the patient as a unique
human being..
 The nurse should focus on the patient’s
strengths and assets.
 The nurse views the patient’s behavior non-
judgmentally.
 The nurse has the potential for rapport.

17. 10/5/2017Psychnebppt. 17
 Review definition of mental hygiene
 Interventions aimed at the promotion of mental
health and lowering incidences by altering the
stressors.
Examples:
Health education
Information dissemination
Counseling

18. 10/5/2017Psychnebppt. 18
 Interventions that limit the severity of a disorder.
 Has two components:
Case finding.
Prompt treatment.
Examples:
Crisis intervention
Administration of medications

19. 10/5/2017Psychnebppt. 19
 Interventions aimed at reducing the disability
after a disorder.
 Has two components:
Prevention of complication
Active program of rehabilitation
Examples:
Alcoholics Anonymous groups.
Occupational therapy