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NURS1130 > Weeks 2-4 Midterm Study > Flashcards

Weeks 2-4 Midterm Study Flashcards

(57 cards)

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1
Q

Communication models (2)

A

Linear

Transactional

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2
Q

communication model components (5)

A

Sender
Message
Channel
Receiver
Context

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3
Q

Transactional communication model is a

A

Feedback loop

It’s more complex

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4
Q

Additional factors that influence commiunication
(Personal, self awareness, environment)

A

Personal
- gender, age, education

Self awareness
- values, beliefs

Environment
- timing, privacy

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5
Q

Therapeutic communication definition

A

Dynamic interactive process by clinicians and patients for the purpose of achieved identified health related goals

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6
Q

therapeutic communication can occur through

A

Word, facial expressions, body language, email, writing

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7
Q

Building rapport serves as…

A

The basis for a therapeutic relationship

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8
Q

Congruence

A

Presenting your true thoughts and feelings verbally and nonverbally

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9
Q

Incongruence

A

Verbal messages don’t correspond with nonverbal messages

Conflicting messages are sent

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10
Q

Non verbal communication examples

A

Facial expression
Body language
Touch
Gestures
Voice tone
Eye contact
Time
Appearance

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11
Q

Active listening

A

Intentional form of listening
- note feelings
- encourage patients to explore concerns and expand on ideas
- use of open ended questions
- requires full attention without judgement

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12
Q

Constructive feedback is …

A

Objective
Descriptive
Honest
Clear
Relevant
Focused on behavior (not the person)
Provided quickly

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13
Q

Few examples points from BCCNM confidentiality doc (know for exam)

A
  • respect client right to access own health records
  • share relevant info with the healthcare team
  • comply with legal obligation to disclose info under court order, warrant, etc
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14
Q

Patient centred care relationships are the..

A

Basis of professional therapeutic relationships

They begin with the expectation that clients will take an active role in managing their health

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15
Q

Phases of patient centred relationship (4)

A

Preinteraction
Orientation
Working
Termination

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16
Q

Patient centred relationship: pre interaction phase

A

Gather information from charting

Familiarize yourself with precautions

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17
Q

Patient centred relationship: orientation phase

A

Introductions

BUILDS TRUST - key point

Defined purpose of relationship

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18
Q

Patient centred relationship: working phase

A

Utilize nursing process

Problem solving period

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19
Q

Patient centred relationship: termination

A

This phase is defined early so patient can prepare

End of work
Discuss outcomes with client

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20
Q

Characteristics of a therapeutic relationship

A

Patient centred
Respectful
Therapeutic
Based on trust
Appropriate power use
Client dignity and privacy is respected
Holistic
Specific
Goal directed
Time limited
Individualized

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21
Q

Examples of bridges

A

Respect
Trust
Empathy
Ethical behaviour
Confidentiality

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22
Q

Examples of barriers

A

Anxiety
Stereotyping

Space violation
Confidentiality violation

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23
Q

Characteristics of the nurse in a therapeutic relationship

Study These Flashcards
A

Care
Self awareness
Presence
Respect
Authentic
Protects privacy

24
Q

Empathy is the ability to

Study These Flashcards
A

Truly know another person within a trusting and mutually respectful relationship

25
Compassion
Seeking to address the suffering and needs of a person through relational understanding
26
Presencing
Being fully present (body, mind, emotions, and spirit) to another person
27
Active listening vs presencing
Active listening - more words/responding Presencing - more action and non verbal communication
28
Nontherapeutic communication techniques
Asking personal questions Giving personal opinions Changing subjects False reassurance Sympathy Arguing
29
Obstacles within the patient that effect communication
Pain Inability to understand Feeling defensive Deprived of privacy
30
Obstacles within a nurse that effect communication
Preoccupation Rushing Making assumptions Stereotypes Defensiveness
31
Aphasia
Partial or total loss of the ability to communicate verbally or in writing - person with aphasia may have difficulty speaking reading writing or understanding
32
Types of aphasia
Expressive - cannot put thoughts into words Receptive - cannot understand what is being said Global (both)
33
For an unresponsive client, you should…
Always assume the client can hear what you say
34
Self concept
Totality of each persons beliefs about themselves. Contains cultural concepts, gender, environments, beliefs, values, education, etc
35
Culture
Integration of historical, social, economic, physical contexts
36
Self esteem
A persons personal sense of worth and well being - related to life experiences and childhood
37
Self clarity
Extent to which a person clearly and confidently knows who they are
38
Self efficacy
Persons beliefs about their ability to accomplish a task and deal with challenges
39
Person centred relationship (PCC)
Therapeutic relationship links to assisting people to achieve health goals
40
Person centredness
Recognizing a persons knowledge and expertise in managing their health
41
Person centred care is a set of…
A set of therapeutic relationships where healthcare providers engage with people - understand persons experience with health - Support effective self management - promote healthy lifestyle behaviours
42
Person centred vs social relationships
Social - no defined end - no set out goals - friendship purposes Person centred (therapeutic) - subject to ethical and legal standards - defined beginning and end - goals to be met
43
Boundaries
Invisible structure impaired by legal, ethical, and professional standards
44
Countertransferance
Occurs when something activates a nurses unconscious/unresolved feelings from a past relationship
45
Shared decision making (SDM) is …
Person specific - reviewing care plans, asking about priorities,e tc
46
CARE acronym
Connect with the person Appreciate the persons situation Respond to persons needs Empower the person to solve problems with you
47
Empowerment
Assisting people to assume responsibility for their own health
48
semantic noise
using medial terms, or when stereotypes/emotions influence Communication
49
categories of questions
open Focuses Closed
50
Open ended questions
Begins with what, how, or describing Reflect on situation
51
focused questions
useful in emergencies Need concise info What was the signs and symptoms of…..
52
Meta communication
Combination of verbal and non-verbal behaviours integrated to share info Used to describe all factors that influence how messages are received Ex. Body language, tone, eye contact, etc
53
Relational practice
A way for the nurse to care for a person while encompassing their cultural contexts Guided by conscious participation with clients using relational skills such as listening, questioning, and empathy
54
Caring is fundamental to…
An effective nurse client relationship
55
Themes from caring theories
Empowerment Commitment of nurse Relational practice Understanding context Getting to know client as a unique person
56
Caring from a critical social perspective…..
Directs nurses to critically examine the dominant social conditions that often constrain people and their health
57
Strategies for communicating with those with aphasia or other communication difficulties
Go slow One thing at a time Do not interupt Treat as an adult Don’t pretend to understand Use gestures Minimize distractions

NURS1130 (9 decks)

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