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Registration for the Winter 2020 semester begins soon.  Watch your email for more details.
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Therapeutic Relations IV

Course Code: PNUR 3421
Faculty: Health Sciences
Department: Nursing - Psychiatric
Credits: 1.5
Semester: 15
Learning Format: Lecture
Typically Offered: TBD. Contact Department Chair for more info.
course overview

This course will build upon application of therapeutic communication within the context of the nurse-client relationship as introduced in Semester III. The student will continue to develop their foundational skills as well as experiential learning of working with challenging behaviours. The focus will be on communicating assertively with distressed and aggressive clients; using advanced therapeutic communication skills. Students will deepen their understanding of resistance. Students will apply skills of assertiveness, limit setting, and conflict resolution through experiential leaning. Therapeutic communication issues related to cultural competence will continue to be developed. Professional documentation and sharing of information in the context of client, as individual and family will be introduced. All concepts will be linked to the Professional Standards for Psychiatric Nursing and the Douglas College Conceptual Framework.

Course Content

Therapeutic communication will be introduced through:

  • Understanding and demonstrating the phases of the nurse-client relationship, and goals of the interview and the link to the nursing process
  • Demonstrating of foundational skills such as empathy, engagement and blending
  • Demonstrating the principles and steps in managing challenging behaviours including resistance and conflict resolution
  • Understanding and demonstration of assertive and responsible communication
  • Demonstration of understanding of theory and concepts through simulated clinical examples
  • Understanding of cultural competence and the issues of professional documentation and sharing of client information for the client as individual and family

Methods of Instruction

Experiential communication formats are used, including interactive communication scenarios, video critiquing and participative self-awareness exercises.

Means of Assessment

The course evaluation is consistent with Douglas College evaluation policy.  An evaluation schedule is presented at the beginning of the course.

This is a graded course.

Learning Outcomes

Students will have the opportunity to develop and practice the therapeutic communication skills of advanced empathy, therapeutic confrontation and immediacy. Student learning will focus on effective communication with distressed and aggressive clients experiencing episodic health challenges. Students will continue to develop cultural competencies as it relates to therapeutic communication and the client as individual and family.

course prerequisites

PNUR 2301, PNUR 2321, PNUR 2330, PNUR 2351, PNUR 2361


PNUR 3401, PNUR 3430, PNUR 3461

curriculum guidelines

Course Guidelines for previous years are viewable by selecting the version desired. If you took this course and do not see a listing for the starting semester/year of the course, consider the previous version as the applicable version.

course schedule and availability
course transferability

Below shows how this course and its credits transfer within the BC transfer system. 

A course is considered university-transferable (UT) if it transfers to at least one of the five research universities in British Columbia: University of British Columbia; University of British Columbia-Okanagan; Simon Fraser University; University of Victoria; and the University of Northern British Columbia.

For more information on transfer visit the BC Transfer Guide and BCCAT websites.


If your course prerequisites indicate that you need an assessment, please see our Assessment page for more information.