Nursing 106 Final Exam Flashcards Preview

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1

State of emotional, psychological, and social wellness

Mental health

2

Able to deal with normal emotions
Has satisfying interpersonal experiences
Productive
Can adapt to change
Can cope with adversity
Demonstrates a positive self-concept

Characteristics of a mentally healthy person

3

Self determination

Autonomy

4

Responsibility for one's self

Independence

5

Maximization of ones potential
Tolerance of life's uncertainties
Self-esteem
Mastery of the environment
Reality orientation
Stress management

Components of mental health

6

The relationship between the nurse and the client is..

The essence of nursing

7

Also referred to as the helping relationship

Therapeutic nurse-client relationship

8

The context for the professional role of the nurse as a communicator

Therapeutic nurse client relationship

9

Purposeful connections guided by the nurse
Professional boundaries clearly defined
Specific purpose
Goal directed
Definite beginning and ending

Characteristics of a therapeutic relationship

10

Mutual satisfaction of needs
Emotional commitment to each other
General purpose
No specific goal
Ending undefined, ongoing

Characteristics of a social relationship

11

The total environment in which the communication occurs

Context

12

Set of pre-established guidelines and expectations that direct the course of nurse-client interactions
Protect the public through state nursing practice standards
Legally regulated in each state
Established by professional nursing organizations to reflect values and priorities of nursing profession
Define nurses accountability to the public

Standards of nursing practice

13

First step of nursing process
The collection of information about the client and family
Identifies the clients needs and concerns

Assessment

14

Second phase of the nursing process
Critical analysis and interpretation of data collected

Diagnosis

15

Third phase of nursing process
Criteria used to evaluate effectiveness of nursing care
Established collaboratively by nurse and client
Define desired outcomes

Outcome identification

16

Fourth step of the nursing process
Consists of establishing priorities from problems identified in nursing diagnosis
Process of nurse selecting interventions to achieve the outcomes

Planning

17

Fifth step of nursing process
Involves the implementation of the interventions identified in the plan of care
Nurse carries out the interventions

Implementation

18

Sixth step of nursing process
Determines progress toward desired outcomes
Did the interventions work?

Evaluation

19

Value of nursing
Caring, compassion

Altruism

20

Value of nursing
Equal opportunity and access to health care facilities for all individuals

Equality

21

Value of nursing
Right to make choices regarding health care decisions, right to self determination

Freedom

22

Fourth and fifth values of nursing

Human dignity and respect

23

Value of nursing
Just distribution of resources and honesty

Justice and truth

24

Quality of nurse client relationship
Should reflect genuine feelings
Expression is mainly nonverbal
Must be accompanied by other communication techniques
By itself it isn't sufficient

Warmth

25

Quality of nurse client relationship
Communicates that the client is valued
In conjunction with warmth = unconditional positive regard
Involves acceptance of others for who they are
Client is regarded as a person of worth
Nurses attitude must be nonjudgmental
Discuss ways to demonstrate respect

Respect

26

Quality of nurse client relationship
Authenticity
Openness, honesty, sincerity
Conveyed by congruent and clear communication

Genuineness

27

Quality of nurse client relationship
Communicates to others that we understand how they are feeling
Involves unconditional acceptance of client
"your pain in my heart"
Temporariy living in clients life without judgment
Also involves maintaining separateness from client so boundaries are not violated

Empathy

28

Quality of nurse client relationship
Therapeutic technique to convey understanding to client
Reveals thoughts, feelings, personal experiences in an appropriate way
First determine if self disclosure will benefit the client
Use professional judgment to determine the use of self disclosure
Nurse also has to be comfortable revealing the information

Self disclosure

29

Exception to clients right to confidentiality
Based on California supreme court decision in Tarasoff vs. regents of university of California
Must warn police and third parties if client threatens their safety

Duty of warn

30

Exception to clients right to confidentiality
Parents have right to information about their children unless emancipated or over age 18

Minor children