Concerns regarding professional boundaries are commonly related to the following issues:
● Self-disclosure. Self-disclosure on the part of the
nurse may be appropriate when it is judged that the
information may therapeutically benefit the client. It
should never be undertaken for the purpose of meeting the nurse's needs.
● Gift-giving. Individuals who are receiving care often
feel indebted toward
healthcare providers. And,
indeed, gift giving may be part of the therapeutic
process for people who receive care. Cultural belief and values may also enter into the decision
of whether to accept a gift from a client. In some
cultures, failure to do so would be interpreted as an
insult. Accepting financial gifts is never appropriate,
but in some instances nurses may be permitted to suggest instead a donation to a charity of the client's
choice.
● Touch. Nursing by its
very nature involves touching
clients. Touching is required to perform the many therapeutic procedures involved in the physical care of
clients. Caring touch is the touching of clients when
there is no physical need. Caring touch
often provides comfort or encouragement and, when it
is used appropriately, it can have a therapeutic effect on the client. However, certain vulnerable clients may misinterpret the meaning of touch. clients who are
experiencing high levels of anxiety
or suspicious or psychotic behaviors may interpret touch as aggressive.
These are times when touch should be avoided or considered with extreme caution.
● Friendship or romantic association. When a nurse
is acquainted with a client, the relationship must
move from one of a personal nature to professional. Nurses must guard against personal
relationships developing as a result of the
nurse-client relationship. Romantic, sexual, or similar
personal relationships are never
appropriate between
nurse and client.
Psychology: Principles in Practice
1st EditionSpencer A. Rathus
1,024 solutions
Myers' Psychology for the AP Course
3rd EditionC. Nathan DeWall, David G Myers
955 solutions
Myers' Psychology for AP
2nd EditionDavid G Myers
900 solutions
Psychology
1st EditionHOUGHTON MIFFLIN HARCOURT
1,007 solutions
The medication should not be discontinued abruptly.
Antidepressants, such as paroxetine, must be tapered and not stopped abruptly. • All classifications of antidepressants have varying potentials to cause discontinuation syndromes. • Abrupt withdrawal from SSRIs, such as paroxetine, may result in dizziness, lethargy, headache, and nausea.
• Rapport: Implies special feelings on the part of both the client and nurse based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude.
• Trust: To trust another, one must feel confidence in that person's presence, reliability, integrity, veracity, and sincere desire to provide assistance.
• Respect: Show respect is to believe in the dignity and worth of an individual regardless of his or her unacceptable behavior.
• Genuineness: Refers to the nurse's ability to be open, honest, and "real" in interactions with the client. May call for a degree of self-disclosure on the nurse's part.
• Empathy: Ability to see beyond outward behavior and to understand the situation from the client's point of view. It also means that you remain emotionally separate from the other person, even though you can see the patient's viewpoint. One of the most important characteristics of a therapeutic relationship.
• Both sender and receiver bring certain preexisting conditions to the exchange that influence the intended message and the way in which message is interpreted.
- Values, attitudes, and beliefs
• Example: attitudes of prejudice are expressed through negative stereotyping
- Culture or religion:
• Cultural mores, norms, ideas, and customs provide the basis for ways of thinking
- Social status
•
High-status persons often convey their high-power position with gestures of hands on hips, power dressing, greater height, and more distance when communicating with individuals considered to be of lower social status
- Gender
• Masculine and feminine gestures influence messages conveyed in communication with others
- Age or developmental level
• Example: The influence of developmental level on communication is especially evident during adolescence, with words such as "dude,"
"cool," "awesome," and others.
• In the technological age, communication by "text messaging" includes such acronyms as BRB ("be right back"), BFF ("best friends forever"), and MOS ("mom over shoulder"), among others.
- The environment in which the transaction takes place
• Territoriality, density, and distance are aspects of environment that communicate messages
- Territoriality: the innate tendency to own space
- Density: the number of people within a given environmental
space
- Distance: the means by which various cultures use space to communicate
- There are four kinds of distance in inter- personal interactions
• Intimate distance: the closest distance that individuals allow between themselves and others
• Personal distance: the distance for interactions that are personal in nature, such as close conversation with friends
• Social distance: the distance for conversation with strangers or acquaintances
• Public distance: the distance for
speaking in public or yelling to someone some distance away