In order to help improve the functioning of mental health clients and their families, nurses must:
1. Teach the client communication skills.
2. Help each member negotiate what they need within the family.
3. Decrease the client's stress by compromising the integrity of family interactions.
4. Normalize the family's experience.
2
Rationale: The negotiation phase of family therapy is begun by identifying what each member would like to change in the family. When each family member and the therapist have identified important goals, they begin negotiating a set of attainable goals that everyone is willing to work on. Some give-and-take among the family members is needed to achieve workable goals. At this time, the family therapist, along with the family, may also identify the means—tasks, strategies, and so on—that will be used to reach the negotiated goals. Teaching the client communication skills may be one of the tasks the family identifies. Normalizing the family's experience may result from improvement of family functioning. It is nontherapeutic for the nurse to actively compromise the integrity of family interactions.
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