1.6 Flashcards
(27 cards)
describe active listening
- be attentive to what client is saying, both verbally and nonverbally
- severe nonverbal behaviors have been designed to facilitate attentive listening
S- sit squarely facing the client O- observe an open posture L- lean forward toward the client E- establish eye contact R- relax
discuss therapeutic feedback
- is descriptive rather than evaluative and focused on the behavior rather than on the client
- is specific rather than general
- is directed toward behavior that the client has the capacity to modify
- imparts info rather than offers advice; is well-timed
therapeutic use of self
instrument for delivery of care to clients in need of psychosocial intervention
rapport
implies special feelings on the part of both the client and the nurse based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude. (discuss non-health related topics)
trust
one must feel confident in that person’s presence, reliability, integrity, veracity, and sincere desire to provide assistance when requested (nurse must feel self-confidence)
- must be earned
respect
to believe in the dignity and worth of an individual regardless of his or her unacceptable behavior (unconditional positive regard)
genuineness
the nurse’s ability to be open, honest, and real in interactions with the client (be aware of what one is experiencing)
empathy
the ability to see beyond outward behavior and to understand the situation from the client’s point of view; perceive and understand the client’s feelings and communicate perception to client
interpersonal communication
The transaction of between the sender and the receiver; both persons participate simultaneously; In the transaction model: both participants perceive, listen, and simultaneously engage in the process of creating meaning in the relationship
the impact of preexisting conditions
Both sender and receiver bring certain preexisting conditions to the exchange that influence the intended message and the way in which the message is interpreted; provide basis for ways of thinking
nonverbal communication
70-80% of all communication; physical appearance and dress, body movement and posture, touch, facial expressions, eye behavior, and vocal cues or paralanguage (vary from culture to culture)
therapeutic communication techniques
important “technical procedures” carried out by the nurse working in psychiatry, and they should serve to enhance development of a therapeutic nurse-client relationship
NON therapeutic communication techniques
barriers to open communication between the nurse and the client
active listening
to be attentive and to really desire to hear and understand what the client is saying, both verbally and nonverbally.
process recordings
written reports of verbal interaction with clients; tool for improving interpersonal communication techniques
define nursing process and its standards of practice
is a systematic framework for the delivery of ns care, uses a prob-solve approach, goal-directed, with its objective being the delivery of quality client care - is dynamic, not static
identify the 6 steps of the nursing process
- assessment
- Dx
- outcome ID
- planning
- implementation
- evaluation
assessment
information is gathered from which to establish a client database (psychosocial, mini mental status exam, abnormal invol. movement scale AIMS)
Dx
data from the assessment are analyzed. Dx and potential problem statements are formulated and prioritized
outcome ID
expected outcomes of care are ID. They must be measurable and estimate a time for attainment.
- Nursing outcomes classification (NOC): a comprehensive, standardized classification of patient outcomes developed to evaluate the effects of ns interventions
planning
evidenced-based interventions for achieving the outcome criteria are selected
- nursing interventions classifications (NIC): a comprehensive, standardized language describing treatments that ns perform in all setting an in all specialties
- NIC interventions ae based on research and reflect current clinical practice
implementation
interventions selected during the planning stage are executed; specific interventions include: coordinate care, health teach/promotion, consultation, prescriptive authority and treatment, pharmacological/bio/and integrative therapies, Milieu therapy(environment), therapeutic relationship and counseling, psychotherapy
evaluation
measures progress toward attainment of expected outcomes
describe the benefits of using nursing diagnosis
legal duty of the nurse to show that nursing process and nursing diagnosis were accurately implemented in the delivery of nursing care; use of nursing diagnosis affords a degree of autonomy, describes the client’s condition, facilitates the prescription of interventions and est. of parameters for outcome criteria based on what is uniquely nursing; the ultimate benefit is to the client who receives effective and consistent nursing care based on knowledge of the problems that he or she is experiencing and of the most beneficial nursing interventions to resolve the problem.
