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102 Exam 2 > 102 exam 2 > Flashcards

102 exam 2 Flashcards

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1
Q

purpose of client nurse relationship

A

help client and maintain optimal health
occurs in friendship
benefit of the client
goals directed toward the growth of the clients

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2
Q

client cognitive abilities

A

know what made them sick and can make better

help clients use their knowledge

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3
Q

nurses cognitive abilities

A

our views based on knowledge

must exchange this info with client

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4
Q

client affective abilites

A

cultural values
feeling about seeking help
attitudes
values

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5
Q

nurse affective abilities

A 
cultural values
feelings about being nurse
attitudes
value
willingness
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6
Q

client psychomotor abilities

A

ability to communicate with others
ability to manage their own health
ability to learn new methods of care

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7
Q

nurse psychomotor abilities

A

relate and communicate with others
administer effective nursing interventions
ability to teach interventions to client

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8
Q

clients rigths

A 
expect investigation of their health concerns
to be informed and have questions answered
care from nurses with current knowledge
to be confident
trust confidentiality
to be informed
to refuse or consent to treatment
to get help
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9
Q

characteristics of a successful relationship

A

partnership
productive obiectives
alleviating the clients worries and fears
morale boost

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10
Q

therapeutic communication

A

caring made visible

to ease anxiety

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11
Q

techniques of therapeutic communication

A 
listening
establish guidlines
open-ended comments
seeking clarification
validation
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12
Q

OARS

A

Open-ended questions
Affirmation
Reflection
Summaries

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13
Q

open-ended questions

A

allows client to create momentum

begin with how, why, explain or describe

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14
Q

affirmation

A

statements that recognize and acknowledge behaviors positively
build confidence
must be genuine

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15
Q

Reflective listening

A

made by nurse in response to patient statements

provide mirror to client

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16
Q

simple reflections

A

repeating or rephrasing

used at beginning of conversation

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17
Q

complex reflections

A

move conversation to a deeper level

verbalize emotion

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18
Q

Summary

A

signal end of time
move to a new topic
link themes

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19
Q

nontherapeutic communication techniques

A 
not listening
parroting
giving advice
changing topics
why questions
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20
Q

listening skills

A

body mechanics
relax
be present
be aware of verbal and nonverbal communication

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21
Q

qualities of a storycatcher

A

intrigued by human experience
inquistive
curious not judgemental

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22
Q

purpose of a health history

A

obtain subjective data

create a plan

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23
Q

three phases of interview

A

introduction
discussion
summary

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24
Q

introduction

A

prepare patient

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25
discussion
collect data | keep patient centered
26
summary
data collected allows for personalized plan clarification of data provides closure
27
collaboration
development of a partnership to achieve best possible outcomes requires understanding what others have to offer
28
factors that affect the interview
physical setting professional nurse behaviors patient-related variables questions
29
closed ended questions
more precise data
30
directive questions
lead patient to focus on one set of problems
31
strategies to aid in awkward moments
answering personal questions silence emotions anger
32
answering personal questions
brief | experiences that support patient
33
silence
necessary | become comfortable with
34
emotion
natural and should be expected | wait for patient to be ready
35
anger
uncomfortable deal with directly identify source
36
SBAR communication
situation-describe patient situation background-information relevant to situation assessment-provide recommendation-for action used for passing information between healthcare providers
37
culture
ways of life of a particular group | influences ones thoughts and actions
38
etnicity
social identity and origin of a social group | spanish or German
39
ethnocentrism
people believe their race is better than another
40
why nurses need to be informed about cultural beliefs
shifting demographics care economic imperatives older adults/chronically ill
41
shifting demographics
spending more time with minority clients
42
care
central concept of nursing | most valued aspect
43
economic imperatives
competition is increasing | must be more diverse
44
older adults
working more with whole family
45
barriers that interfere with nurses recognition
ethnocentrism individualism medical consultation
46
individualism
individual decides care in America | very different from other races
47
medical consultation
Americans consult doctor if problem persists | Many cultures use as last resort
48
religion
organized system of beliefs, rituals and practices
49
spirituality
broader concept | prayer meditation walking in the woods
50
CLAS
national standards to ensure fair and effective care culturally competent care language access service organizational support
51
develop cultural competence
respect patient as unique person by looking at their needs, values and beliefs be aware of biases
52
avoid stereotyping
uniqueness of each individual | each patient deserves personalized assessment
53
components of communication
identify the clients dominant language cultural communication temporal relationships
54
dominant language
use dominant language
55
cultural communication pattern
willingness of individual to share meaning of touch use of eye contact facial expression
56
temporal relationship
social time versus clock time | explore temporal relations in the group
57
communication techniques that improve care
``` interact with patient not everyone freely shares respect personal space eye contact how to greet be aware during home visits punctuality names ```
58
benefits of warm communication
makes us feel welcomed promotes healing more client dialogue and personal info work more pleasant
59
behaviors that demonstrate warmth
subtle face expressions gestures smile direct eye contact
60
how warmth is displayed
closeness we display touching volume of voice
61
empathy
communicated understanding communicating to our fellow human beings that we understand their world free of judgement support others
62
preverbal empathy
understanding tension and discomfort
63
verbal empathy
accuracy specificity naturalness
64
nonverbal empathy
warmth and genuiness
65
benefits of empathy
increase feeling of connectedness reduce feeling of loneliness and isolation provides comfort increased self esteem
66
six steps of empathic communication
``` clear your head of distractions focus on speaker attend to verbal and nonverbal messages what does person want me to hear convey empathic response see if response was effective ```
67
self-disclosure
open up about self to others | make personal experiences known to others
68
guidelines for self-disclosure
anything revealed should be for benefit of the client use judgement never burden client with problems promote comfort can let client know you are a normal human
69
expressing opinion
``` assertive behavior disclosing what you think or feel additional information provides fuller picture benefit of your point of view get consent include rationale ```
70
giving advice
making decisions for others | prevents independence
71
giving opinions in assertive way
get consent uniqueness of the client or collegue include rationale
72
therapeutic humor
promotes health and wellness | used as complementary treatment
73
positive humor
intent on brining people together | love hope joy
74
negative humor
makes people defensive sarcastic relieves tension for sender
75
3 criteria of humor
timing receptivity content
76
social functions
establish relationship coping with social conflict promote group solidarity
77
psychological functions
relief of tension release of hostility denial of reality coping
78
strategies to implement humor
``` gentle banter let humor take the lead look for positive be creative use props ```
79
three ways humor can promote positive communication
prevention perception perspective
80
purpose of motivational interviewing
evidence bath method patient centered focus on why change effective with less ready patients
81
pre-contemplative
not ready to change
82
contemplative
recognizes the importance of change | thinking about what have to give up
83
preparation
benefits outweigh drawback | lack confidence to change
84
action
person ready to change
85
maintenance
continues the behacvior
86
relapse
goes back
87
2 prerques to change
sense of importance to change | sense of confidence in ones abilities
88
six steps of MI
``` open in a positive way agree on a topic of conversation pros and cons of changing not changing scale to assess importance help patients set realistic goals use the EPE technique ```

102 Exam 2 (1 decks)

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