maybe a conceptual framework will help. You are a nurse delivering care wihtin a security environment. always address priosners as you would address any patient under your care---with dignity and respect. Adrress them formally as Mr. or Ms, but don't be afraid to just ask them by what name they wish to be called as your patient.
For every patient listen to what their complaint or needs carefully. listening skills are the most powerful as you don't waste time with a power struggle and it helps you start your assessment. A good nursing assessment
, documented usually will identify the appropriate problem and intervention. Use the nursing process to assess every request and validate first what the need is and identify what teaching needs to be done. The facility health policies define what you can provide or not provide. "manipulations" are unmet needs, focusing on assessment, problem-solving and interventions that help solve the problem usually work well. stay within the boundaries of a therapeutic nursing relationship. prisoners are patients first and if you treat them with respect and provide care that is effective you will gain respect quickly. keep your interactions about them, not you. do
not talk about yourself or your colleagues and follow the institution security rules. give them the care you were licensed and educated to give, that is what counts the most. just be a nurse and be professional at all times, be yourself as a nurse. good nursing care is what they need the most and they also need education. do what your license requires you to do. you can ask them anything within the boudaries of your license. you don't have to talk to them in prison lingo; avoid it, it breaks down the boundaries. just address their health care needs to the best of your ability and stay within medical and nursing policy of the facility. This makes it alot easier and you will be fair and consistent and not have to worry so much about power struggles and manipulations. prisoners really just need nurses to be good nurses, they have no choice about who provides their health care.
They test for what they can obtain. If it is within the health care polcies to provide them with something then make sure it gets done, simply tell them if their request is outside of policy. You never have to say you care, they ALWAYS know this by your professionalism and the way you treat them. Do not violate their trust or rights under HIPPA, privacy, medical and nursing standards,etc. Do not promise what cannot be provided, do not withhold what they are entitled to, avoid judgment and remember that establishing a therapeutic relationship is at the core of every interaction. you follow security but do not become security. adopt nursing attitudes, not security attitudes. it's not your job. security and nursing are separate functions and both need to be done well.