Module 1- part 1 therapeutic nurse patient relationships

Question 1

Dignity in nursing practice

Answer 1

• each person values different things and thinks about self-worth in a different way
• the way you treat people is a reflection of the respect you feel for them
• illness threatens the integrity or wholeness of the person and can produce wounds that are more than physical (Loss of self, loss of dignity)

Question 2

peplau refers to the primary therapeutic role of nursing, describing nursing as a

Answer 2

significant therapeutic INTERPERSONAL PROCCESS

Question 3

Depersonilization

Answer 3

• loss of sense of self as a unique individual -Frequently goes unrecognized by health professionals
• (when admitted pts given a # & a diagnosis without thought to their rules, routines & self schedules)

Question 4

Ageism

Answer 4

discrimination or prejudice against a particularly age group particularly the elderly

Question 5

respecting & restoring dignity

Answer 5

• there are some individuals who it is difficult for you to respect because of values, beliefs and potential prejudices
• CNA code of ethics for nursing says “nurses in their professional capacity relate to all persons with respect”

Question 6

Article by O’brein 2001 some trends of psychiatry hospital trends in the 19th century, demonstrates the concept of the therapeutic realationship

Answer 6

-asylum was a place of therapeutic suffering &despair
-hope for therapeutic breakthrough did not occur
-Render’s account is the earliest available
attempt to systematize nursing as a therapeutic interpersonal relationship.
-recognition of initial use of therapeutic nurse relationship

Question 7

Influence of Medical Interventions, in the therapuetic relationships

Answer 7

• Medical interventions in mental health treatment (e.g., medication administration) required nursing involvement, which provided the basis for the development of interpersonal models of nursing care.
• Nursing did not invent and does not own the therapeutic relationship, although it might have unique ways of realizing and expressing it.

Question 8

A concept analysis of patient centered care

Lusk & Fater (2013) introduction

Answer 8

• institute of medicine reports direct health organizations to support nurses to take leadership in the development and implementation of patient centered models of care

Question 9

types of communication

Answer 9

• interpersonal
• intrapersonal
• group

Question 10

interpersonal communication

Answer 10

-between individuals

Question 11

intrapersonal communication

Answer 11

-self talk

Question 12

group communication

Answer 12

-between number of individuals

Question 13

Communication in nursing

Answer 13

• dynamic process used to build relationships, undertake assessments, provide teaching, express care and offer comfort
• integral to the nurse client relationship

Question 14

(lusk & fater) critical attributes of PCC (patient centered care) Concept of nursing are:

Answer 14

• encouraging patient autonomy
• caring attributes of the nurse
• individualizing patient care by the nurse

Question 15

PCC requires (lusk & fater)

Answer 15

requires health care workers to identify, respect & care about patients differences, values, preferences & expressed needs: relive pain & suffering; coordinate continuous care; listen to and continuously advocate disease prevention, wellness, promotion of healthy lifestyles, including focus on population health

Question 16

behaviors important to pcc

Answer 16

• communicating & listening
• treating pt as unique individual
• teaching/learning
• respecting values
• responding to pt needs

Question 17

patient centered care encourages patient

Answer 17

AUTONOMY