MODULE 1 Flashcards
(41 cards)
1
Q
Nurses’ professional relationships
A
Nurse-Patient
Nurse-Family
Interprofessional team
Nurse-community
2
Q
Nurse-Patient
A
- The nurse comes into the relationship as a health care provider giving health-care needs to the patient
- The nurse establishes a relationship with the patient, with the nurse taking responsibility of the patient’s needs and the patient giving the responsibility back by helping the nurse and themlselves
3
Q
Nurse-Family
A
- The nurse establishes a relationship with the entire families
- Communication is required in within families for the understanding, needs, and relationships of the patient
4
Q
Interprofessional Team
A
- Focuses on the work and goals of care as a team
- Are built in order to strengthen relationship within the work settings
5
Q
Nurse-Community
A
- Nurses form relationships within the communities by participating in local organizations and volunteering as well
6
Q
Phases of the helping relationship
A
a) Pre-interaction phase
b) orientation phase
c) working phase
d) termination phase
7
Q
Pre-interaction phase
A
- the nurse reviews data
- gets information from other caregiver
- anticipates any health concerns from the patient
- plans enough time for the initial interaction
- find a quiet and safe place to talk
8
Q
orientation phase
A
- setting a relationship with the patient
- closely observing the patient
- assessing the patient’s health
- prioritizing the patient’s problem
- negotiating a contract with the patient
- letting the patient know when the relationship is to be terminated
9
Q
working phase
A
- encourages and helps the patient achieve their goals
- providing information to the patient
- takes action to meet patient’s goals
- use therapeutic communication skills
10
Q
termination phase
A
- reminding patient that termination is near
- evaluates patient
- reminisces relationship with the patient
- facilitates a smooth transition
11
Q
Nurse Communication
A
- Courtesy
- use of names
- trustworthiness
- autonomy and responsibility
- assertiveness
12
Q
courtesy
A
- saying “hi” and “thank you” to patient
- stating your purpose
- apologizing for bothering patient
13
Q
use of names
A
- introducing yourself
- making eye contact and smiling
- addressing people by their names
- asking people how to pronounce their names
- asking patient how they would like to be addressed
14
Q
trustworthiness
A
- following what you say you were going to do
15
Q
autonomy and responsibility
A
- making the right choices and accept responsibility for one’s actions
16
Q
assertiveness
A
- allowing individuals to act in their own best interest without infringing on or denying the rights of other people
- learning how to say no and setting limits
17
Q
Therapeutic communication approaches (what to use)
A
- active listening
- sharing observation
- sharing empathy
- sharing hope
- sharing humour
- sharing feelings
- using touch
- using silence
- providing information
- clarifying
- focusing
- paraphrasing
- asking relevant questions
- summarizing
- self-disclosure
- confrontation
18
Q
Non-therapeutic communication skills (what NOT to use)
A
- asking personal questions
- giving personal opinions
- changing the subject
- automatic responses
- false reassurance
- sympathy
- asking for explanations
- approval or disapproval
- defensive responses
- passive or aggressive responses
- arguing
19
Q
communicating with patients with aphasia, dysarthria, and muteness
A
- listen attentively to the patient and use visual cues/ aids. Also ask simple questions that would only require yes or no answers
20
Q
communicating with patient that is cognitively impaired
A
- make sure to reduce distractions around the area, try to get patient’s attention before speaking, and use simple sentences
21
Q
communicating with patient that is hearing impaired
A
- always check for hearing aids, reduce the noise around the area, and always get patient’s attention before speaking
22
Q
communicating with patients that are visually impaired
A
- always check for glasses or contact lenses, always let patient know your presence in the room, and always speak in a normal tone of voice
23
Q
communicating with patients that are unresponsive
A
- call patient’s name by their names during interactions, always communicate verbally and by using touch, and speak to the patient as if the patient can hear
24
Q
communicating with patients that are non-english speaking
A
- always speak in a normal tone of voice, establish a method for communication between nurse and the patient, and provide an interpreter if available but do not use a family member as one
25
What are the 5 Swanson's theory of caring?
1. knowing
2. being with
3. doing for
4. enabling
5. maintaining belief
26
1. knowing
understanding and knowing what the patient has gone through and how it impacts them or others
27
2. being with
being there for someone whether they in happiness or sadness
28
3. doing for
being able to assist the individual on their road to recovery
29
4. enabling
a process where a caregiver assist the patient as he/she passes through transitions or events that are unfamiliar to them
30
5. maintaining belief
being with the individual that's going through transitions in their life and believing/having faith that they will overcome the obstacles in their lives
31
what are the 5 Roach's act of caring?
1. compassion
2. competence
3. confidence
4. conscience
5. commitment
32
compassion
being sensitive to the anxiety the individual's may face towards a call from a stranger asking about health related issues about them
33
competence
being able to let the patient know about the information they are giving consent to
34
confidence
using the information given consent for the greater good and using it appropriately
35
conscience
moral awareness, adhering to confidentiality
36
commitment
assuring the delivery of excellence in nursing care
37
how do patients perceive caring?
Listening, being there for them, keeping information that is shared confidential. Provide a sense of security and trust, helping the client sort their own feelings by listening and asking questions. Respect their opinions and ideas and don’t be judgemental.
38
what is the WHO definition of health promotion?
Health promotion is the process of enabling people to increase their control over and improve their own health. Health promotion is described as a “process” meaning that it is a means to an end and not necessarily an outcome in its own right.
39
define primary prevention
* Strategies designed to prevent or reduce the risk of disease from occurring by improving or maintaining general health, boosting the immune system or preventing injury
* i.e. food safety, air quality, safe driving practices etc.
40
define secondary prevention
Focuses on early detection of disease or conditions in a particular population, with the goal of either achieving a cure or minimizing the severity of the disease
• i.e. screening tests (colonoscopies, mammograms)
41
define tertiary prevention
* Occurs later in a disease process and focuses on reducing loss of function, maximizing health and minimizing disability.
* Nurses role: identify potential complications and implementing strategies that help the person adapt while considering the person’s strengths, vulnerabilities and preferences
* i.e. providing education, monitoring treatment effectiveness and addressing adverse side effects.
* i.e. Direct observation and treatment (DOTS)
