5. Formulating nursing diagnoses 4. Identifying the client’s strengths and limitationsDuring the orientation phase, the nurse and client become acquainted. Tasks include the following: 1. Creating an environment for the establishment of trust and 3. Gathering assessment information to build a strong client 2. Examining one’s feelings, fears, and anxieties about work-The Orientation (Introductory) Phase 6. Setting goals that are mutually agreeable to the nurse and 7. Developing a plan of action that is realistic for meeting the 8. Exploring feelings of both the client and the nurse in terms 2. Establishing a contract for intervention that details the rapportfortable, and the participants may experience some anxiety expectations and responsibilities of both the nurse and clientindividuals bring attitudes and feelings from prior experi-databaseences to the clinical setting. The nurse needs to be aware of how these preconceptions may affect his or her ability to care for individual clients.this initial information, the nurse may also become aware of clienting with a particular client. For example, the nurse may have established goalsbeen reared in an alcoholic family and have ambivalent feel-ings about caring for a client who is alcohol dependent. All of the introductory phase. Introductions are often uncom-personal responses to knowledge about the client.
1. Maintaining the trust and rapport that was established dur- 4. Overcoming resistance behaviors on the part of the client as 3. Problem-solving in an effort to bring about change in the 2. Promoting the client’s insight and perception of realitythis phase. Tasks include the following:The Working PhaseThe therapeutic work of the relationship is accomplished during 5. Continuously evaluating progress toward goal attainmentassociated with this phase.may remain on a superfiing the orientation phaseSeveral interactions may be required to fulficlient’s lifethe level of anxiety rises in response to discussion of painful issuesuntil a degree of rapport has been established. Interactions cial level until the anxiety subsides. ll the tasks
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