Ch. 8 Flashcards
What does ADOPIE stand for?
Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, Evaluation
What do the Nurse Practice Acts cover?
-Regulates the practice of nursing
-creates a state board of nursing to make and enforce rules and regulations
-includes education and licensure
What is the ANA and what does it cover?
-American Nurses Association Standards of Nursing Practice
-Protects and allows nurses to carry out professional roles
What is the NLN and what does it cover?
The National League of Nursing fosters the development and improvement of nursing services.
The Nursing Process includes what?
-Guideline for nursing practice.
Enables nurses to implement roles
Allows nurses to use critical thinking and clinical reasoning
Defines areas of care within the domain of nursing
What are the 5 parts of the communication process?
-stimulus or referent
-sender or source of message (encoder)
-message itself
-medium or channel of communication
-receiver (decoder)
What are the 4 levels of communication?
-intrapersonal
-interpersonal
-group (small group or organizational)
What are the characteristics of effective and ineffective groups?
-group identity
-cohesiveness
-patterns of interaction
-decision making
-responsibility
-leadership
-power
What are the factors influencing communication?
-developmental level
-gender
-sociocultural differences
-roles & responsibilities
-space & territoriality
-physical, mental, and emotional state
-values
-environment
What are examples of nonverbal communication?
-facial expressions, touch, eye contact
-posture, gait, gestures
-general physical appearance
-mode of dress and grooming
-sounds, silence
-electronic communication
What organizations have social media guidelines for RNs?
ANA & NCBSN (National Counsel of State Boards of Nursing)
What are the characteristics of the helping relationship?
-does not occur spontaneously
-unequal sharing of info
-built on pt needs
-communication=means to establishing rapport + helping-trust relationships.
-dynamic
-purposeful & time limited
-helper is professionally accountable for outcomes & means to attain them
What are the phases of a helping relationship?
-orientation phase
-working phase
-termination phase
What are the orientation goals?
-pt will call nurse by name
-pt will accurately describe roles of participants in relationship
-the pt+nurse will establish an agreement about:
goals of relationship
location, frequency, and length of contacts
duration of relationship
What are the goals of the working phase?
-pt will actively participate in the relationship
-pt will cooperate in activities that work toward achieving mutual goals
-pt will express feelings and concerns
What are the goals of the termination phase?
-pt will participate in identifying goals accomplished or progress made
-pt will verbalize feelings about termination of relationship
What are the factors that promote effective communication?
-dispositional traits
-rapport builders
What are dispositional traits?
-warmth & friendliness
-openness and respect
-empathy
-honesty, authenticity, trust
-caring
-competence
What are rapport builders?
-specific objectives
-comfortable environment
-privacy
-confidentiality
-patient vs task focus
-utilization of nursing observations
-optimal pacing
What are good conversation skills?
-control tone of voice
-be knowledgeable about conversation topic
-be flexible
-be clear and concise
-avoid words that might have different interpretations
-be truthful
-keep open mind
-take advantage of available opportunities
What are good listening skills?
-sit with pt
-be alert and relaxed and take your time
-keep conversation as natural as possible
-maintain eye contact as appropriate
-use appropriate facial expressions and body gestures
-think before replying to pt
-do not pretend to listen
-listen for themes in patient’s comments
-use silence, therapuetic touch, and humor appropriately
What are the interviewing techniques?
-open-ended questions or comments
-closed questions or comments
-validating questions or comments
-clarifying questions or comments
-reflective questions or comments
-sequencing questions or comments
-directing questions or comments
What are the characteristics of the assertive nurse’s self-presentation?
-confident, open body posture
-use of clear, concise, “i” statements
-ability to share effectively one’s thoughts, feelings, and emotions
-working to capacity with or w/o supervision
-asking for help when necessary
-giving and accepting compliments
-admitting mistakes and taking responsibility for them
What is the CJMM model?
Recognize cues (vital signs, demeanor, labs)
analyze cues
prioritize hypothesis (what needs to be done first)
generate solution
take action
evaluate (was it effective)
RAPGTE
What does SBAR stand for?
situation
background
assessment
recommendations
