week 2-- ati homework & ch 3 & 5

Question 1

3 stages of Lenninger’s Transcultural Nursing Theory

Answer 1

1) Maintenance = retain client’s cultural beliefs & values related to health care

2) Negotiation = cultural accommodation

3) Restructuring = cultural repatterning

Question 2

S.M.A.R.T. goal

Answer 2

S = specific
M = measurable
A = attainable
R = realistic
T = time

Question 3

motivational interviewing

Answer 3

**uses scales in phrases

nursing communication strategy that motivates clients to resolve insecurities & feelings towards behavior change

1. engage
2. focus
3. evoke
4. planning

Question 4

4 stages of Theory of Interpersonal Relationships

Answer 4

1. Pre- Interaction = nurse recognizes needs of client & does self-evaluation
2. Orientation = nurse identifies barriers & health literacy & establishes nurse-client relationship
3. Working Phase = mutual trust & comfort is established , & progress toward goal
4. Termination Phase = goals me & nurse ensure continuity of care

Question 5

Transference

Answer 5

Unconscious effort on behalf of the client to redirect previously felt emotions toward nurse

Question 6

Countertransference

Answer 6

unconscious effort on behalf of nurse to redirect previously felt emotions toward client

Question 7

Congruence

Answer 7

mood matches facial expression

Question 8

S.O.L.E.R.

Answer 8

nonverbal communication
S = square w/ client
O = open posture
L = leaning forward
E = eye contact
R = relax

Question 9

S. U. R. E. T. Y.

Answer 9

nonverbal communication
S. = sit at angle
U = uncross legs/arms
R = relax
E = eye contact
T = touch
Y =your intuition

Question 10

Simple vs Complex reflection

Answer 10

simple = uses what client says & clarifies emotions

complex = educated guess, nurse infers client emotion

Question 11

4 stages of transtheoretical model of change

Answer 11

1.PRE-CONTEMPLATION = client denial of issue–raise awareness

2. CONTEMPLATION = client can see importance of change made & but struggles finding comfort in current state
3. PREPARATION = client demonstrates minor changes to current habits
4. ACTION = 180 days since previous behavior

Question 12

S.M.A.R.T. goals

Answer 12

s = specific
m = measurable
a = achievable
r = realistic
t = time

Question 13

while using the cultural formulation interview (CFI) tool the nurse should remember to

Answer 13

elicit the client’s perspective of what THEY BELIEVE is causing the problem

Question 14

orientation phase of nurse-client relationship

Answer 14

establish boundaries & develop mutual goals

Question 15

___ sends “distress” signal to ____

Answer 15

AMYGDALA sends “distress” signal to hypothalamus

Question 16

3 stages of General Adaptation Syndrome

Answer 16

1. Alarm
2. resistance
   3 exhaustion

Question 17

mild anxiety level presents as

Answer 17

nail biting, foot tapping, or fidgeting
*hypervigilence
*restlessness
**increased awareness & ability to problem solve is at peak

Question 18

moderate anxiety presents as

Answer 18

**PRACTICING DEEP BREATHING
increased vital signs
** increased bathroom use
**limited ability to learn new things
**limited perception
**less concentration

Question 19

severe anxiety presents as

Answer 19

*REPEATING PHRASES
*chest pain
*feeling of no solution
*unable to focus on more than 1 thing at a time
*nausea, impending doom

Question 20

panic anxiety presents as

Answer 20

• DISSOCIATION & FAINTING
  *fight or flight,
  *disorganized
  *unable to process environment
  *hallucinations

Question 21

toxic stress

Answer 21

result of chronic stress where body learns that fear, trauma, & stressors are normal

Question 22

3 types of coping styles

Answer 22

1. problem-focused
2. emotion-focused
3. avoidant

Question 23

chronic stress can increase risk of

Answer 23

**due to exposure to cortisol
diabetes
obesity
anxiety
insomnia
cardiovascular disease

Question 24

hardiness

Answer 24

a positive self-perception and attributes of hopefulness

Question 25

a nurse is planning care for the termination phase of a nurse-client relationship. which of the following actions should the nurse include in the plan of care?

1. discussing ways to use new behaviors
2. practicing new problem solving skills
3. developing goals
4. establishing boundaries

Answer 25

1. discussing ways to use new behaviors