I could have been more genuine in my patient care, as well as in my behaviors, and worked with the patient to maximize the impact of communication (Building Rapport, 2015). I introduced myself to the patient, I tried to greet the patient by calling her name, addressing both the patient and her child; these are all ways to begin establishing rapport (Sheldon, n.d.). Reflecting on this situation, I know that I lost the relationship with the patient when I began discussing the procedure and asking the patient questions about her history. Most importantly, I didn't show enough genuineness to my patient. Genuineness is described as the willingness to open up and not hide behind the professional role (Sheldon, n.d.). A nurse accepts primary responsibility for establishing the structure and purpose of the relationship. This means I must use a patient-centered approach to develop the relationship and meet their needs (“Three Ways to Build,” 2015). I must establish a relationship with my patients by integrating respect, empathy, trust, genuineness and confidentiality into every interaction (Sheldon,