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Anatomy 1330/1060 > 1080 > Flashcards

1080 Flashcards

1
Q

therapeutic relationship

A

interpersonal process between nurse and clients

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2
Q

TNCR

A

therapeutic nurse-client relationship

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3
Q

components of TNCR

A

trust, power, respect, empathy, professional intimacy

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4
Q

3 phases of TNCR

A

orientation, working, resolution

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5
Q

preverbal empathy

A

shifts view to see their world

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6
Q

verbal empathy

A

reflect to client+ be accurate

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7
Q

sympathy

A

superficial acknowledgement of suffering

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8
Q

compassion

A

addressing person’s needs

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9
Q

orientation phase

A

initial interaction>getting to know each other
making boundaries
develop rapport
get info

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10
Q

working phase

A

work with client to reach goal
identification: client identifies problem + goals
exploitation: client uses service to reach goals
client gains independence

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11
Q

resolution phase

A

termination of relationship
client develops independence and goals have been met

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12
Q

core dimensions of helping and listening

A

Responsive and action

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13
Q

responsive dimension

A

trust and open, respect, genuineness, concreteness and empathy

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14
Q

action dimensions

A

finds obstacles
confrontation, self-disclosure and catharsis

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15
Q

non verbal communication-active listening

A

sit at angle
uncross arm/legs
relax
eye contact/not staring
touch
intuition
ask permission before in personal space

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16
Q

open-ended questions

A

allows client to direct the flow of conversation

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17
Q

closed-ended questions

A

useful when getting specific info
did you take your meds

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18
Q

focused questions

A

focusing on an important statement by client prompts than discuss it further
tell me more about…

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19
Q

responding tactics

A

acceptance, exploring, paraphrase, clarify, restate(use their words), summarized, reflect, offering self, humor, offering hope

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20
Q

avoid in convos

A

why Q, leading Q, bad timing, false reassurance, negative phrases, vague, jargon, defensiveness

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21
Q

client interview

A

primary source but not always reliable

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22
Q

objective data

A

info measured or observed using your 5 senses

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23
Q

subjective data

A

info reported by someone/client

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24
Q

tanner’s clinical judgement model steps and explain

A

thinking like a nurse
1. noticing (interprets situation)
2. interpreting
3. responding (action)
4. reflecting (reflection-on-action)

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25
Q

general survey

A

Appearance + behaviour
Speech
Emotion
Perception (delusional and hallucinations)
Thought process (how they express themselves)
Insight (does client understand)
Cognition (can they think and concentrate)

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26
Q

phases of interview process

A

pre-interactive, orientation, working, termination

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27
Q

pre-interactive phase of interview process

A

-review patient info and validate it
-environment
-self-reflect

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28
Q

privacy

A

limit access to a person, person’s body conversations and bodily function

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29
Q

info privacy

A

clients right to control how their personal health info (PHI) is collected and disclosed

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30
Q

confidentiality

A

ethical and legal obligation to keep someone’s personal info private

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31
Q

exceptions to privacy and confidentiality

A

disclosures to…
other working in healthcare
public health authorities
family
legal reasons

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32
Q

breach of privacy and confidentiality

A

client’s PHI is disclosed to 3rd part without consent

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33
Q

orientation phase of interview process

A

1) introduce yourself (name +credentials)
2)verify client (name birthday)
3) explain purpose of encounter
4) discuss privacy and confidentiality
5)obtain consent

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34
Q

working phase of interview process

A

closed-ended, open-ended, focused Q

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35
Q

termination phase of interview process

A

give summary of data
discuss next step
thank them
5 safety measures

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36
Q

5 safety measure when leaving a room

A

call light
bed
side rails
table
room

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37
Q

oldcartss

A

onset, location, duration, character, aggravating factors, relieving factors, timing, severity, self-perception

38
Q

onset

A

when did it start, has this happened before

39
Q

location

A

where location, anywhere else

40
Q

duration

A

constant or intermittent (come and go)

41
Q

character

A

can you describe it

42
Q

aggravating factors

A

what makes it worse

43
Q

relieving factor

A

what makes it better

44
Q

timing

A

specific time of day when symptoms are better or worse

45
Q

severity

A

scale of 0-10, impact on daily life

46
Q

self-perception

A

what client think is causing it

47
Q

types of caregiver communication

A

carrier, manager, lone, partner,

48
Q

person in room with client

A

seek consent, who they are, engage with visitors, ensuring clients innervate

49
Q

carrier

A

avoid discussing caregiving with family, but not with others
relies on client to make car decisions
assumes all caregiving task for family
easily burnout

50
Q

manager

A

shows credibility use of medical terms
makes decisions swiftly and independently
minimizes illness trajectory by focusing on treatment
family decision maker

51
Q

lone

A

focuses on one aspect of care typically physical
can’t consider all aspects of holistic care
focuses on treatment, avoids quality of life
no family support

52
Q

partner

A

initiates talk about death, spirituality and quality of life
shares and discusses caregiving burden with client and family
uses decision making when addressing conflict
uses decision making when addressing conflict

53
Q

seeking info from caregiver

A

caregivers often valuable knowledge about people
used to respect client’s autonomy and privacy

54
Q

caregiver communicate barriers -individual

A

poor written and oral literacy
emotional, cognitive factors

55
Q

caregiver communicate barriers -system

A

-busy or tech environment

56
Q

caregiver communicate barriers- family

A

-negative attitudes
-disagreement between family/client
-lack hope

57
Q

active listening during family disagreements

A

non-verbal cues
-verbal feedback
-paraphrasing
-ask Q

58
Q

managing emotional dynamics during family disagreements

A

-identifying emotional triggers
-de-escalation strategies
-using breaks

59
Q

reframing conflict during family disagreements

A

understanding issues
-identify common goals
-shift perspective
-change narrative

60
Q

collab problem solving during family disagreements

A

-encourage participation
focus on solutions
try round robin and brainstorming

61
Q

caregiver burden

A

physical, emotional, financial and psychological challenges a caregivers focus

62
Q

crucial communication

A

dialogue under stress

63
Q

crucial communication characteristics

A

opinion differentiation
high stress
emotions

64
Q

identifying crucial conversations

A

nursing can recognize cues and try to prevent conversations from getting out of control

65
Q

reactions during crucial conversations

A

emotonal, physical, behavioural

66
Q

steps when having crucial conversations

A

-identify goal
-determine the issue
-explore different options
-discuss pros and cons of options
-mutually plant the next steps

67
Q

spirituality

A

-coping mechanism
-inner knowing and source of strength reflected in one’s being, knowing and doing
believing in a higher power

68
Q

fostering hope

A

hope gives strength and determination

69
Q

how to foster hope

A

encourage involvement in positive experience
promote connections with others
develop goals

70
Q

hope questionnaire

A

H-sources of hope, strength, peace and love
O-role of organized religion or spiritual community
P-personal spirituality and practice
e-effects on medical care and end of life

71
Q

End of Life

A

nurses responsibilities
-promoting advance care planning
-eliciting clients’ preferences for EOL
-supporting clients and families

72
Q

loss

A

the absence of something or someone

73
Q

grief

A

emotional response to loss

74
Q

suffering

A

severe distress and anguish that threaten a person’s mind, body and/or spirit

75
Q

grief and loss: nursing consideration

A

identifying how much info knows and/or wants
-open-ended Q
-validate uncertainty
-being present
-preserving hope

76
Q

bereavement

A

occurs from time of loss
adjust to life until acceptance

77
Q

nursing considerations while patients crying

A

-let them cry
-therapeutic touch
-silence
-avoid sense of false hope

78
Q

boundaries in the TNCR

A

relationship professional to non-professional
-constrain, contain and limit what gets in or is allowed in

79
Q

cognition

A

mental processes that take place in brain including thinking, attention, language, learning, memory and perception

80
Q

cognitive deficits

A

decline in cognitive abilities

81
Q

typical cognitive changes with aging

A

cognitive processes become slower
-slight decline short-term memory
long-term memory and ability to make decisions still works

82
Q

atypical cognitive changes with aging

A

short term memory loss
disorientation
repetition of idea
tangentiality
impaired judgement
lack of insight
change in personality
dementia

83
Q

dementia

A

progressive deterioration of thinking ability and memory as brain becomes damaged
loss of memory, understanding and judgment

84
Q

conflict

A

2 parties when they have negative emotions to perceived disagreements

85
Q

7 stages of escalation

A

calm
trigger
agitation
acceleration
peak
de-escalation
recovery

86
Q

safety precautions

A

know exists
stand between door and client
nothing around neck
know safety protocols

87
Q

establishing verbal contact

A

introduce yourself and role
consent
make it personal
establish your intentions
seek patient’s perspective

88
Q

how to validate

A

label emotions ( i see your sad)
identify source of emotions/learn triggers
validate emotions

89
Q

setting boundaries

A

explain limits
don’t directly answer abusive questions

90
Q

offering choices during conflict

A

collaborate
ask about past coping skills
space

91
Q

wat to do after critical incident

A

debriefing
reflect and learn
future planning
document

Anatomy 1330/1060 (6 decks)

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