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Relationship Based Care > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

These are the foundation for nurses’ professional identity

A

Professional values

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2
Q

-strong beliefs/something important held by individuals
-serve as a framework for making decisions

A

Values

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3
Q

-families
-organizations/institutions
-individual experiences
-peers

A

Values Formation

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4
Q

-Process to determine your own set of values and prioritize those important to you, to assess and evaluate those values
-choosing one’s own beliefs and behaviors
-prizing one’s beliefs and behaviors
-acting on one’s beliefs

A

Values Clarification

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5
Q

-Standards for action that are generally accepted by the group as a whole
-Expected of its practicing members
-socialized into it novices

A

Professional Values

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6
Q

concern for the welfare and well-being of others

A

altruism

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7
Q

right to self-determination

A

autonomy

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8
Q

respect for the inherent worth and uniqueness of individuals and populations

A

human dignity

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9
Q

acting in accordance with accepted standards of practice; truth-telling

A

integrity

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10
Q

upholding moral, legal, and humanistic principles; assuring equal treatment and equal access

A

social justice

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11
Q

two or more values with the same priority occur at the same time forcing reprioritization/decision-making

A

values conflict

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12
Q

true or false: we care for ourselves so we can continue to care for others

A

true

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13
Q

-emotional self-care
-physical body techniques that activate the parasympathetic nervous system
-mental self-care
-positive psychology
-emotional responses
-spiritual connection

A

methods of self-care

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14
Q

two words-refers to provider actions

A

health care

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15
Q

one word-is a system

A

Healthcare

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16
Q

-private health insurance/private payers
-you choose provider
-common in US

A

Type I system

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17
Q

-national health insurance
-system uses tax dollars to pay for health services (one large insurance policy for all)

A

Type II system

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18
Q

-national health insurance
-public management

A

Type III system

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19
Q

-socialized health insurance
-focus is on keeping people healthy
-healthcare is perceived as an essential service

A

Type IV system

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20
Q

-distinguished by what is done with money leftover
-determines why, and how decisions are made

A

For-profit and non-for-profit distinctions

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21
Q

Where do the majority of RNs work?

A

hospitals

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22
Q

-how the organization is configured
-vertical, horizontal, matrix

A

structure

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23
Q

-how the organization functions
-vision, mission, goals
-policies and procedures

A

process

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24
Q

health promotion and preventative care immunizations

A

primary care

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25
Q

-emergency and acute care
-diagnosis and treatment

A

secondary care

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26
Q

-rehabilitative services
-long term care
-hospice

A

tertiary care

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27
Q

-treat and prevent contagious disease
-child health
-obstetrical and pregnancy care
-detection and treatment of terrorist acts, particularly bioterrorism

A

Public health

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28
Q

-screenings
-stress management
-adolescent pregnancy
-drug abuse
-management of students with chronic disabilities

A

School-based

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29
Q

goal is to maintain the health of workers in the workplace to increase productivity

A

occupational health clinics

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30
Q

-traditional provider of healthcare services
-still provide the majority of nurses with employment

A

hospitals

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31
Q

-goal is to provide care in a home-like atmosphere and have programs that are based on the needs and abilities of the clients
-assistance with activities of daily living
-higher-level skilled nursing care, such as tube feedings and catheter management

A

Long-term care facilities

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32
Q

-goal is to restore health and function to an optimum level
-clients are admitted after recuperating from the acute stage of an injury or illness

A

Rehabilitation Centers

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33
Q

nurses manage the phones, supply answers to health-related questions, and advise callers on how to handle non-urgent health situations

A

Telehealth

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34
Q

uses the computer to access any number of sites that provide healthcare information

A

E-health

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35
Q

-fundraising in support of cutting-edge research
-public education
-help individuals secure special equipment
-political action

A

Volunteer Health Agencies

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36
Q

required facilities providing services to Medicare clients to be reimbursed using a fixed-rate system and included monetary incentives to reduce the length of hospital stays

A

Prospective Payment Systems (PPS)

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37
Q

participants pay a flat rate, usually through their employer, to belong to a managed care organization (MCO) for a specified period of time

A

Capitated payment systems

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38
Q

to provide affordable health care to US citizens who before its passage were unable to pay for or obtain health insurance

A

Primary goal of health-care reform

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39
Q

an infrastructure for organizing and providing care to patients and their families

A

Patient Care delivery system

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40
Q

-nurse/patient relationship and decision-making
-work allocation and/or patient assignments
-communication between members of healthcare team
-management of the environment of care

A

Four elements of care delivery systems

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41
Q

-establish a therapeutic relationship between nurses and patients and their families during their episode of care
-accomplish essential nursing interventions
-maximize collaborative multidisciplinary practice

A

Purpose of Patient-Centered Care

42
Q

honest expression of your rights, needs and feelings in a way that does not interfere with someone else’s rights needs and feelings (the ideal)

A

Assertiveness

43
Q

-allow others to violate your rights
-indirect
-relies on the hope that another person can read your mind
-helps avoid conflict for the moment
-encourages unspoken resentment that weakens relationships

A

Nonassertive/Passive/Submissive

44
Q

-disregard other’s rights
-standing up for what you want regardless of the rights and feelings of others
-hostile
-combative

A

Aggressiveness

45
Q

-object to behavior that infringes on your rights
-be brief and to the point
-do not apologize for asserting rights
-be assertive with your body, voice, eyes, and facial expressions

A

Guidelines for assertiveness

46
Q

-having good manners and being polite
-respecting others
-based on recognizing that all human beings are important
-protection from discrimination

A

Civility

47
Q

any type of speech or behavior that disrupts the harmony of the home, work, or education environment

A

Incivility

48
Q

can be viewed as a continuum of impolite behaviors

A

Incivility

49
Q

defined as any behavior that could reasonably be considered humiliating, intimidating, threatening, or demeaning to an individual or group of individuals

A

bullying

50
Q

-to coerce or intimidate another person into doing something that they do not want to do
-to merely humiliate a person or group because of some perceived difference or weakness

A

Goal of bullying

51
Q

has many of the same characteristics as bullying except that it takes place almost exclusively in the work setting among peers

A

lateral or horizontal violence

52
Q

any behavior conducted by a superior or supervisor that could reasonably be considered humiliating, threatening, or demeaning to an individual or group of individuals

A

vertical violence

53
Q

can move in both directions

A

vertical violence

54
Q

broad term that includes workplace hostility. bullying, lateral violence, horizontal violence, vertical violence, and workplace violence

A

Workplace (clinical) incivility

55
Q

a state of disharmony

A

conflict

56
Q

-difference of opinion
-underlying beliefs
-emotions
-conflict of interest

A

causes of conflict

57
Q

a deeper issue than what appears on the surface

A

major cause of conflict

58
Q

-ignore the conflict
-confront the conflict
-postpone the conflict

A

conflict resolution strategies

59
Q

-a win-lose approach that forces the conflict
-an assertive autocratic style used when someone needs to take charge
-Ex. emergency situation with no time to disagree over opinions

A

Competition

60
Q

-a lose-lose strategy that is sometimes appropriate, such as backing away from a heated argument
-unassertive and uncooperative
-postpones the inevitable
-need to calm down to be more constructive

A

Avoidance

61
Q

-a lose-win strategy used to preserve relationships
-give in to the other person, neglecting you own needs

A

Accommodation

62
Q
  • a win-win approach to conflict management
    -maintain objectives that are agreeable to everyone
A

Collaboration

63
Q

-a win-lose/lose-win technique
-a give and take style of conflict management
-good way to gain a temporary settlement

A

Compromise

64
Q

-unpopular decisions must be enforced
-strong belief that you are right
- the outcome is very important
-crisis situation where quick action is needed

A

Competitive

65
Q

-individuals are overly emotional
-cost of conflict is greater than the benefits/rewards
-agreeing to disagree with someone/something

A

Avoidant

66
Q

-issue is of real significance
-the outcome affects the future of the organization/individuals
-time allows for creative problem-solving to take place

A

collaborative

67
Q

-situation is deadlocked
-time is a critical factor
-further conflict on the issue would be very damaging
-necessary to preserve the relationships

A

compromising

68
Q

-the relationship is more important than the issue
-the other party is trying a new skill
-the other party’s need is greater than your own

A

accommodative

69
Q

the process of give and take between individuals or groups with the goal of reaching an agreement acceptable to both sides

A

negotiation

70
Q

most statistically significant predictor of quality as perceived by patients, families staff and doctors

A

teamwork

71
Q

-the ability to function effectively within nursing and inter-professional relationships
-fosters open communication, mutual respect, and shared decision-making

A

teamwork

72
Q

-clarity
-competent
-confident
-collaboration
-courage to change

A

The 5 C’s that support people’s ability to engage in change

73
Q

-two or more individuals working together on a joint venue
-shared planning
-shared decision making

A

elements of collaboration

74
Q

-diverse members with unique talents
-clear understanding of responsibility authority, accountability
-assure safe, competent and compassionate care is offered to patients
-do no allow conflicts to interfere with work of the team

A

successful teams in health care

75
Q

-discuss team expectations/challenges regularly
-support growth of team members
-develop own skills in team participation

A

Team leaders

76
Q

center of the team in health care settings

A

the patient

77
Q

-trust
-mutual respect
-consistent and visible support
-open and honest communication

A

characteristic of a healthy team

78
Q

offers new ideas, offers solutions

A

initiator contributor

79
Q

seeks clarification, looks at facts

A

information seeker

80
Q

seeks clarification of values, in solution or problem

A

opinion seeker

81
Q

offer facts or generalizations that are authoritative

A

information giver

82
Q

states beliefs or opinion to suggestions

A

opinion giver

83
Q

gives examples, develops meanings, tries to deduce how ideas might work out

A

elaborator

84
Q

praises, agrees with and accepts others ideas

A

encourager

85
Q

mediates intra-group scraps, relieves tension

A

harmonizer

86
Q

operate from within a conflict in which his idea or positions involved. may yield status, admit error, discipline himself, come halfway

A

compromiser

87
Q

encourages and facilitates participation of others

A

gatekeeper and expediter

88
Q

expresses standards for group to attempt to achieve in its functioning or applies standards in evaluating the quality of group processes

A

standard setter or ego ideal

89
Q

keeps record of group processes and contributes these data with proposed interpretations into group’s evaluation of its own procedures

A

group observer and commentator

90
Q

goes along somewhat passively, is friendly audience

A

follower

91
Q

deflates status of others. expresses disapproval of values, acts, or feelings of others. attacks group of problem, jokes aggressively, shows envy by trying to take credit for others idea

A

aggressor

92
Q

stubbornly and unreasonably resistant. tries to bring back issue that group intentionally rejected or bypassed

A

blocker

93
Q

tries to call attention to himself, may boast, report on personal achievements

A

recognition-seeker

94
Q

uses group to express personal, non-group oriented feelings, insight, ideology, etc

A

self-confessor

95
Q

displays lack of involvement in groups work. actions may take forms of cynicism, nonchalance, horseplay, or out in left field

A

playboy

96
Q

an individual would be a ________ of healthcare

A

microconsumer

97
Q

the united states has the best healthcare outcomes in the world

A

false

98
Q

what settings goal is to restore health and function to an optimal level

A

rehabilitation center

99
Q

what level of care is it when a public health nurse administers a flu vaccine

A

primary

100
Q

what refers to a system

A

healthcare

Relationship Based Care (3 decks)

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