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A nurse in blue scrubs stands over a man sitting on a couch; her hands on his shoulders. The man holds one hand over the nurses and both smile at each other.
Figure 6.1 Group therapy can occur in a variety of settings, such as this session in the woods by a river. (credit: "Men Sitting Talking by River Outdoors" by JourneyPure Rehab/Flickr, CC BY 2.0)

The therapeutic relationship between the client and the nurse is a foundational element in the provision of good care. This relationship is based on trust, support, engagement, and collaboration to determine a set of goals based on the needs of the client. The nurse acts as a conduit toward better health, not as an authority who makes all the decisions. Support from family and friends is also a factor that determines how quickly the client can recover. Therapeutic relationships and support are protective factors that can decrease the risk of developing or exacerbating mental health issues.

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