Ch.11 Pt Interactions

Question 1

Advance Directive

Answer 1

Legal document prepared by a living competent adult outlining direction the healthcare team should take if said patient cannot make that decision-aka living will

Question 2

Gerontology

Answer 2

the study of older patients

Question 3

Maslows Hierarchy of needs has how many levels starting with the lowest?

Answer 3

7... Physiologic- food shelter clothing
Safety
Belongingness and love
Esteem
Need to know and understand
Aesthetics
Self Actualization

Question 4

Nonverbal communication

Answer 4

exchange of information, thoughts, and messages by tone of voice, speed of speech, facial expressions, and body language

Question 5

Paralanguage

Answer 5

Cadence and rhythm of speech, music of language

Question 6

Patient Assesment

Answer 6

objective evaluation and determination of the status of the patient

Question 7

Patient Autonomy

Answer 7

Ability and right of patients to make their own decisions regarding their medical care

Question 8

verbal communication

Answer 8

messages sent using the spoken word-shaped by vocabulary, clarity, tone and pitch

Question 9

positive non verbal cues

Answer 9

eye contact, smiling, responding candidly, friendly tone

Question 10

Negative non-verbal cues

Answer 10

standing away, arms folded

Question 11

Self actualization

Answer 11

characterized by confident in who the person is and what the persons goals are in life

Question 12

Esteem

Answer 12

Often acheived after clinical experience

Question 13

Physiologic/ survival

Answer 13

illnesses or trauma to a pt can cause them to behave out of character and needs to be taken into consideration during interaction

Question 14

What are the 3 types of touch?

Answer 14

1. emotional support- pat on back
2. Emphasis- Highlight/specify instructions
3. Palpation- locate bony landmarks

Question 15

At what age to children begin to think logically and analyze suituations?

Answer 15

7

Question 16

What is a young adult?

Answer 16

25-45

Question 17

What is middle aged?t

Answer 17

45-65

Question 18

What is mature adult?

Answer 18

65+

Question 19

Young-old is what age group?

Answer 19

65-75- healthy and active

Question 20

Old-old is described as what?

Answer 20

75-84- in transitional period

Question 21

Oldest-old is defined as?

Answer 21

85+ whom are frail and infirm

Question 22

Primary Aging is defined as?

Answer 22

gradual and inevitable process of deterioration that begins in childhood and extends through old age

Question 23

Secondary Aging is defined as?

Answer 23

consisting of disease or abuse–within control of the individual

Question 24

What is closed awareness? In regards to the terminally ill?

Answer 24

Patient not told about their condition

Question 25

What is suspicious awareness? In regards to the terminally ill?

Answer 25

patient watches for clues but keeps healthcare team unaware of what they know.

Question 26

What is open awareness? In regards to the terminally ill?

Answer 26

Pt permits everyone to work through various stages preceding death

Question 27

What are the 5 stages of grief?

Answer 27

1. Denial and Isolation
2. Anger
3. Bargaining
4. Depression
5. Acceptance

Question 28

What does denial entail during the 5 stages of grief?

Answer 28

Initial reactions which should be supported by silence and acceptance of the person w/out discussing death

Question 29

What does anger entail during the 5 stages of grief?

Answer 29

occurs as a result of the realization that life will be interrupted before everything the person planned has been accomplished and will soon be forgotten

Question 30

What does bargaining entail during the 5 stages of grief?

Answer 30

focuses on hope and may be based on religion. hope itself can reduce stress

Question 31

What does depression entail during the 5 stages of grief?

Answer 31

occurs when remission ends and additional treatments must begin

Question 32

What does acceptance entail during the 5 stages of grief?

Answer 32

can occur only if enough time is provided and if the pt is appropriately helped through the other stages.
-near total lack of feelings

Question 33

What are the Core Values?

Answer 33

R-respect
I- integrity
C- compassion
E- excellence

Question 34

5 steps of rounding with a pt?

Answer 34

A- Aknowledge
I- Introduce yourself
D- Duration
E- Explain
T- Thank you