Peplau-Interpersonal Process in Nursing Theory – Flashcards

process' because it involves interactions between two individuals with a common goal 'therapeutic' because it is a healing art. The attainment of goal is achieved through the use of a series of steps Use of effective communication and formation of the interpersonal relationship reduces client's anxiety

Nurse and the patient can interact. Pts experience both physiological & psychological needs and goals, anxiety, and frustrations. Anxiety, frustration will occur when a specific need and expectation is not met

The relationship of the nurse and the patient develops through a series of steps following a sequential pattern: orientation, identification (working phase), exploitation and termination

meet client as a stranger, accept patient as is and build trust

impact knowledge; must build from what patient knows; assess readiness to learn more

one who provides specific needed info. that helps in understanding of the problem or new situation

greatest emphasis in psychiatric nursing; promotes experiences leading to health

help to clarify domains of dependence & interdependence on clients behalf.

helping client assume maximum responsibility for meeting goals in mutually satisfying way; democratic

Nurse and the patient meet as strangers. The patient and/or the family have a "felt need", however the need may not be easily identified by the patient. The nurse assists the patient & the family to realize what is happening to the patient. Together, they recognize, clarify & define the existing problem. They decide what types of professional assistance are needed.

Nurse is now able to identify the patient's problem. Patients respond differently. The response to the nurse may be one of (1) interdependence, (2) autonomous & independent from the nurse or (3) passive & dependent on the nurse

The patient takes advantage of all the services available. The patient feels as though he/she is an integral part of the helping environment, and begins to take control of the situation by extracting help from the services offered. Some patients may make more demands than they did when they were seriously ill. Nurse must use therapeutic interviewing skills (i.e. clarifying, listening, accepting).

Since the pt's needs have already been met by the collaborative process, both need to terminate their therapeutic relationship, and dissolve the links between them

an organism that "strives in its own way to reduce tension generated by needs"; nurse helps client cope with tension in a positive way

a word symbol that implies forward movement of personality and other ongoing human processes in the direction of creative, constructive, productive, personal, and community living"

Although not directly addressed, she does encourage the nurse to consider the patient's culture. Psychological tasks "within the person" vs. environment

"significant, therapeutic, interpersonal process" where the nurse assists the patient in this process -nursing is beneficial when the client learns from the nurse-client relationship -nurses are responsible to foster personality development in the direction of maturity