PC 1- Midterm REVIEW Flashcards
Communication practice, roles, etc.
Techniques used to deliver teaching information to persons of First Nations.
Deliver verbal instructions in a story-telling format
Knocking on a clients door before entering, shows respect for their personal space. True/False
True
In a helping relationship, understanding should always be put into words. True/False
True
Where are stereotypes are learned?
During childhood and reinforced by life experiences
The difference between ‘open-ended’ and ‘closed’ questions.
Open-ended–>encourages client to take the initiative
Close-ended–>narrows the focus, useful in emergency
When is it appropriate to use ‘open-ended’ questions?
Getting to know a client, creating a care plan
When is it appropriate to ‘close-ended’ questions?
In an emergency
The different phases of the nurse-client relationship. (4)
1) Pre-interaction
2) Orientation
3) Working
4) Termination
Putting ideas in a logical sequence of related material, demonstrates effective communication. True/False
True
Therapeutic response
Shows the client that you are listening to them
Eg. “tell me more about what you are feeling”
Culture competence
Requires self-awareness of one’s own culture values
Culture diversity
Refers to variations among culture groups
Feedback allows the system to maintain its original information. True/False
True
Mutuality
Agreement on the client’s health problems and the means for resolving them
Empathy
Ability to be sensitive to and communicate understanding of the client’s feelings
Meta-communication
Actively listening with good use of verbal and non-verbal communication
The components of a cultural assessment
Health beliefs and values
Spirital beliefs and practices
Customary health practices
Preferred language
When is it best to plan for termination of the nurse-client relationship?
At the beginning of the nurse-client relationship (initial encounter)
How to reduce clinical bias in nursing?
Be aware and develop a non-judgmental, neutral attitude
What are the barriers to effective communication?
Lack of respect Lack of caring Lack of empowerment Lack of empathy Anxiety Stereotyping and bias Over involvement Violation of personal space Violation of confidentiality Cultural incompetence Gender differences Environmental factors(privacy, space, timing, noise, temperature) Language
In a nurse-client relationship, know what is important to build first.
Trust
In health care, whose goals form the basis of working together for mutuality?
The client’s
Caring is an ‘ethical responsibility’. True/False
True
In a nurse-client communication, feedback provided by the nurse should be ________.
Specific and directed to the behavior
What is the best way to clarify understanding of meaning?
Paraphrasing
What does confidentiality mean in nursing?
Protection of private information
To whom can confidential information be disclosed?
Only to those on the care team
Personal space needs for people of different ages and cultures.
Elderly - need more personal space-need control and they can become profoundly disoriented in unfamiliar environments
Therapeutic relationship
Focus on the client
Social relationship
Focus on both parties
In a nurse-client relationship, what is the role of self-concept?
It is a reciprocal relationship that can support a client’s self-esteem
What are the different types of responses in ‘active’ listening?
Minimal cues and leads Clarification Restatement Paraphrasing Reflection Summarizing Silence Touch
What is the purpose of a nurse-client relationship?
To foster a partnership with the client
What is ‘SOLER’?
Active listening acronym. S - sit facing client O - open posture L - lean toward the client E - eye contact (intermittent) R - relax
PRE-INTERACTION phase of nurse-client relationship
Only phase where client does NOT directly participate
ORIENTATION phase of nurse-client relationship
Client and nurse meet & get to know each other
WORKING phase of nurse-client relationship
Client is more self-directed, goal setting
TERMINATION phase of nurse-client relationship
Nurse should start planning for termination from initial contact
