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N260 > FINAL > Flashcards

FINAL Flashcards

1
Q

whats sophisticated communiation

A

ability for nurses to interact in meaningful ways without seeming like you’re assessing, history taking or delivering a designated therapy

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2
Q

subtle communication

A

talking with, listening to, and observing the patient up close and from a distance. understanding that changes in patients dont need to be overt in order to be important

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3
Q

ordinary communication

A

spending time getting to know the patient. using conversation unrelated to the aspects of care

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4
Q

define trauma

A

experiences that overwhelm the persons capacity to cope

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5
Q

5 types of trauma

A
  1. Single incident trauma
  2. Complex or repetitive trauma
  3. Developmental trauma
  4. Intergenerational trauma
  5. Historical trauma
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6
Q

does trauma informed approach always include disclosure of the trauma

A

no, it does not require disclosure

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7
Q

4 principles of trauma informed approach

A
  1. Trauma awareness
  2. Emphasis on safety and trustworthiness
  3. Opportunity for choice, collaboration and connection
  4. Strengths based and skill building
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8
Q

what is MI

A

Focuses on exploring and resolving ambivalence and centers on motivational processes within the individual that facilitate change

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9
Q

what are the 4 elements to consider in regards to readiness to change in MI

A
  • Ambivalence about change is normal
  • Change is often non-linear
  • Readiness is not static
  • Attend to readiness in your work
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10
Q

principles of MI

A

R-resist the righting reflex
U-understand your client’s motivation
L-listen to your client
E-empower your client

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11
Q

3 components to the spirit of MI

A

Collaboration
Evocation
Autonomy

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12
Q

what does OARS stand for and what is it for?

A

Open-Ended Questions
Affirmations
Reflections
Summaries

-they are strategies for talking to a patient during MI

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13
Q

what are the 4 elements of MI

A
  1. MI principles
  2. OARS (open-ended Q’s, affirmations, reflective listening and summaries)
  3. Change talk (statements made by clients, indicating that they are currently considering a positive change)
  4. MI spirit (the use of “microskills” the application of other interventions and techniques, and the elicitation of change talk
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14
Q

most groups follow what sort of pattern?

A

beginning, middle (working) and ending (termination) phases

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15
Q

what does PEACE stand for and describe each

A

• Praxis: reflection on actions, thinking and doing
• Empowerment: the growth of personal strength, power and ability to act on ones will and to act and support others.
• Awareness: Being present in the moment, fully being conscious of what’s around you. Being aware of others sense of self as well as my own
• Cooperation:
-Evolvement: Reflecting on past experiences in order to grow and transform. Reflection and transformation

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16
Q

How does motivational interviewing lead to improved patient outcomes?

A

Resolving the behaviour that an individual is struggling to change, such as smoking cigarettes, excessive drinking, or poor dietary habits. Through changing these behaviours, we see reduced levels of obesity, cardiovascular disease, depression and/ or diabetes (i.e., we see healthier people!). Essentially, we improve the morale and overall well-bring of individuals, which thereby facilitates individuals’ work habits and social well being

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17
Q

what are the components of power over power?

A

○ Power of results
○ Power of force
○ Power of opposites
-Power of accumulation

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18
Q

what are the components of PEACE powers?

A 
○ Power of process
○ Power of letting go
○ Power of sharing
○ Power of nurturing
-Power of responsibility
19
Q

T or F: Power that energizes PEACE is different from power as it is used in the world.

A

T

20
Q

what is cultural competence?

A
  • Ability for healthcare professionals to demonstrate cultural competence toward patients with diverse values, beliefs, and feelings. (online)
  • Skills, knowledge, attitudes required to provide care while considering cultural differences (readings)
  • respecting differences and being willing to accept the idea that there are many ways to view the world
21
Q

in looking at cultural as relational, what is the RESPECT acronym?

A 
R-reflect deeply on own culture
E- examine and question assumptions
S- share and recognize ethical space
P- participate in cultural uniqueness
E-engage in relational building
C- create trusting environments
T- treat people with dignity
22
Q

what is cultural encounter?

A

engaging in cross cultural interactions

23
Q

what is Cultural desire?

A

motivation to engage In process of wanting to work with diverse populations

24
Q

Does incorporating cultural competency training into nursing practice ensure ethical care?

A

-incorporating this training doesn’t ensure ethical care, but it helps promote its significance to hopefully increase cultural competence/safety in HCP’s.

25
Q

What ethical foundations should ground culturally safe nursing practice?

A
  • showing mutual respect, caring for those around you and not just oneself
  • not marginalizing someone when they come to receive care
26
Q

where are the four themes of RE enacted?

A

through dialogue

27
Q

define moral imagination with example

A
  • Envisioning the full range of possibilities in a particular situation in order to solve an ethical challenge
    Ex. Nestle commercials were about chocolate and sweet foods but then recently changed to healthier options to appeal to everyone and stay competitive in the market
28
Q

what is an example of moral courage

A

help get a car out of a snow ditch even if it means being late

29
Q

define moral agency with example

A

Ability to discern right from wrong and held accountable for ones actions
Ex. Typically assigned to those who can be held responsible for their actions but children with disabilities may not have capacity to be moral agents

30
Q

Non-coercion?

A

not forcing someone into an action that limits choice and freedom

31
Q

what is compassion comprised of?

A

Compassion is comprised of that capacity to see clearly into the nature of suffering, that ability to really stand strong, and to recognize that I’m not separate from that suffering”

32
Q

collaborative interprofessional collaborative competency framework (CIHC)?

A

provides health care providers with a means to understand which competencies they need to enact in order to practise collaboratively with a patients health care team

33
Q

INTERPROFESSIONAL CONFLICT RESOLUTION

A

• Create openness to hear others views
• Consider all views within your own perspective
• Consider biases that might exist in your viewpoint
• Consider justification for your biases and how you can come to terms with others views
• Weigh the alteration in your view, based on others views in the context of the patients safety
• Share your thinking with the other team members
• Hear each others viewpoints
-Come to a shared agreement

34
Q

relational knowing?

A

movement away from a paradigm of control to one of relation centers relationship as a starting point of ethical inquiry

35
Q

what is horizontal violence?

A

snide comments, sarcasm, belittling gestures or comments, inappropriate or unjust evaluations, withholding information, holding grudges and displaying favoritism

36
Q

embodied knowing

A

part of everyday work of nurses to care for people whose bodies elude their own control. treating pt’s with humanity and treating them the way they want to be treated

37
Q

how would I describe relational knowing?

A

knowing the context of the patient, understanding where they’re coming from and not focusing solely on diagnosis. Genuine engagement, rather than focusing on the outcome of our work with the pt to really look at how decisions are being made with the patient. Collaboration with all professions but also with the patient

38
Q

what does CRIB stand for? and what is this used for

A

○ C-commit to seeking a mutual purpose
○ R-recognize the purpose
○ I-invent a mutual purpose
-B-brainstorm

-used for nurse-to-nurse conflict resolution

39
Q

How does Social Identity theory contribute or challenge interprofessional team function?

A

Social identity theory (SIT) and realistic conflict theory (RCT) offer useful insights into potential areas for intervention to improve interprofessional communication and practice.

40
Q

What are the four key elements of helpful communication?

A
  1. Importance of time: not being rushed when talking with a patient, making it seem like you have all the time in the world to sit and talk. Sitting down to talk, direct eye contact, active listening
  2. Demonstrating caring: during time of difficult news, if a HCP placed their hand on the pt’s shoulder, would mean a lot and demonstrate you care about the individual.
  3. Acknowledging fear: doing this through dialogue helps pt’s feel like they are allowed to talk about their concerns
  4. Balancing hope and honesty: Providing as much relevant info as possible in a variety of formats and at different points in time is helpful.
41
Q

list the 4 Dimensions of the informed advocacy framework (IAF)

A
  1. Ensuring that people’s concerns are heard
  2. Ensuring that people remain safe in their interactions with the healthcare system (safeguarding)
  3. Contextualizing practices
  4. Addressing systematic health inequities
42
Q

Describe the coping patterns of children with chronic illness or life-limiting health conditions

A
  1. Develops competence and optimism: accentuates the positive aspects of the situation and concentrates more on what he or she has can do than on what is missing/what he or she cannot do; is as independent as possible
  2. Feels different and withdraws: sees self as being different than others. Views being different as negative, sees self as less worthy; focuses on what they cannot do
  3. Is irritable, is moody, and acts out: uses coping mechanisms which turn out to be not ego enhancing and do not result in desired outcomes; acts out irritably which may or may not be associated with conditions symptoms
  4. Adheres to treatment: takes necessary med’s, adheres to activity restrictions; also uses behaviours that indicate developing independence ex. Takes responsibility for taking med’s
  5. Seeks support: talks with adults, children, physicians, and nurses; develops plan to handle problems as they occur; uses downward comparisons. Ex. Realizes that other have it worse
43
Q

What does a good death look like?

A 
• Pain and symptoms relief
• Transparent decision-making
• Preparation for what to expect
• Maintaining a sense of control
• Collaborative interprofessional team care
• Holistic services accessible
• Afforded hope
• Dignity
• Privacy 
Comfort and QOL are key qualities at EOL**

N260 (3 decks)

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