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NSG 310 > Topic 7 > Flashcards

Topic 7 Flashcards

1
Q

what are the guidelines for conducting an interview

A

speak briefly
when you do not know what to say, say nothing
when in doubt, focus on feelings
avoid advice
avoid relying on question
pay attention to nonverbal cues
keep the focus on the client

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2
Q

therapeutic communication

A

refers to a dynamic interactive process entered into by health care providers with their patient and the significant others for the purpose of achieving identified health realted goals
help build rapport with the patient

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3
Q

what are the phases of the interview process

A

phase 1: orientation
phase 2: working
phase 3: termination

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4
Q

phase 1

A

orientation: assessment phase, what is their health status based or their view (goals set) MOST IMPORTANT AS YOU ARE BUILDING TRUST WITH THE PATIENT

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5
Q

phase 2

A

working: planning and implementation of interventions needed

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6
Q

phase 3

A

termination: goals are accomplished (discharged) relationship with the client ends

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7
Q

nonverbal communication

A

eye contact
active listening
personal space (1.5-3or4 feet)
touch
facial expressions
gestures
body language
personal appearance

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8
Q

verbal communications

A

words: to clarify beliefs and values; communicate perception and meanings (tone, speed, pauses, ect.)
clairifying techniques
honest

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9
Q

therapeutic communication across cultures

A

communication styles (hand gestures, facial expressions, ect)
use of eye contact
perception of touch
cultural filters

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10
Q

what are cultural filters

A

a format of cultural bias or prejudice

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11
Q

stereotyping

A

a bias believing every member of a selective group is like all the rest

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12
Q

what are the communication techniques?

A

use of silence
active listening
clarifying techniques
“what if” or miracle questions

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13
Q

use of silence

A

silence can be influencing as it helps encourage the client to think; respond when they are ready; to know that you are there for them

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14
Q

active listening

A

observe the clients nonverbal communication, listen to the message; understand; listen fro false notes; provide feedback

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15
Q

what are the clarifying techniques

A

paraphrasing
restating
reflecting
exploring

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16
Q

paraphrasing

A

restating in few words what was said

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17
Q

restating

A

echoing feelings; saying the same KEY WORDS that the client used

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18
Q

reflecting

A

may be a question or mirroring back to the clients feelings

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19
Q

exploring

A

away to elicit more information such as “tell me more, describe, give me an example”

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20
Q

what if to miracle questions

A

help establish the client to envision where they are going in the future (clients may want to know their future but as the nurse you cannot predict the future!!)

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21
Q

what are some non therapeutic techniques

A

excessive questioning
giving approval or disapproval
giving advice
asking “why” questions
changing the subject

22
Q

excessive questioning may suggest…

A

you aren’t understanding them

23
Q

giving approval or disapproval may suggest..

A

that you think the client is correct or incorrect, so you are judging them

24
Q

giving advice suggests…

A

clients decisions are not valid

25
Q

asking “why” questions suggests…

A

comes across as an attack and that you dot believe them

26
Q

changing the subject suggests…

A

no interest in the clients opinion or what the client has to say

27
Q

Dr. Charles Lewien

A

how to talk to different age groups

28
Q

what are some considerations when providing effective therapeutic communication skills

A

lifetime experiences
conditioning
predisposition and inherited characteristics
life cycle and life span
relationship to others abilities and disabilites
vocation (what they do for a living)
cultural background
communication styles across the lifespan

29
Q

age range for infant

A

newborn to 12 mo

30
Q

infant communication techniques

A

totally dependent on caregiver
communicate through CRYING OR SMILING

31
Q

infant therapeutic respinse

A

provide for infants physical and emotion needs
by 12 months, infants say 3-5 words with meaning swaddle and hold infant in arms
take time to listen and address caregiver

32
Q

children communication overview

A

do not fully understand what is happening to them
no comprehension of how medications or treatments work and how it will make them feel better
think meds are punishment
fear of the unknown and understanding

33
Q

age range of toddler

A

1-3 years

34
Q

toddler communication techniques

A

regress to infantile behaviors when stressed (they think its safer)
LITERAL with interpretation of word (take BP, they think you are actually taking something from them)

35
Q

toddler therapeutic response

A

use consistency; routines are important
explain using very basic words
approach slowly

36
Q

preschooler age range

A

3-5 years old

37
Q

preschooler communication techniques

A

follow simple commands but only ONE AT A TIME
LITERAL with interpretation of words

38
Q

preschooler therapeutic response

A

eye contact
sit down at their level
approach slowly

39
Q

school age range

A

6-12

40
Q

School age lifespan considerations

A

transition from home to school

41
Q

school age therapeutic response

A

use terms understandable to child
give choices
provide encouragement and praise
be honest

42
Q

adolescent age range

A

13-18 years

43
Q

adolescent lifespan considerations

A

transitioning from childhood to adulthood
-fight for independence
-need comfort and security
difficult time
-demands from family school peers society
body changes (puberty
need something to feel good about
acne
difficult time for parents
-transition
-opposing views

44
Q

adult lifespan considerations

A

recognize characteristics
-working toward career goals
-earning a living
-establish primary relationships
-making a place in their community
-raising a family
STRESS
-info and assistance in parenting and daily living
-extended psychological adolescent period
-still pursuing education
-still living with parents (boomerang generation)

45
Q

older adult lifespan considerations

A

fewer acute illnesses (chronic illness management)
more freedom (empty nest, retirement)
final stage (no longer needed, bored, lack of energy to participate in activities, fear off loss)
interests in younger years tend to remain the same (active vs non active social vs nonsocial)

46
Q

2010 census bureau

A

number of people >85 had increased to more than 1.9 million
expect to quadruple

47
Q

“young old”

A

65-74

48
Q

“old”

A

74-84

49
Q

“oldest-old”

A

85+

50
Q

centenarians

A

100+

NSG 310 (11 decks)

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