Module 1

Question 1

Describe key elements of nurse patient relationship

Answer 1

• Nurse is a professional helper that comes to know the patient as an individual
• Nurse’s nonjudgmental acceptance of the patient
• Relationship created through care, skill and development of trust
• Relationship has 4 goal-directed phases: preinteraction, orientation, working and termination phases
• Nurses must go beyond social conversation to talk about issues or concerns affecting the patient’s health.
• Collaborative communication promotes personal responsibility, enables self-expression and promotes patient problem solving.

Question 2

Describe key elements of nurse family relationship

Answer 2

• Communication with families requires additional understanding of the family dynamics, needs and relationships.

Question 3

Describe key elements of inter professional team relationship

Answer 3

• Communication may be geared toward team building, facilitating group process, collaboration, consultation, delegation, supervision, leadership and management
• Members need support, guidance and encouragement from one another to cope with stressors of the health care context.

Question 4

Describe key elements of nurse community relationship

Answer 4

• Communication includes neighbourhood newsletters, public bulletin boards, newspapers, radio, tv, electronic information sites and social media

Question 5

What are the 4 phases of the helping relationship?

Answer 5

Preinteraction, orientation, working, termination phase

Question 6

What are the tasks of the preinteraction phase of the helping relationship?

Answer 6

• Reviews medical and nursing history and talks to other caregivers to get more information
• Anticipates concerns or issues that could arise

Question 7

What are the tasks of the orientation phase of the helping relationship?

Answer 7

• Meets patient and establishes trust

Question 8

What are the tasks of the working phase of the helping relationship?

Answer 8

• Encourages patient to set goals, express and explore feelings

Question 9

What are the tasks of the termination phase of the helping relationship

Answer 9

• Evaluate goal achievement

* Separates from patient by giving responsibility of care to patient or another caregiver.

Question 10

Describe an approach to speak to someone with: Aphasia, dysarthria, muteness

Answer 10

• Listen attentively and don’t interrupt, ask simple questions, allow time for understanding and response, encourage patient, let patient know if you haven’t understood

Question 11

Describe an approach to speak to someone with: cognitively impaired

Answer 11

• Reduce distractions, get their attention, use simple sentences, one question at a time, allow time for patient to respond, be attentive listener and involve family in conversations

Question 12

Describe an approach to speak to someone with:

hearing impaired

Answer 12

• Reduce noise, get patient’s attention, face the patient so your mouth is visible, speak and normal volume, rephrase if the message is misunderstood

Question 13

Describe an approach to speak to someone with: visually impaired

Answer 13

• Identify yourself when you enter and leave the room, speak in normal tone, don’t rely on gestures or nonverbal communication

Question 14

Describe an approach to speak to someone with: unresponsiveness

Answer 14

• Call the patient by name, communicate verbally and with touch, speak to the patient as though they can hear, explain all procedures, always assume patient can hear and understand everything at their bedside

Question 15

Describe an approach to speak to someone with: non english speaking

Answer 15

• Speak to patient in normal tone of voice, method for patient to signal a desire to communicate, communication board, pictures or cards, translations and dictionary

Question 16

What are the 5 sub dimensions of Swanson’s Theory of Caring

Answer 16

Knowing, Being with, Doing for, Enabling, Maintaining belief

Question 17

Describe the sub dimension of Swanson’s theory: Knowing

Answer 17

• Strive to understand an event

* Don’t make assumptions

Question 18

Describe the sub dimension of Swanson’s theory: Being with

Answer 18

• Being emotionally present

* Sharing feelings, being there, engaging the self and the other person

Question 19

Describe the sub dimension of Swanson’s theory: Doing For

Answer 19

• Assisting the other person with actions that they could do if it were possible
• Not burdening, comfort, anticipate, protect

Question 20

Describe the sub dimension of Swanson’s theory: Enabling

Answer 20

• Facilitating the other person’s passage through life transitions
• Preserve dignity, inform and explain, support, focus

Question 21

Describe sub dimensions of Swanson’s theory: Maintaining belief

Answer 21

• Sustaining faith in other person’s capacity to get through an event
• Validating, give feedback, believing in, maintaining hope, realistic

Question 22

What are the 5 aspects of Roach’s Human Act of Caring?

Answer 22

Compassion, Competence, Confidence, Conscience, Commitment

Question 23

Describe Roach’s Human Act of Caring: compassion

Answer 23

• An awareness of the relationship with others

* Sensitivity to pain of the other

Question 24

Describe Roach’s Human Act of Caring: Competence

Answer 24

• Having knowledge, skill, judgement, energy and experience required to respond adequately to the demands of one’s professional responsibilities

Question 25

Describe Roach’s Human Act of Caring: confidence

Answer 25

• Quality that fosters trusting relationships

* Goals of service in an environment and under conditions of respect

Question 26

Describe Roach’s Human Act of Caring: Conscience

Answer 26

moral awareness

Question 27

Describe Roach’s Human Act of Caring: Commitment

Answer 27

• Convergence between desires and obligations, deliberate choice to act in accordance with them

Question 28

How do patients perceive caring?

Answer 28

Listening, being there for them, keeping information that is shared confidential. Provide a sense of security and trust, helping the client sort their own feelings by listening and asking questions. Respect their opinions and ideas and don’t be judgemental.

Question 29

What is the WHO definition of health promotion?

Answer 29

Health promotion is the process of enabling people to increase their control over and improve their own health. Health promotion is described as a “process” meaning that it is a means to an end and not necessarily an outcome in its own right.

Question 30

Define primary prevention

Answer 30

• Strategies designed to prevent or reduce the risk of disease from occurring by improving or maintaining general healt, boosting the immune system or preventing injury
• i.e. food safety, air quality, safe driving practices etc.

Question 31

Define secondary prevention

Answer 31

• Focuses on early detection of disease or conditions in a particular population, with the goal of either achieving a cure or minimizing the severity of the disease
• i.e. screening tests (colonoscopies, mammograms)

Question 32

define tertiary prevention

Answer 32

• Occurs later in a disease process and focuses on reducing loss of function, maximizing health and minimizing disability.
• Nurses role: identify potential complications and implementing strategies that help the person adapt while considering the person’s strengths, vulnerabilities and preferences
• i.e. providing education, monitoring treatment effectiveness and addressing adverse side effects.
• i.e. Direct observation and treatment (DOTS)