Theory Exam 2 (Oxygenation, Ethics, Communication) Flashcards
Sender, Message, Receiver
Linear Comm Model
Meta-communication, Feedback, Validation
Circular Transactional Model
equal role relationships - the nurse is working with the client as a partner in developing mutually defined goals and the means to achieve them
symmetrical role relationships
role relationship where lead in process - nurse is working with client as clinical expert helping the client achieve mutually determined goals
Complementary role relationships
Theorist who believes:
1) Doing “to” or “for” patient medical treatments
2) doing “with” client relationship; active engagement assitance info encouragement
3) good comm with clients results in successful relationship with high client satisfactory outcomes
Dr. Hildegard Peplau, PhD, RN
Pre-Interaction
Orientation
Working/Identification/Exploitation
Termination
4 Phases of Therapeautic Relationship
Info gathering
Creating environment
Pre-interaction
Building trust
Begin assessment
Provides Support
Provide Structure
Orientation Phase
Pacing Develop realistic goals Focus on client strengths Anticipatory guidance Alternative solutions Challenging resistive behavior Referral
Working Phase
Summarize/Evaluate
Expression of attidues and feelings as they relate to the specific health care conerns of the client
Follow up planning
Resources for continued support
Termination Phase
C=connect with client
A=appreciate client’s situation
R=respond to client needs
E=empower client to problem solve with you
CARE
Bridges to Therapeautic Comm
Anxiety
Stereotyping
Violation of Personal Space
Environmental
Barriers to Therapeutic Comm
use correct name
eye contact
open posture
responds to cues
Accepting Lev 1
Levels of Nursing Action
nods head
smiles
encourages response
therapeutic silence
Listening Lev 2
Levels of Nursing Action
Open ended questions
Restates problem
Validates perceptions
Acknowledges confusion
Clarifying Lev 3
Levels of Nursing Action
Honest, complete answers
Assess client’s knowledge
Summarizes
Informing Lev 4
Levels of Nursing Action
Idneitifies unk emotions
Interprets underlying meanings
Confronts conflict
Analyzing Lev 5
Levels of Nursing Action
spontaneous groups, linked to values (same values as you)
primary groups
not spontaneous groups, have a purpose, time limited strucutre
secondary communication groups
Forming Storming Norming Performing Adjourning
5 phases of group process
members join, trust develops
Forming
try to understand other members, bouundaries develop conflicts w/members arise
Storming
behavioral standards emerge, more cohesiveness
Norming
group accomplishes task - work together well
Performing
group meets their goals and disbands
adjourning
Belief about the worth of something
- given idea, attitude, or custom
- set of standards
- help decision making
- can change over time
- influence behavior
- reflect cultural and social influences
Values
developed from life experiences vs. from professional socialization
personal and professional values
altruism autonomy human dignity social justice integrity
nursing values
a systematic inquiry into principles of right and wrong
- describe professional conduct
- used to interpret and analyze situations in decision making
- cost containment, end-of-life, breaches of patient confidentiality, illegal practices of colleagues
Ethics
autonomy beneficence nonmaleficence justice veracity fidelity confidentiality
principles of health care ethics
implies the freedom to make choices and decisions about one’s own care without interference
autonomy
Duty to Actively Do Good for Patients
Beneficence
Duty to Prevent or Avoid Doing Harm, Whether Intentional or Unintentional
Nonmaleficence
The Duty to be Faithful to Commitments; Protecting confidential info; Maintaining privacy and trust
Fidelity
Duty to Treat All Patients Fairly, Without Regard to Status
-ALlocation of Health care resources
Justice
