21-30

Question 1

an intellectual and emotional bond between the nurse and the client and is focused on the client.

Answer 1

Helping Relationship

Question 2

nurse-client relationship, therapeutic relationship

Answer 2

Helping Relationship

Question 3

Phases of the Helping Relationship

Answer 3

1 Pre interaction
2 introductory
3 working
4 termination

Question 4

in this phase, the nurse has information about the client before the face-to-face meeting.

Answer 4

Pre-interaction

Question 5

in this phase, Planning for the initial visit may generate some anxious feelings.

Answer 5

Pre-interaction

Question 6

Also referred to as the orientation/pre-helping phase

Answer 6

Introductory

Question 7

this phase Sets the tone for the rest of the relationship.

Answer 7

Introductory

Question 8

(phase) Goal of the Nurse: develop trust and security within the nurse-client relationship.

Answer 8

Introductory

Question 9

three stages of the introductory phase

Answer 9

opening the relationship
clarifying the problem
structuring or formulating the contract

Question 10

behaviors that inhibit involvement, cooperation, or change

Answer 10

Resistive behavior

Question 11

reliance on someone without doubt or question.

Answer 11

trust

Question 12

in this phase, Nurse and client begin to view each other as unique individuals; appreciate this uniqueness and care about each other.

Answer 12

working

Question 13

2 major stages of the working stage

Answer 13

a. Exploring and understanding thoughts and feelings.
b. Facilitating and taking action.

Question 14

ability to experience, in the present, a situation as another person’s circumstances and feelings

Answer 14

Empathy

Question 15

focuses on a kind of “being with” clients to develop an understanding of their world.

Answer 15

Empathetic listening

Question 16

understanding that is communicated effectively

Answer 16

Empathetic response

Question 17

this phase is Often expected to be difficult and filled with ambivalence, however, if the previous phases have evolved effectively, the client generally has positive outlook and feels able to handle problems independently.

Answer 17

termination

Question 18

Determine the client’s primary language for communicating and whether a fluent interpreter is required.

Answer 18

Language Deficits

Question 19

Devise a communication system like writing on a paper

Answer 19

Structural Deficits

Question 20

Observe whether the client is attempting to see your face to read your lips.

Answer 20

Sensory Deficits

Question 21

Determine whether the client can point, shrug, blink, or squeeze a hand

Answer 21

Paralysis

Question 22

Assess whether these clients respond when asked a question

Assess the client’s ability to understand written words. Use large, clearly written words when trying to establish abilities in this area

Answer 22

Cognitive impairments

Question 23

The nurse focuses on 3 areas:
Content of the message
Themes
Verbalized emotions

Answer 23

Verbal Communication

Question 24

Consider client’s culture.

Pay particular attention to facial expression, gestures, body movements, affect, tone of voice, posture, and eye contact

Answer 24

Nonverbal Communication

Question 25

Provides a standardized framework for communicating important information.

Answer 25

Situation, Background, Assessment, and Recommendation (SBAR) Model

Question 26

SBAR

Answer 26

Situation, Background, Assessment, Recommendation

Question 27

Provide your name, health agency, client name, brief information about the problem

Answer 27

SITUATION

Question 28

Provide information pertinent to the current situation, such as admitting diagnosis, date of admission, and important clinical information that relates to the call.

Answer 28

BACKGROUND

Question 29

Refers to the current condition of the client and any change in the assessment since the previous communication. Indicate the severity of the problem

Answer 29

ASSESSMENT

Question 30

What is your recommendation to solve the problem, or what do you need from the healthcare provider?

Answer 30

RECOMMENDATION

Question 31

Ability to form a work relationship with colleagues, displaying maturity in a variety of situations and resolve conflicts while taking into consideration the emotions of others

Answer 31

Emotional Intelligence

Question 32

Promotes client safety by minimizing miscommunication with colleagues. People who use it are honest, direct, and appropriate while being open to ideas and respectful to the rights of others. An important characteristic includes the use of “I” statements versus the “you” statements.

Answer 32

assertive communication

Question 33

submissive and agressive

Answer 33

non-assertive communication

Question 34

Allow their rights to be violated by others.

Answer 34

Submissive

Question 35

Described as “directed toward what one wants without considering the feelings of others”.

Answer 35

Aggressive

Question 36

"__” statements encourage discussion.

Answer 36

I statements

Question 37

__ statements s place blames and put the listener in a defensive position.

Answer 37

you statements

Question 38

Rude or disruptive behavior that may result in psychological or physiological distress for the people involved, and if left unaddressed, may progress into threatening situations.

Question 38

Rude or disruptive behavior that may result in psychological or physiological distress for the people involved, and if left unaddressed, may progress into threatening situations.

Answer 38

Incivility

Question 39

Also known as horizontal violence or horizontal hostility

Answer 39

Lateral Violence

Question 40

Physical, verbal, or emotional abuse or aggression directed at RN coworkers at the same organizational level.

Answer 40

Lateral Violence

Question 41

Repeated, unreasonable actions of individuals directed towards an employee (or group of employees), which are intended to intimidate, degrade, humiliate, or undermine or which create a risk to the health or safety of the employees

Answer 41

Bullying

Question 42

Assisting, supporting, or enabling another individual or group with evident or anticipated needs to ameliorate or improve a human condition or lifeway, or to face death.

Answer 42

caring

Question 43

sharing deep and genuine concern about welfare of another person.

Answer 43

caring

Question 44

connection, mutual recognition, and involvement between nurse and client.

Answer 44

caring practice

Question 45

the nurses involved in these situations experience caring through knowing they have made a difference in their client’s lives

Answer 45

caring practice

Question 46

he has proposed that to care for another person is to help him grow and actualize himself

Answer 46

Milton Mayeroff (1990)

Question 47

8 Major Ingredients of Caring (Mayeroff)

Answer 47

knowing alternating rhythm patience honesty trust humility hope courage

Question 48

understanding the other’s needs and how to respond to these needs.

Answer 48

Knowing

Question 49

moving back and forth between the immediate and long-term meanings of behavior, considering the past.

Answer 49

Alternating rhythms

Question 50

enables the other to grow in his own way and time.

Answer 50

Patience

Question 51

awareness and openness to one’s own feelings and a genuineness in caring for the other

Answer 51

Honesty

Question 52

letting go, allowing the other to grow in his own way and own time.

Answer 52

Trust

Question 53

acknowledging that there is always more to learn, and learning may come from any source.

Answer 53

Humility

Question 54

belief in the possibilities of other’s growth.

Answer 54

Hope

Question 55

sense of going into the unknown, informed by insight from past experiences

Answer 55

Courage

Question 56

Five viewpoints according to Morse, Solberg, Neander, Battorff, and Johnson, 1990:

Answer 56

caring as a moral imperative caring as an affect caring as human trait caring as an interpersonal relationship caring as a therapeutic intervention

Question 57

when we are nursing our patient, caring must be included.

Answer 57

Caring as a Moral Imperative

Question 58

→ how we present ourselves (our demeanor) towards our client

Answer 58

Caring as an Affect

Question 59

→ as a person, it is innate for us to care.

Answer 59

Caring as a Human Trait

Question 60

→ caring involves two or more people.

Answer 60

Caring as an Interpersonal Relationship

Question 61

→ what we usually do: giving support and comforting our patient.

Answer 61

Caring as a Therapeutic Intervention

Question 62

Proposes that “caring is the essence of nursing, and the distinct, dominant, central, and unifying focus of nursing.”

Answer 62

Proposes that “caring is the essence of nursing, and the distinct, dominant, central, and unifying focus of nursing.”

Question 63

Cultural congruent care is provided in 3 major ways: preserving accommodating repatterning

Answer 63

Leininger — Culture Care Diversity and Universality

Question 64

Focuses on caring as a philosophical concept and proses that caring is the human mode of being

Answer 64

Roach — Human Mode Model

Question 65

6C’s of caring:

Answer 65

compassion competence confidence conscience commitment comportment

Question 66

awareness of one’s relationship to others, sharing their joys, sorrows, pain, and accomplishments (participating in the experience of another person)

Answer 66

compassion

Question 67

having the “knowledge, judgment, skills, energy, experience, and motivation required to respond adequately to the demands of one’s professional responsibilities.”

Answer 67

competence

Question 68

comfort with self, client and others that allows one to build trusting relationships.

Answer 68

confidence

Question 69

moral, ethics, and an informed sense of right and wrong

Answer 69

conscience

Question 70

→ deliberate choice to act in accordance with one’s desires as well as obligations

Answer 70

commitment

Question 71

appropriate bearing, demeanor, dress, and language that are in harmony with a caring presence; presenting oneself as someone who respects others and demands respect.

Answer 71

comportment

Question 72

(Nursing as Caring)

Answer 72

Boykin & Schoenhofer

Question 73

(Theory of Caring)

Answer 73

Swanson

Question 74

(Theory of Nursing Care

Answer 74

Watson

Question 75

— Primacy of Caring

Answer 75

Benner and Wrubel

Question 76

direct personal interactions between the nurse and patient.

Answer 76

Direct care

Question 77

work on behalf of the client to improve health status

Answer 77

Indirect care

Question 78

Activities are any that foster the highest state of well-being of the recipient of activities.

Answer 78

Health Promotion

Question 79

Focuses on avoidance of disease.

Answer 79

Illness Prevention

Question 80

Encompasses activities that foster a return to health for those already ill

Answer 80

Health Restoration

Question 81

Nurses have been active in promoting the respectful care of those who are terminally ill or dying.

Answer 81

End-of-Life Care

Question 82

The nurse aims to know who the client is in his/her uniqueness.

Answer 82

Knowing the client

Question 83

caring encounters

Answer 83

knowing the client nursing presence empowering the client compassion competence

Question 84

Being emotionally present to the client and family

Answer 84

Nursing presence

Question 85

Nurse identifies and builds upon the client/family strengths.

Answer 85

Empowering the client

Question 86

The caring nurse is described as warm and empathic, compassionate and concerned.

Answer 86

Compassion

Question 87

The competent nurse employs the necessary knowledge, judgment, skills and motivation to respond to the client’s needs

Answer 87

Competence