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Chapter 3 Module The Therapeutic Nurse-Patient Relationship
Chapter 3 Module The Therapeutic Nurse-Patient Relationship
NURSING DEPARTMENT
Course No. NCM 117 Lecture
Subject: Care of Client with Maladaptive Patterns of Behavior, Acute and Chronic
Yr. Level: BSN 3
Contact Hours/Credit Units: 4 fours/week(4units)_____________________________________________
CHAPTER 3
I. Introduction:
The most important skills a nurse can develop are the ability to develop and establish therapeutic
relationship and communication skills. A therapeutic nurse-patient relationship is a helping relationship that
is based on mutual trust and respect. The nurturing of faith and hope, being sensitive to self and others,
assisting with the gratification of the patients physical, emotional and spiritual needs through your
knowledge and skills.
1. Trust: this is built when the patient relies and feels confident to be with the nurse.
Trusting behaviors:
1. keeping promises 7. interest
2. honesty 8. friendly
3. caring 9. understanding
4. consistent 10. approachable
5. listening 11. treat patient as human being
6. suggest without telling 12. provide schedule of activities
2. Genuine interest: when a nurse is comfortable with himself, knows his limitation, strength and is focused,
the patient will see you as a true person.
3. Empathy: is the ability to listen to the patient, sensing the importance of his problem without becoming
emotionally involved.
4. Acceptance: the ability to tolerate the patient’s behavior no matter how verbally offensive it might be.
5. Positive regard: accepting the patient as a unique individual which include his behavior, background and
lifestyle. This implies respect to your patient. Give care unconditionally and with nonjudgmental attitude.
TYPES OF RELATIONSHIP:
1. Social relationship: this is initiated for the purpose of being friendly, socializing, companionship and
accomplishment of a task. The basic needs are met in this relationship.
2. Intimate relationship: this involves two people who are emotionally committed, helping each other meet
their needs. This relationship has no place in a nurse-patient relationship.
3. Therapeutic relationship: this relationship focuses on the patient needs, feelings and ideas.
IV. Activity:
Short Quiz
V. Bibliography:
Videbeck, S. (2014). Psychiatric-Mental Health Nursing. Wolters
Keltner, N., Bostrom C., & McGuiness T. (2012). Psychiatric Nursing. Elsevier Inc.
Prepared by:
Mrs. Rosalie C. Carreon, RN, MSN
Nursing Department