Nurse-Client Relationship
Therapeutic Relationship
Phases of Therapeutic Relationship
Phases of Therapeutic Relationship
100

This term refers to the bond of mutual understanding and respect between the nurse and the client.

Rapport

100

A nurse consistently shows up on time, listens actively, and follows through with promises made to the patient.

Trust

100

In this phase, the therapeutic alliance is actively operationalized as the nurse and client collaborate to address health concerns through planned interventions and shared decision-making.

Working Phase


100

A nurse assesses the patient's emotional readiness to engage in treatment, collaborating with each other and modifies the care plan based on ongoing observations and the patient's verbal and non-verbal cues.

Working Phase

200

This aspect of the nurse-client relationship involves protecting the client’s private information.

Confidentiality

200

The nurse encourages the patient not to lose confidence and says, “You’ve come this far, and we’ll keep going together.”

Hope

200

 Representing the culmination of the nurse-client partnership, this phase involves the evaluation of outcomes and emotional disengagement as the client transitions toward independence.

Resolution Phase

200

At the onset of the nurse-patient relationship, a nurse meets and attempt to create a safe space for the patient by acknowledging their current needs, concerns, and expectations without making assumptions.

Introductory Phase

300

This kind of communication is focused on healing and understanding the patient

Therapeutic communication

300

A patient shares that prayer helps them cope, and the nurse offers a quiet space or time for reflection or prayer before treatment.  

Spiritual Needs

300

This initial phase requires the nurse to establish professional boundaries while building a foundation of trust and mutual respect to facilitate goal setting

Introductory Phase

300

After the patient's goals have been met, the nurse communicates the plan for follow-up care, emphasizes accomplishments, and prepares both the patient and themselves for the conclusion of their professional relationship.

Resolution Phase

400

The nurse shows this by putting themselves in the patient's emotional situation

Emphaty

400

The nurse comforts a grieving patient while ensuring they receive proper medication and nutrition.

Physical and emotional needs

400

Often overlooked, this anticipatory phase demands that the nurse engage in self-reflection and comprehensive assessment of patient data to ensure a purposeful and unbiased interaction.

Pre-Interaction Phase


400

Prior to a scheduled interaction with a patient suffering from a chronic condition, a nurse examines patient history, reflects on their own responses to similar cases, and considers how to approach the situation without preconceived biases.

Pre-Interaction Phase


500

This is the ultimate purpose of the nurse-client relationship that involves including the client in decisions about their health.

Involving the client in decision-making regarding their plan of care

500

A nurse understands that a patient is feeling anxious and scared, and they adjust their tone and words to comfort the patient without being told.

Self- and other-awareness 


500

This foundational yet non-observable phase requires the nurse to synthesize available clinical data, evaluate personal biases, and mentally strategize communication approaches before any therapeutic encounter begins. Answer: Pre-Interaction Phase

Pre-Interaction Phase

500

Knowing that a patient has previously experienced medical trauma, a nurse spends time in self-reflection to evaluate potential emotional triggers and plans a strategy that minimizes the risk of re-traumatization during care.

Pre-Interaction Phase