Caring In Nursing Practice EXAM 5 Flashcards

1
Q

Caring a universal phenomenon that influences

A

The way we think, feel, and behave

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2
Q

Caring is at the heart of a nurses ability to work with

A

All patients in a respectful and therapeutic way

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3
Q

Benners caring is primary

A

Caring determines what matters to a person
Caring helps you provide patient centered care

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4
Q

Leningers transcultural caring

A
  • caring is an essential human need
  • caring helps an individual or group improve a human condition
  • caring helps to protect, develop, nurture, and sustain people
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5
Q

Watson transpersonal caring

A

Promotes healing and wholeness
- rejects the disease orientation to health care
- places care before cure
- emphasizes the nurse patient relationship

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6
Q

Swansons theory of caring

A

-Defines as a nurturing way of relating to an individual
- states that caring is a central nursing phenomenon but is not necessarily unique to nursing practice

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7
Q

Nursing caring theories have common —

A

Themes

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8
Q

Caring is highly

A

Relational

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9
Q

Caring theories are valuable when assessing patient —- of being cared for in a multicultural environment

A

Perceptions

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10
Q

Enabling is an —- of —-

A

Aspect of caring

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11
Q

Knowing the context of a patients illness helps you choose and individualize —- that will help the patient

A

Interventions

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12
Q

Patients perspective of caring

A
  • connecting with patients and families
  • being present
  • respecting values, beliefs, and health care choices
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13
Q

In any patient encounter a nurse needs to know what —- is —- appropriate

A

Behavior is ethically

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14
Q

An ethic of care is —-, so professional nurses do not make professional decisions based solely on —— or —— principles

A

Unique : intellectual : analytical

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15
Q

Always be your patients

A

Advocate

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16
Q

As you deal with health and illness in your practice, you grow in your

A

Ability to care and develop caring behaviors

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17
Q

Caring is one of those human behaviors that we can — & —-

A

Give & receive

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18
Q

Recognize the importance of

A

Self care

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19
Q

Use caring behaviors to reach out to your —- and care for them as well

A

Colleagues

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20
Q

Providing presence (6)

A
  • eye contact
  • body language
  • tone of voice
  • listening
  • positive
  • encourage attitude
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21
Q

Touch

A

Provides comfort
Create a connection
Ex: back rub

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22
Q

Listening

A
  • creates trust
  • opens lines of communication
  • creates a mutual relationship
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23
Q

Knowing the patient

A

Develops over time
The core process of clinical decision making (knowing patient)

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24
Q

Aspects of knowing the patient (3)

A
  1. Responses to therapy, routines, and habits
  2. Coping resources
  3. Physical capacities and endurance
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25
Q

Spiritual health is achieved when a person can find a balance between his life —-, —-, and —
Systems and those of others

A

Values, goals, and beliefs

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26
Q

Intrapersonal

A

Connected to self

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27
Q

Interpersonal

A

Connected to others and the environment

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28
Q

Transpersonal

A

Connected to God

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29
Q

Relieving symptoms and suffering

A
  • give a patient comfort, dignity, respect, & peace
  • support measures to family or spouse
  • creating a physical environment that soothes
  • comforting through listening, nonjudgmental, caring presence
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30
Q

Challenges to caring

A
  • task oriented
  • institution demands
  • time constraints
  • reliance on technology, cost effective strategies
31
Q

Health care must become what 2 things to make a positive difference in patients lives

A

Holistic and humanistic

32
Q

Caring key points (6)

A
  • caring is specific and relational
  • mutual give and take
  • being there and being with
  • touch
  • listening
  • knowing the patient
33
Q

System of support and structure within a family that extends beyond the walls of the household

A

Family durability

34
Q

Ability to cope with expected and unexpected stressors

A

Family resiliency

35
Q

Uniqueness of each family unit

A

Family diversity

36
Q

Families represent more than a set of

A

Individuals

37
Q

A family is more than a sum of its

A

Individual members

38
Q

Families are

A

Diverse

39
Q

Consists of husband and wife (and perhaps one or more children)

A

Nuclear family

40
Q

Includes relatives in addition to nuclear family

A

Extended family

41
Q

Family is formed when one parent leaves the nuclear family because of death, divorce, or desertion

A

Single parent family

42
Q

Formed when parents bring unrelated children from prior adoptive or foster parenting relationships into a new, joint living situation

A

Blended family

43
Q

Include multi-adult households, “skip generation” families
- grandparents caring for grandchildren

A

Alternative family

44
Q

People are marrying

A

Later

45
Q

Women are

A

Delaying child birth

46
Q

Couples are having

A

Fewer children or none at all

47
Q

Remarriage, results in

A

Blended families

48
Q

Single parent families are

A

Stabilizing

49
Q

More people are

A

Living alone

50
Q

What is an increasing concern

A

Adolescent pregnancy

51
Q

These couples are family units

A

Homosexuals

52
Q

America is

A

Aging

53
Q

More — are raising their —

A

Grandparents : grandchildren

54
Q

Changing economic status

A

Inadequate health insurance coverage
Inadequate number of children below poverty level

55
Q

Domestic violence

A

Happens across all social classes
Long term physical and emotional consequences

56
Q

Acute/chronic Illness impacts

A

Families, left waiting to hear updates
Are a global problem
Despite the stressors families want to accept and manage the illness or disability

57
Q

Trauma impact of illness and injury

A

Families struggle to cope
Makes families vulnerable and harder to make decisions
Advocate for pt and family & answer questions honestly
Don’t give false hope to pt or families
Take time to make sure family is comfortable

58
Q

End of life care impact of illness and injury

A

Some family members may be ready for a loved ones death but still need support, assurance, and presence is great

Use presence to created a therapeutic relationship

Encourage patient and family to make decisions about care

Help family set up home care / obtain hospice / grief support

Make sure families members know what to do at the time of death

If you are present at TOD be sensitive to families needs ~ provide privacy and time to say goodbye

59
Q

Unattached young adult

A

Accepting parent- offspring separation

  • differentiating self in relation to family of origin
60
Q

Joining of families through marriage: newly married couple

A

Committing to new system

  • forming marital system to make space for children
61
Q

Family with young children

A

Accepting new generation of members into system

Adjustments to marital system to make room for children

62
Q

Family with adolescents

A

Increasing flexibility of family boundaries to include children’s independence

  • beginning shift toward concerns for older generation
63
Q

Family with young adults

A

Laughing children and moving on accepting multitude of exits from and entries into family system

  • adjusting to reduction in family size
64
Q

Family without children

A

Maintaining flexibility

  • refocusing on careers and new career opportunities
65
Q

Family later in life

A

Accepting shifting of generational roles

66
Q

Function

A

What the family does

67
Q

Structure

A

The ongoing membership of the family and the pattern of relationships

68
Q

The families beliefs, values, and practices influence

A

Health behaviors

69
Q

Knowing risks of generic factors helps the families make

A

Informed choices

70
Q

Structures that are too rigid or too flexible sometimes

A

Threaten family functioning

71
Q

Rigid structures

A

Specifically dictate who accomplishes difference tasks

72
Q

Family functions is

A

What a family does

73
Q

Assessing the needs of a family

A
  • culture aspects
  • discharge planning
  • family focused care
74
Q

Planning care

A

Plan care that members clearly understand and agree to follow