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102 Exam 2 > 102 exam 2 > Flashcards

102 exam 2 Flashcards

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
Q

discussion

A

collect data

keep patient centered

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26
Q

summary

A

data collected allows for personalized plan
clarification of data
provides closure

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27
Q

collaboration

A

development of a partnership to achieve best possible outcomes
requires understanding what others have to offer

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28
Q

factors that affect the interview

A

physical setting
professional nurse behaviors
patient-related variables
questions

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29
Q

closed ended questions

A

more precise data

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30
Q

directive questions

A

lead patient to focus on one set of problems

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31
Q

strategies to aid in awkward moments

A

answering personal questions
silence
emotions
anger

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32
Q

answering personal questions

A

brief

experiences that support patient

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33
Q

silence

A

necessary

become comfortable with

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34
Q

emotion

A

natural and should be expected

wait for patient to be ready

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35
Q

anger

A

uncomfortable
deal with directly
identify source

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36
Q

SBAR communication

A

situation-describe patient situation
background-information relevant to situation
assessment-provide
recommendation-for action

used for passing information between healthcare providers

37
Q

culture

A

ways of life of a particular group

influences ones thoughts and actions

38
Q

etnicity

A

social identity and origin of a social group

spanish or German

39
Q

ethnocentrism

A

people believe their race is better than another

40
Q

why nurses need to be informed about cultural beliefs

A

shifting demographics
care
economic imperatives
older adults/chronically ill

41
Q

shifting demographics

A

spending more time with minority clients

42
Q

care

A

central concept of nursing

most valued aspect

43
Q

economic imperatives

A

competition is increasing

must be more diverse

44
Q

older adults

A

working more with whole family

45
Q

barriers that interfere with nurses recognition

A

ethnocentrism
individualism
medical consultation

46
Q

individualism

A

individual decides care in America

very different from other races

47
Q

medical consultation

A

Americans consult doctor if problem persists

Many cultures use as last resort

48
Q

religion

A

organized system of beliefs, rituals and practices

49
Q

spirituality

A

broader concept

prayer meditation walking in the woods

50
Q

CLAS

A

national standards to ensure fair and effective care
culturally competent care
language access service
organizational support

51
Q

develop cultural competence

A

respect patient as unique person by looking at their needs, values and beliefs
be aware of biases

52
Q

avoid stereotyping

A

uniqueness of each individual

each patient deserves personalized assessment

53
Q

components of communication

A

identify the clients dominant language
cultural communication
temporal relationships

54
Q

dominant language

A

use dominant language

55
Q

cultural communication pattern

A

willingness of individual to share
meaning of touch
use of eye contact
facial expression

56
Q

temporal relationship

A

social time versus clock time

explore temporal relations in the group

57
Q

communication techniques that improve care

A 
interact with patient
not everyone freely shares
respect personal space
eye contact
how to greet
be aware during home visits
punctuality
names
58
Q

benefits of warm communication

A

makes us feel welcomed
promotes healing
more client dialogue and personal info
work more pleasant

59
Q

behaviors that demonstrate warmth

A

subtle face expressions
gestures
smile
direct eye contact

60
Q

how warmth is displayed

A

closeness we display
touching
volume of voice

61
Q

empathy

A

communicated understanding
communicating to our fellow human beings that we understand their world
free of judgement
support others

62
Q

preverbal empathy

A

understanding tension and discomfort

63
Q

verbal empathy

A

accuracy
specificity
naturalness

64
Q

nonverbal empathy

A

warmth and genuiness

65
Q

benefits of empathy

A

increase feeling of connectedness
reduce feeling of loneliness and isolation
provides comfort
increased self esteem

66
Q

six steps of empathic communication

A 
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
Q

self-disclosure

A

open up about self to others

make personal experiences known to others

68
Q

guidelines for self-disclosure

A

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
Q

expressing opinion

A 
assertive behavior
disclosing what you think or feel
additional information
provides fuller picture
benefit of your point of view
get consent
include rationale
70
Q

giving advice

A

making decisions for others

prevents independence

71
Q

giving opinions in assertive way

A

get consent
uniqueness of the client or collegue
include rationale

72
Q

therapeutic humor

A

promotes health and wellness

used as complementary treatment

73
Q

positive humor

A

intent on brining people together

love hope joy

74
Q

negative humor

A

makes people defensive
sarcastic
relieves tension for sender

75
Q

3 criteria of humor

A

timing
receptivity
content

76
Q

social functions

A

establish relationship
coping with social conflict
promote group solidarity

77
Q

psychological functions

A

relief of tension
release of hostility
denial of reality
coping

78
Q

strategies to implement humor

A 
gentle banter
let humor take the lead
look for positive
be creative
use props
79
Q

three ways humor can promote positive communication

A

prevention
perception
perspective

80
Q

purpose of motivational interviewing

A

evidence bath method
patient centered
focus on why change
effective with less ready patients

81
Q

pre-contemplative

A

not ready to change

82
Q

contemplative

A

recognizes the importance of change

thinking about what have to give up

83
Q

preparation

A

benefits outweigh drawback

lack confidence to change

84
Q

action

A

person ready to change

85
Q

maintenance

A

continues the behacvior

86
Q

relapse

A

goes back

87
Q

2 prerques to change

A

sense of importance to change

sense of confidence in ones abilities

88
Q

six steps of MI

A 
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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