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Relationship Based Care > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

true or false: positive encounters are good for everyone

A

true

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2
Q

What allows us to act deliberately rather than reflexively and facilitates effective communication?

A

Mindfulness

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3
Q

What is- emotional thinking dominates and can cause us to act impulsively

A

emotion mind

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4
Q

What is- awareness of how your body is responding and can trigger or be a response to emotion

A

body mind

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5
Q

What is- analytical, measured, controlled thoughts that enter our consciousness

A

reason mind

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6
Q

What is- a place of discernment where motives, biases, and intuitions that had been identified in other domains are purposely examined, and self-regulatory efforts are imposed

A

wise mind

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7
Q
  1. First look inward
  2. focus on one state of mind at a time
  3. assess your emotional temperature
  4. assess your physical sensations
  5. deliberately enter a place of wisdom
A

Mindfulness process

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8
Q
  • be an objective observer
    -breathe deep
    -observe and describe
    -acceptance (things are what they are)
    -Distress to tolerance (acknowledge your emotional response to situations and accept them)
A

Skills that enhance mindfulness

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9
Q

-We assume we know what people are talking about
-we assume people know what we’re feeling
-we don’t listen very well
-we overreact sometimes to what other people say
we are not always clear about saying “no”

A

communication roadblocks

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10
Q

self-talk

A

intrapersonal

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11
Q

one-to-one communication with another person

A

interpersonal

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12
Q

interaction within a person’s spiritual domain

A

transpersonal

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13
Q

small number of people, usually goal-oriented

A

small group

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14
Q

have an audience

A

public

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15
Q

what motivates communication

A

referent

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16
Q

person who encodes and delivers the message

A

sender

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17
Q

person who receives and decodes the message

A

receiver

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18
Q

the content of the communication: verbal, nonverbal, and symbolic

A

message

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19
Q

means of conveying and receiving messages

A

channels

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20
Q

message returned by the receiver

A

feedback

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21
Q

How much time do we spend communicating with others?

A

70%-80%

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22
Q

-verbal
-nonverbal
-symbolic
-metacommunication

A

forms of communication

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23
Q

a code that uses verbal or written words to convey a message

A

verbal communication

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24
Q

personal appearance, first impressions are usually based on this, including facial expression

A

nonverbal communication

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25
Q

intimate zone

A

0 to 18 inches

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26
Q

personal zone (most time spent in a work setting)

A

18 inches to 4 feet

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27
Q

social zone

A

4 to 12 feet

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28
Q

public zone

A

12 feet and beyond

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29
Q

art, music, play, dreams

A

symbolic communication

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30
Q

communication about communication so that the deeper message within a message can be understood

A

metacommunication

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31
Q

different than depression, is a genuine emotional response to loss or a threat of loss

A

sadness

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32
Q

losing function, dreams, independence

A

grief

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33
Q

a working agreement continuously renegotiable between the nurse and the client

A

contract

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34
Q

-nurse-client
-nurse-family
-nurse-health team
-nurse-community

A

professional helping relationships

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35
Q

-pioneer in nursing theory development
-originated the term “therapeutic use of self”

A

Hildegard Peplau

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36
Q

-pre-interaction phase
-orientation phase
-working phase
-termination phase

A

phases of the traditional nurse-patient relationship

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37
Q

occurs before meeting the patient (tasks include reviewing data history, talking to other caregivers, and anticipating health concerns)

A

pre-interaction phase

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38
Q

the nurse and patient meet and get to know one another (consistency and listening are considered by clients to be critical at the beginning of the relationship)

A

orientation phase

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39
Q

this is the phase where we carry out our nursing interventions (the content to be explored is chosen by the client although the nurse facilitates the process)

A

working phase

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40
Q

the formal end to the relationship

A

termination phase

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41
Q

-courtesy
-use of names
-privacy and confidentiality
-trustworthiness
-autonomy and responsibility
-assertiveness

A

elements of professional communication

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42
Q

true or false: how we say something is as important or even more important than what we say

A

true

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43
Q

what does TLC mean?

A

To listen carefully

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44
Q

-comments about how the client looks, sounds, or acts
-not based on assumptions

A

sharing observations

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45
Q

-understanding and accepting another person’s reality
-perceiving emotions
-communicating this understanding to the client

A

sharing empathy

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46
Q

-appropriate encouragement
-positive feedback

A

sharing hope

47
Q

-give client permission to share feelings both positive and negative
-be aware of your own feelings
-when sharing your own feelings you must be “in control” of them and not burden the client

A

sharing feelings

48
Q

-bring hope and joy
-help them relax
-must be culturally appropriate

A

sharing humor

49
Q

-can convey caring
-be aware of and sensitive to client’s response to touch
-be aware of cultural taboos of touch

A

using touch

50
Q

-if client initiated silence, let them break it
-don’t rush to fill empty space with words
-observe nonverbal cues and emotional responses during silence

A

using silence

51
Q

-answering client’s questions
-health teaching
-client condition

A

providing information

52
Q

-to assess if your understanding is correct
-can restate message you are hearing as a question

A

clarifying

53
Q

-restating their message more briefly
-purpose is to demonstrate that you are listening and understand what they are saying

A

paraphrasing

54
Q

-clear, concise review of the interaction
-facilitates closure of the interaction and for transitions

A

summarizing

55
Q

-use to get needed information
-use to focus on a topic
-don’t drill them with questions

A

asking relevant questions/requesting information

56
Q

-can be used to show your understanding by sharing similar experiences or feelings

A

self-disclosure

57
Q

-to center in on a topic

A

focusing

58
Q

-facilitates the client becoming more aware of inconsistencies in their feelings, attitudes, beliefs and behaviors
-use only after trust has developed
-be sensitive and be aware of their non verbal and emotional response

A

confrontation

59
Q

-asking personal questions
-giving personal opinions
-changing the subject
-automatic responses/cliches
-asking for explanations
-approval or disapproval
-false reassurance
-defensive responses
-arguing
-passive or aggressive responses
-sympathy (only allowed when someone is grieving)

A

Nontherapeutic Communication Techniques

60
Q

-are relatively brief
- are constructed with the sole purpose of providing comfort and support to the bereaved

A

effective condolences

61
Q

true or false: conflict is inevitable because we all have different perspectives on situations

A

true

62
Q

cognitive practice with the goal of focusing the mind and fostering the capacity to remain centered in the present moment, here and now, rather than be ruminating about the past or worrying about the future

A

meditation

63
Q

-attain healthy, thriving lives and well-being free of preventable disease, disability, injury, and premature death
-eliminate health disparities achieve health equity, and attain health literacy to improve the health and well-being of all

A

Healthy People 2030 overarching goals

64
Q

-a patterned behavioral response that develops over time through social and religious customs and intellectual and artistic activities
-non physical traits (values, beliefs, attitudes, and customs) shared by a group of people passed on from generation to generation

A

culture

65
Q

-how a person acts in certain situations
-is socially acquired
-is not genetically inherited

A

cultural behavior

66
Q

-unique, individual expressions of a particular culture that have been accepted as appropriate over time

A

cultural values

67
Q

rules of how one should behave

A

norms

68
Q

-differences among cultures
-primary characteristics: nationality, race, color, age, spiritual beliefs
-secondary characteristics: socioeconomic status, education, occupation time away from country of origin, gender issues, residential status, sexual oritentation

A

diversity

69
Q

-groups whose members share a common social and cultural heritage that is passed on to successive generations
-shared feeling of belonging to a group-peoplehood
-does not equate with race

A

ethnicity

70
Q

-related to biology
-groups that share genetic material and physical features such as skin color, stature, shape of eyes…

A

race (essentially artificial)

71
Q

These don’t really tell us anything

A

racial/ethnic groupings

72
Q

-belief that your way is the best
-is often subconscious
-has a significant impact on the care you give

A

ethnocentrism

73
Q

-making generalizations about others based on primary and secondary characteristics of diversity
-oversimplified belief, conception, or opinion based on limited information

A

stereotyping

74
Q

predisposed point of view

A

bias

75
Q

-making assumptions or judgments about another culture based on emotional beliefs about the population
-results in negative attitudes

A

prejudice

76
Q

process of adapting to another culture

A

acculturation

77
Q

process of being absorbed into another culture and relinquishing one’s own (losing your culture)

A

assimilation

78
Q

blending the melting pot and salad bowl

A

cultural consistency

79
Q

implies the capacity to function effectively within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities

A

cultural competence

80
Q

phenomena experienced by individuals that signify a departure from normal function, sensation or appearance and may include physical aberrations

A

symptoms

81
Q

commitment to learn about other cultures and immerse themselves in those cultures

A

cultural synergy

82
Q

how much do I value becoming culturally competent?

A

step 1

83
Q

-how much do I know about my own cultural heritage of racial identity and its relationship to my own healthcare beliefs and practices?
-have I discussed these issues with my parents, grandparents, or other relatives?

A

step 2

84
Q

how much do I now about cultural groups that differ from my own?

A

step 3

85
Q
  • how culturally diverse is my social network?
    -how many encounters do I have; are these relationships superficial of do I have contact beyond the workplace?
A

step 4

86
Q

-am I able to independently identify potential or actual problems that originate from cultural conflicts or am I surprised by them?
-do I serve as a culturally competent role model/mentor for others?

A

step 5

87
Q

-have I developed problem-solving strategies to manage cultural conflicts?
-am I able to manage or resolve cultural problems or issues that arise?
-do I have resources to call on to assist me when these conflicts occur

A

step 6

88
Q

culturally competent practice field that is client-centered and research focused

A

transcultural nursing

89
Q

-goal is culturally congruent care
-assessment of a cultural group worldview through 7 areas
-sunrise model

A

Leininger’s Theory of Culture Care Diversity and Universality

90
Q

can be defined as the integrative energy capable of producing internal human harmony or holism

A

spirituality

91
Q

influence by culture stage of growth and development, life experiences, beliefs and their ideas about life

A

spirituality

92
Q

do not believe in the existence of God, believe we are alone

A

atheist

93
Q

believe that any ultimate reality is unknown or unknowable

A

agnostic

94
Q

a personal relationship with a higher power, cultural or institutional religion

A

faith

95
Q

system of organized beliefs, practices, set of rules and rituals

A

religion

96
Q

anticipation of a continued good, an improvement of the lessening of something unpleasant

A

hope

97
Q

balance between their life values, goals and belief systems and their relationship with themselves and others

A

spiritual health

98
Q

well-being associated with inner faith and hope

A

spiritual well-being

99
Q

doubt or loss of faith feel alone, may question their spiritual values reason for living, meaning

A

spiritual distress

100
Q

20 minutes each day of quiet meditation on a word or image that is spiritually meaningful to the person

A

relaxation response

101
Q

presence of differences

A

diversity

102
Q

fair access, opportunity and support

A

equity

103
Q

genuine sense of belonging and value

A

inclusion

104
Q

what is the first step to becoming culturally competent?

A

perform a self-assessment

105
Q

what will help you best plan care for another person?

A

knowing a person’s values and beliefs

106
Q

true or false: we inherit our culture from our parents

A

false

107
Q

true or false: religion and spirituality are the same thing?

A

false

108
Q

what religion refuses blood transfusions?

A

Jehovah’s Witness

109
Q

What group believes that God is unknowable?

A

Agnostics

110
Q

What technique is it when you state what the other person said in a brief way to communicate that you are listening to them?

A

Paraphrasing

111
Q

True or false: empathy and sympathy are the same thing

A

false

112
Q

During which phase does the nurse advocate for the clients to ensure the client’s perspectives and priorities are reflected in the plan of care?

A

working phase

113
Q

What is a communication referent?

A

the factor motivating communication

114
Q

what is the first step of the mindfulness process?

A

look inward

Relationship Based Care (3 decks)

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