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IM 1 > Caring In Nursing Practice EXAM 5 > Flashcards

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
Spiritual health is achieved when a person can find a balance between his life —-, —-, and — Systems and those of others
Values, goals, and beliefs
26
Intrapersonal
Connected to self
27
Interpersonal
Connected to others and the environment
28
Transpersonal
Connected to God
29
Relieving symptoms and suffering
- 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
30
Challenges to caring
- task oriented - institution demands - time constraints - reliance on technology, cost effective strategies
31
Health care must become what 2 things to make a positive difference in patients lives
Holistic and humanistic
32
Caring key points (6)
- caring is specific and relational - mutual give and take - being there and being with - touch - listening - knowing the patient
33
System of support and structure within a family that extends beyond the walls of the household
Family durability
34
Ability to cope with expected and unexpected stressors
Family resiliency
35
Uniqueness of each family unit
Family diversity
36
Families represent more than a set of
Individuals
37
A family is more than a sum of its
Individual members
38
Families are
Diverse
39
Consists of husband and wife (and perhaps one or more children)
Nuclear family
40
Includes relatives in addition to nuclear family
Extended family
41
Family is formed when one parent leaves the nuclear family because of death, divorce, or desertion
Single parent family
42
Formed when parents bring unrelated children from prior adoptive or foster parenting relationships into a new, joint living situation
Blended family
43
Include multi-adult households, “skip generation” families - grandparents caring for grandchildren
Alternative family
44
People are marrying
Later
45
Women are
Delaying child birth
46
Couples are having
Fewer children or none at all
47
Remarriage, results in
Blended families
48
Single parent families are
Stabilizing
49
More people are
Living alone
50
What is an increasing concern
Adolescent pregnancy
51
These couples are family units
Homosexuals
52
America is
Aging
53
More — are raising their —
Grandparents : grandchildren
54
Changing economic status
Inadequate health insurance coverage Inadequate number of children below poverty level
55
Domestic violence
Happens across all social classes Long term physical and emotional consequences
56
Acute/chronic Illness impacts
Families, left waiting to hear updates Are a global problem Despite the stressors families want to accept and manage the illness or disability
57
Trauma impact of illness and injury
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
End of life care impact of illness and injury
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
Unattached young adult
Accepting parent- offspring separation - differentiating self in relation to family of origin
60
Joining of families through marriage: newly married couple
Committing to new system - forming marital system to make space for children
61
Family with young children
Accepting new generation of members into system Adjustments to marital system to make room for children
62
Family with adolescents
Increasing flexibility of family boundaries to include children’s independence - beginning shift toward concerns for older generation
63
Family with young adults
Laughing children and moving on accepting multitude of exits from and entries into family system - adjusting to reduction in family size
64
Family without children
Maintaining flexibility - refocusing on careers and new career opportunities
65
Family later in life
Accepting shifting of generational roles
66
Function
What the family does
67
Structure
The ongoing membership of the family and the pattern of relationships
68
The families beliefs, values, and practices influence
Health behaviors
69
Knowing risks of generic factors helps the families make
Informed choices
70
Structures that are too rigid or too flexible sometimes
Threaten family functioning
71
Rigid structures
Specifically dictate who accomplishes difference tasks
72
Family functions is
What a family does
73
Assessing the needs of a family
- culture aspects - discharge planning - family focused care
74
Planning care
Plan care that members clearly understand and agree to follow

IM 1 (34 decks)

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