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Nursing Concepts Exam 1 > Lecture 3 > Flashcards

Lecture 3 Flashcards

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1
Q

Communication

A

exchange of thoughts, ideas, or information

dynamic process that is a primary instrument through which change occurs in nursing situations

can be good or bad
all communication influences behavior

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2
Q

Intrapersonal

A

occurs within a person

inner thoughts, feelings, self concept

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3
Q

interpersonal

A

one to one interaction

usually occurs face to face

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4
Q

transpersonal

A

occurs within a person spiritual domain

prayer, meditation

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5
Q

small group

A

interaction between two or more persons meeting together

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6
Q

public

A

interaction with an audience

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7
Q

Why do we need to communicate?

A

patient advocacy, patient safety, optimal patient care, meet clinical standards of care, build and maintain relationships

Number one reason for medical error is miscommunication

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8
Q

Verbal

form of communication

A

vocabulary, denotative and connotative meaning, pacing, intonation, clarity and brevity, timing and revelance

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9
Q

Nonverbal

form of communication

A

personal appearance, posture and gait, facial expression, eye contact, gestures, sounds, personal space

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10
Q

symbolic

form of communication

A 
art and music
childs play
drawings
dance
verbal and nonverbal symbolism used by others to convey meaning
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11
Q

Metacommunication

form of communication

A

awareness about all the factors influencing communication

arms crossed
how you communicate

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12
Q

The Nurse asks the client where the pain is and the client responds by pointing to the pain. What kind of communication is this?

A

Nonverbal

specifically gestures

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13
Q

Intimate Zone (0-18 inches)

A

holding an infant
performing a physical assessment
bathing, grooming, dressing, feeding, and toileting a client

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14
Q

Personal Zone (18in-4 feet)

A

sitting at a client’s bedside
taking medical history
teaching an individual client
shift report

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15
Q

Social Zone (4-12 feet)

A

making rounds with health care provider
teaching a class for clients with diabetes
conducting a support group

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16
Q

Public Zone (12 feet or greater)

A

speaking at a community forum
testifying at a hearing
lecturing to a class of students

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17
Q

A nurse wants to present information about Flu immunizations to the older adults in the community. Which type of communication should the nurse use?

A

Public

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18
Q

Social Zone

zone of touch

A

permission is not needed

hands, arms, shoulders, back

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19
Q

Consent Zone

A

permission needed

mouth, wrists, feet

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20
Q

Vulnerable Zone

A

special care needed

face, neck, front of body

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21
Q

Intimate Zone

A

great sensitivity needed
genitalia. rectum

bathing patient

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22
Q

Therapeutic communication

A

Occurs within a healing relationship between a nurse and a patient

empowers others to know themselves and make their own choices

anything can have the potential to hurt or heal

initiated by nurse

23
Q

Therapeutic Communication

A

use of silence, active listening, ask open questions, offering self, reflection

restatement, empathy, giving information, focusing/exploring, seeking clarification

24
Q

Non Therapeutic Communication

A

Advising, devaluing, disapproval/judgment, focus on nurse instead of client, giving reassurance, probing

defending, accusatory, stereotype, interrupting, introducing another topic

25
Q

Elements of professional communication

A

Courtesy, use of names, privacy and confidentiality, trustworthiness, autonomy and responsibility, assertiveness

26
Q

A client just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?

A

This must be hard news to hear.

27
Q

lateral violence

A

workplace bullying

28
Q

What to do when lateral violence happens?

A 
request a mentor
address the behavior calmly
describe how the behavior affects you
ask for the abuse to stop
notify manager
make a plan for taking action in the future
document incidences
do not instigate or allow others to bully
29
Q

Clients who cannot speak clearly

A 
listen attentively, do not interrupt
ask simple yes or no questions
use visual cues
let client know if you have not understood them
collaborate with speech therapist
30
Q

Clients who are cognitively impaired

A

use simple sentences and avoid long explanations
be attentive and allow time for client to respond
include family and friends in conversations

31
Q

Clients who are hearing impaired

A 
check for hearing aids
reduce environmental noise
get clients attention before speaking
face client with mouth visible
do not chew gum
speak at a normal volume
provide a sign language interpreter if indicated
32
Q

Clients who are visually impaired

A

check for glasses
identify yourself when entering the room and notify when leaving
speak in a normal tone voice
do not rely on gestures or nonverbal communication

33
Q

Clients who are unresponsive

A

call client by name during interaction
communicate both verbally and by touch
speak to client as though he or she can hear
explain all procedures and sensations
avoid talking about client to others in his or her presence

34
Q

Clients who do not speak english

A

Speak to client in normal tone of voice
establish method of patient to ask for assistance
provide a professional interpreter
avoid using family members as interpreters
translate words from native language into english list for client to make basic request

35
Q

The staff is having a hard time getting an older-adult client to communicate. Which technique should the nurse suggest the staff to use?

A

Allow time to respond

36
Q

Self concept components

A

identity, body image, role performance

37
Q

identity

A

involves the internal sense of individuality, wholeness, and consistency of self

38
Q

Body image

A

involves the attitudes related to physical appearance, structure, or function

39
Q

Role performance

A

how individuals carry out their significant roles

40
Q

Self concept

A

perception you have of yourself

self esteem is closely related

A positive self concept gives a sense of meaning, wholeness, and consistency to a person.

41
Q

Which individual is most likely to need the nurse’s assistance in coping with identity confusion?

A

A 35 year old recently divorced mother of twins

42
Q

How can we affect clients self concept?

A

nurses need to remain aware of their own feelings, ideas, values, expectations, and judgments

use a positive and matter of fact approach

build a trusting relationship

be aware of facial and body expressions

43
Q

Cultural considerations

A

develop open, nonjudgmental attitude

ask clients what they think is important

encourage cultural identity by individualizing self care practices

44
Q

assessment of altered self concept

A 
avoidance of eye contact
self harm
passive
lack of interest
slumped posture
unkempt appearance
45
Q

The nurse is caring for an older adult client. Which technique will the nurse use to enhance an older adult clients self concept?

A

Reviewing old photos with cleints

46
Q

Sexual Health

A

state of physical, emotional, mental and social well being in relation to sexuality; it is not merely the absence of disease.

contributes to self worth and to positive interpersonal relationships

47
Q

sexual development

A

changes with stages of development

48
Q

Sexual Orientation

A

Describes the predominant pattern of a person’s sexual attraction over time

heterosexual, homosexual, lesbian, gay, bisexual, transgender

49
Q

Stages of Sexual Development

A

infancy and early childhood
gender identity

school aged years
questions

puberty
emotional and physical changes

young adulthood
emotional maturation

middle adulthood
concerns reattractiveness

older adulthood
sexual response changes, but aging does not lead to diminished sexuality

50
Q

Nonprescription Contraceptive Methods

A

abstinence, barrier methods, spermicide, rhythm

51
Q

Healthcare provider methods

A

hormonal contraception, IUD, diaphragm, cervical cap, tubes tied/vasectomy

52
Q

STI’s

A

Sexually transmitted disease

19 million diagnosed every year
half are 15-24 years old

transmitted from infected individuals to partners during intimate sexual contact

curable: syphilis, gonorrhea, chlamydia

Viral STI’s: HPV, HSV herpes, HIV

53
Q

Sociocultural dimension of sexuality

A

impact of pregnancy and menstruation on sexuality

nurses who have trouble discussing sexual issues need to explore their discomfort and develop a plan to address it

54
Q

Alteration in sexual health

A

infertility, sexual abuse(nurses must report suspected abuse to proper authorities), personal and emotional conflicts, sexual dysfunction

Nursing Concepts Exam 1 (2 decks)

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