It refers to the initial interaction between the nurse and the patient Quizlet

under-involvement (such as distancing, disinterest, neglect)

helpfulness (the ideal space)

over-involvement (such as excessive personal disclosure by the nurse, secrecy, role reversal, touching, gestures, money or gifts, special attention, social contact, getting involved, and sexual misconduct)

BOTH under and over involvement can be detrimental to patient and nurse.

"could i feel comfortable telling a colleague about my interaction with this patient?"

Secretive behavior is a signal that a nurse does not feel comfortable or is unwilling to share with trusted others.

Failure to maintain professional boundaries with a patient is an offense reportable to your employer and/or your state board of nursing and violates nursing's code of ethics.

The nurse, not the patient, is responsible for delineating and maintaining boundaries.
The nurse should work within the "zone of helpfulness," which is neither aloof nor too intense/emotionally involved.
The nurse should examine any boundary crossing, be aware of its potential implications, and avoid repeated crossings.
Variables such as the care setting, community influences, client needs, and the nature of therapy affect the delineation of boundaries.
Actions that overstep established boundaries to meet the needs of the nurse are boundary violations.
The nurse should avoid dual relationships in which the nurse has a personal or business relationship with a patient, as well as the professional one.
Post-termination relationships are complex because the client may need additional services, and it may be difficult to determine when the nurse-client relationship is truly terminated.

simplistic, distorted images used to describe or characterize groups. (they are irrational and illogical beliefs)

Stereotypes result in prejudices and negative attitudes developed through social and cultural interactions.

Stereotypes may be based on ethnicity, gender, nationality, or political affiliation, etc.

The nature of the nurse-patient relationship requires that nurses become aware of how their stereotypical views of certain patients negatively affect the delivery of care.
professional nurses deliver high quality care to all patients regardless of the patients' ethnicity, age, sex, gender identity, sexual orientation, religion, lifestyle, or diagnosis.

perception, evaluation, and transmission

These operations are influenced by gender, age, and culture of the sender and receiver; the interest and mood of both parties; the value, clarity, and length of the message; the presence or absence of feedback; and the context all are powerful influences. Also involved are individuals' needs, values, self-concepts, sensory and intellectual abilities or deficits, and sociocultural conditioning.

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(1) reviewing the patient for any family history of obesity,
(2) assessing the patient by checking body mass index and vital signs,
(3) encouraging the patient to self-explore by collecting information on lifestyle changes,
(4) instructing the patient to perform daily exercise and note the weight changes, and
(5) having the patient review the diet that should be followed after discharge to combat obesity. The first phase of the nurse-patient relationship is the preinteraction phase, which occurs before meeting a patient. This phase involves reviewing available data, including the medical and nursing histories.
The second phase is the orientation phase, which involves assessing the health status of the patient such as body mass index and vital signs.
The third phase is the working phase, which involves problem solving and accomplishing goals. In this stage, the nurse would encourage the patient to self-explore by collecting information on lifestyle changes. This is followed by instructing the patient to perform daily exercises and noting the weight changes. Both of these steps are involved in working phase. The fourth phase is the termination phase, which occurs before ending the relationship. This involves a brief review of the diet that should be followed after discharge to combat obesity.

"I should introduce myself by giving my name and title," "I will avoid referring to patients by diagnosis, room number, or other attributes," and "I should avoid terms such as 'honey,' 'dear,' or 'grandma' while addressing the patients." The nurse should introduce him- or herself by giving his or her name and status, such as nursing student, registered nurse (RN), or licensed practical nurse (LPN). It is important that the nurse avoid referring to patients by diagnosis, room number, or other attributes, because this approach would be demeaning to patients. The nurse should avoid terms of endearment while addressing patients, even with close nurse-patient relationships. Addressing patients by the last name is respectful in most cultures; nurses usually use a patient's last name in an initial interaction and then use the first name if the patient requests it. Using first names is appropriate for infants, young children, and patients who are confused or unconscious, as well as close team members.

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