Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NUR 346 > Exam 1: week 2 > Flashcards

Exam 1: week 2 Flashcards

1
Q

What is the best treatment for most psychiatric problems

A

A combination of medications and psychotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Can basic RNs work in psychotherapy

A

No, basic RNs do counseling
advanced practice RNs can do psychotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the three types of relationships

A

Social
Intimate
Therapeutic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a social relationship

A

Initiated for the purpose of friendship, socialization, enjoyment, or accomplishment of a task
- not helpful to your patients
- mutual needs are met
- uses small talk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a therapeutic relationship

A

Needs of patient identified and explored
- Clear boundaries established
- Problem-solving approaches taken
- New coping skills developed
- Behavioral change encouraged

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are boundaries

A

The expected legal, ethical, and professional standards that separate nurses from patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Why are boundaries so important in the nurse- patient relationship

A
  • protects patients
  • ensures patient confidentiality
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is considered boundary crossing

A
  • when the relationship crosses over into a personal context
  • when the nurses needs are met at the expense of the patient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How does one determine their values and beliefs

A
  • reflects ones culture/subculture
  • derived from a range of choices
  • chosen from many role models and influences
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the phases of Peplau’s nurse-patient relationship model

A
  • preorientation phase
  • orientation phase
  • working phase
  • termination phase
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is happening during the preorientation phase

A
  1. Develop self awareness
  2. Prepare for your assignment
    - research patients history
    - set ground rules before the first meeting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is happening during the orientation phase

A

First meeting with patient
- establish rapport
- set parameters of relationship
- formal/informal contract
- confidentiality
- terms of termination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is happening during the working phase

A
  • gather more data
  • promote problem solving skills and self-esteem
  • change behavior
  • evaluate problems and goals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is happening during the termination phase

A
  • summarize goals
  • incorporate learned healthy behaviors into real life
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are attending behaviors

A

A special kind of listening that means just being with the patient during a difficult time; this includes:
- eye contact
- body language
- vocal qualities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the difference between sympathy and empathy

A

Sympathy is feeling bad for someone who is in pain
- sorry you feel that way
- understanding from your own perspective
- giving unsolicited advice
Empathy is understanding someone’s pain
- put yourself in their shoes
- really listening to the person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the characteristics of therapeutic communication

A
  • patient-centered
  • goal-directed
  • scientifically based
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

In what ways does therapeutic communication benefit the patient

A
  • helps patient feel safe and protected
  • patient is more satisfied with their care
  • increased recovery rates
  • improved adherence to treatment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the characteristics of the transactional model of communication

A

Communicator- the person communicating
Message- what they are communicating
Channel- how they are communicating
Feedback- how the nurse responds
Encoding/Decoding- implied/inferred messages
Context- situation of communication
Environmental Noise- distractions (physical or physiological)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the characteristics of Peplau’s interpersonal communication theory

A

Clarity
Continuity
Nondirective listening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is clarity when talking about communication

A

ensuring that the meaning of the message is accurately understood by both parties

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is continuity when talking about communication

A

continuous treatment which promotes connection between both parties

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is nondirective listening when talking about communication

A

Nurse provides nonjudgmental feedback which allows patients to clarify their thoughts

24
Q

What are some factors that can effect communication between the nurse and the patient

A

Personal factors (depression, cognition, language barriers)
Environmental factors (noise, privacy)
Relationship factors (equality between nurse/patient; patients are vulnerable and you are seen to have more power than them)

25
Q

What are some types of non-verbal communication

A
  • tone of voice
  • physical appearance
  • facial expressions
  • body posture
  • eye contact
  • hand gestures
26
Q

What is a double-bind message

A

Given by a person in power:
- contradictory messages
- no-win situation
(sarcastically saying “yeah ill do whatever you want” in order to try and maintain power or control)

27
Q

What are some therapeutic communication techniques

A
  • Silence
  • active listening
  • clarifying techniques
  • asking questions
28
Q

What kinds of questions will a nurse use to utilize therapeutic communication with their patients

A

Open-ended
- not a yes or no answer
Closed-ended
- yes or no answer
Projective
- “what if” questions
Miracle question
- “If a miracle happened and the problem was gone, what would your life look like?”
- goal setting question

29
Q

How do you engage in active listening

A

S - sit facing the client
O - open posture
L - learn forward towards client
E - eye contact
R - relax

30
Q

What are some examples of non-therapeutic techniques

A
  • asking too many questions
  • giving approval or disapproval
  • giving advice
  • asking “why”
31
Q

What is kinesic communication

A

A type of nonverbal communication made by body movement - facial expressions
- body posture
- gestures

32
Q

What is proxemics

A

The study of personal space

33
Q

What is considered an intimate distance in the united states

A

0-18 inches

34
Q

What is considered a personal distance

A

18 inches-4 feet

35
Q

What is considered a social distance

A

4-12 feet

36
Q

What is considered a public distance

A

12+ feet

37
Q

What are some advantages of group therapy

A
  • treat multiple people at the same time
  • members benefit from other clients viewpoints
  • safe place tp practice new skills
  • can make them feel like they belong
38
Q

What are some disadvantages of group therapy

A
  • privacy concerns
  • disruptions
  • discouraging group norms may hinder self expression
39
Q

What are the phases of group therapy development

A

Planning phase
Orientation phase
Working phase
Termination phase
Evaluation phase

40
Q

What happens during the planning phase of group therapy development

A
  • name of group
  • objectives of group
  • who is going to be in the group
  • group schedule
  • location
  • seating configuration
  • leader and member responsibilities
  • methods of evaluating outcomes
41
Q

What happens during the orientation phase of group therapy development

A
  • formation of the group and getting members together
  • establish purpose of group
42
Q

What happens during the working phase of group therapy development

A

leader facilitates communication, the flow of group processes, and group conduct

43
Q

What happens during the termination phase of group therapy development

A

members express the effectiveness of the group

44
Q

What happens during the evaluation phase of group therapy development

A

Objective measures of feedback from group members

45
Q

What does group therapy from a humanistic approach look like

A
  • focuses on self-actualization
  • leader practices nondirective, active listening, and Socratic dialogue (determining the accuracy and helpfulness of thoughts)
46
Q

What does group therapy from a cognitive behavioral approach look like

A
  • focuses on specific maladaptive behaviors and thought patterns
  • leader practices goal setting, planning, and reinforcing good behaviors/thought patterns
47
Q

What does group therapy from a psychodynamic approach look like

A
  • focuses on resolving inner conflicts of patients
  • leader practices listening, interpreting, confronting, and working through these thoughts
48
Q

What does group therapy from an educational approach look like

A
  • focuses on coping, emotional and practical support
  • leader practices teaching, organizing, and leading discussions
49
Q

What does group therapy from a systems approach look like

A
  • focuses on positive interactions with social and political environment and social equality
  • leader practices strategizing, activism, and lifestyle investigation
50
Q

What are the different styles of leadership

A

Autocratic
Democratic
Laissez-faire

51
Q

What are the characteristics of an autocratic leader

A
  • exerts control over the group
  • does not encourage much interaction
  • leader has all the power
  • rewards and punishment
52
Q

What are the characteristics of a democratic leader

A
  • promotes extensive group interaction
  • delegates authority
  • encourages participation
  • feedback
53
Q

What are the characteristics of a laissez-faire leader

A
  • hands off
  • very little leading
  • little to no direction
  • allows freedom as much as possible
54
Q

How do you deal with a monopolizing member of your group therapy session

A
  • remind entire group to let everyone talk
  • talk to them privately if needed
55
Q

How do you deal with a disruptive member of your group therapy session

A
  • listen objectively
  • ask in private about cause of anger
  • empathize
56
Q

How do you deal with a silent member of your group therapy session

A
  • determine cause
  • require a response to ease group discomfort
  • come back to them to allow them to think of an answer

NUR 346 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions