The patient as person

Abstract

This chapter outlines interpersonal skills related to mental health nursing. It is based on a perspective that values the strengths and skills of both the mental health nurse and the person who is the client, while recognising that both can have vulnerabilities (Hem & Heggen 2003). The chapter is divided into three sections. It begins with an overview of the communication skills that underpin the therapeutic nurse-client relationship and nurses' interactions with families and carers. These are the underlying skills that the mental health nurse needs when working with clients in special situations. Issues related to nurse vulnerabilities are discussed in this section, particularly in relation to use of self. A strengths approach to working with families and carers is also outlined. The second section of the chapter discusses risk. In this section the management of clients at risk of self-harm, suicide, aggression and violence is addressed. Special attention is given to risk assessment. Tools to aid assessment, and subsequent nursing interventions, are included. Section three introduces the ethico-legal issues of client choice and consent, which are important when planning and implementing nursing skills.