Exam 2 Flashcards
1
Q
true or false: positive encounters are good for everyone
A
true
2
Q
What allows us to act deliberately rather than reflexively and facilitates effective communication?
A
Mindfulness
3
Q
What is- emotional thinking dominates and can cause us to act impulsively
A
emotion mind
4
Q
What is- awareness of how your body is responding and can trigger or be a response to emotion
A
body mind
5
Q
What is- analytical, measured, controlled thoughts that enter our consciousness
A
reason mind
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
7
Q
- First look inward
- focus on one state of mind at a time
- assess your emotional temperature
- assess your physical sensations
- deliberately enter a place of wisdom
A
Mindfulness process
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
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
10
Q
self-talk
A
intrapersonal
11
Q
one-to-one communication with another person
A
interpersonal
12
Q
interaction within a person’s spiritual domain
A
transpersonal
13
Q
small number of people, usually goal-oriented
A
small group
14
Q
have an audience
A
public
15
Q
what motivates communication
A
referent
16
Q
person who encodes and delivers the message
A
sender
17
Q
person who receives and decodes the message
A
receiver
18
Q
the content of the communication: verbal, nonverbal, and symbolic
A
message
19
Q
means of conveying and receiving messages
A
channels
20
Q
message returned by the receiver
A
feedback
21
Q
How much time do we spend communicating with others?
A
70%-80%
22
Q
-verbal
-nonverbal
-symbolic
-metacommunication
A
forms of communication
23
Q
a code that uses verbal or written words to convey a message
A
verbal communication
24
Q
personal appearance, first impressions are usually based on this, including facial expression
A
nonverbal communication
25
intimate zone
0 to 18 inches
26
personal zone (most time spent in a work setting)
18 inches to 4 feet
27
social zone
4 to 12 feet
28
public zone
12 feet and beyond
29
art, music, play, dreams
symbolic communication
30
communication about communication so that the deeper message within a message can be understood
metacommunication
31
different than depression, is a genuine emotional response to loss or a threat of loss
sadness
32
losing function, dreams, independence
grief
33
a working agreement continuously renegotiable between the nurse and the client
contract
34
-nurse-client
-nurse-family
-nurse-health team
-nurse-community
professional helping relationships
35
-pioneer in nursing theory development
-originated the term "therapeutic use of self"
Hildegard Peplau
36
-pre-interaction phase
-orientation phase
-working phase
-termination phase
phases of the traditional nurse-patient relationship
37
occurs before meeting the patient (tasks include reviewing data history, talking to other caregivers, and anticipating health concerns)
pre-interaction phase
38
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)
orientation phase
39
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)
working phase
40
the formal end to the relationship
termination phase
41
-courtesy
-use of names
-privacy and confidentiality
-trustworthiness
-autonomy and responsibility
-assertiveness
elements of professional communication
42
true or false: how we say something is as important or even more important than what we say
true
43
what does TLC mean?
To listen carefully
44
-comments about how the client looks, sounds, or acts
-not based on assumptions
sharing observations
45
-understanding and accepting another person's reality
-perceiving emotions
-communicating this understanding to the client
sharing empathy
46
-appropriate encouragement
-positive feedback
sharing hope
47
-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
sharing feelings
48
-bring hope and joy
-help them relax
-must be culturally appropriate
sharing humor
49
-can convey caring
-be aware of and sensitive to client's response to touch
-be aware of cultural taboos of touch
using touch
50
-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
using silence
51
-answering client's questions
-health teaching
-client condition
providing information
52
-to assess if your understanding is correct
-can restate message you are hearing as a question
clarifying
53
-restating their message more briefly
-purpose is to demonstrate that you are listening and understand what they are saying
paraphrasing
54
-clear, concise review of the interaction
-facilitates closure of the interaction and for transitions
summarizing
55
-use to get needed information
-use to focus on a topic
-don't drill them with questions
asking relevant questions/requesting information
56
-can be used to show your understanding by sharing similar experiences or feelings
self-disclosure
57
-to center in on a topic
focusing
58
-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
confrontation
59
-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)
Nontherapeutic Communication Techniques
60
-are relatively brief
- are constructed with the sole purpose of providing comfort and support to the bereaved
effective condolences
61
true or false: conflict is inevitable because we all have different perspectives on situations
true
62
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
meditation
63
-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
Healthy People 2030 overarching goals
64
-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
culture
65
-how a person acts in certain situations
-is socially acquired
-is not genetically inherited
cultural behavior
66
-unique, individual expressions of a particular culture that have been accepted as appropriate over time
cultural values
67
rules of how one should behave
norms
68
-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
diversity
69
-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
ethnicity
70
-related to biology
-groups that share genetic material and physical features such as skin color, stature, shape of eyes...
race (essentially artificial)
71
These don't really tell us anything
racial/ethnic groupings
72
-belief that your way is the best
-is often subconscious
-has a significant impact on the care you give
ethnocentrism
73
-making generalizations about others based on primary and secondary characteristics of diversity
-oversimplified belief, conception, or opinion based on limited information
stereotyping
74
predisposed point of view
bias
75
-making assumptions or judgments about another culture based on emotional beliefs about the population
-results in negative attitudes
prejudice
76
process of adapting to another culture
acculturation
77
process of being absorbed into another culture and relinquishing one's own (losing your culture)
assimilation
78
blending the melting pot and salad bowl
cultural consistency
79
implies the capacity to function effectively within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities
cultural competence
80
phenomena experienced by individuals that signify a departure from normal function, sensation or appearance and may include physical aberrations
symptoms
81
commitment to learn about other cultures and immerse themselves in those cultures
cultural synergy
82
how much do I value becoming culturally competent?
step 1
83
-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?
step 2
84
how much do I now about cultural groups that differ from my own?
step 3
85
- 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?
step 4
86
-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?
step 5
87
-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
step 6
88
culturally competent practice field that is client-centered and research focused
transcultural nursing
89
-goal is culturally congruent care
-assessment of a cultural group worldview through 7 areas
-sunrise model
Leininger's Theory of Culture Care Diversity and Universality
90
can be defined as the integrative energy capable of producing internal human harmony or holism
spirituality
91
influence by culture stage of growth and development, life experiences, beliefs and their ideas about life
spirituality
92
do not believe in the existence of God, believe we are alone
atheist
93
believe that any ultimate reality is unknown or unknowable
agnostic
94
a personal relationship with a higher power, cultural or institutional religion
faith
95
system of organized beliefs, practices, set of rules and rituals
religion
96
anticipation of a continued good, an improvement of the lessening of something unpleasant
hope
97
balance between their life values, goals and belief systems and their relationship with themselves and others
spiritual health
98
well-being associated with inner faith and hope
spiritual well-being
99
doubt or loss of faith feel alone, may question their spiritual values reason for living, meaning
spiritual distress
100
20 minutes each day of quiet meditation on a word or image that is spiritually meaningful to the person
relaxation response
101
presence of differences
diversity
102
fair access, opportunity and support
equity
103
genuine sense of belonging and value
inclusion
104
what is the first step to becoming culturally competent?
perform a self-assessment
105
what will help you best plan care for another person?
knowing a person's values and beliefs
106
true or false: we inherit our culture from our parents
false
107
true or false: religion and spirituality are the same thing?
false
108
what religion refuses blood transfusions?
Jehovah's Witness
109
What group believes that God is unknowable?
Agnostics
110
What technique is it when you state what the other person said in a brief way to communicate that you are listening to them?
Paraphrasing
111
True or false: empathy and sympathy are the same thing
false
112
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?
working phase
113
What is a communication referent?
the factor motivating communication
114
what is the first step of the mindfulness process?
look inward
