week 2-- ati homework & ch 3 & 5 Flashcards
3 stages of Lenninger’s Transcultural Nursing Theory
1) Maintenance = retain client’s cultural beliefs & values related to health care
2) Negotiation = cultural accommodation
3) Restructuring = cultural repatterning
S.M.A.R.T. goal
S = specific
M = measurable
A = attainable
R = realistic
T = time
motivational interviewing
**uses scales in phrases
nursing communication strategy that motivates clients to resolve insecurities & feelings towards behavior change
- engage
- focus
- evoke
- planning
4 stages of Theory of Interpersonal Relationships
- Pre- Interaction = nurse recognizes needs of client & does self-evaluation
- Orientation = nurse identifies barriers & health literacy & establishes nurse-client relationship
- Working Phase = mutual trust & comfort is established , & progress toward goal
- Termination Phase = goals me & nurse ensure continuity of care
Transference
Unconscious effort on behalf of the client to redirect previously felt emotions toward nurse
Countertransference
unconscious effort on behalf of nurse to redirect previously felt emotions toward client
Congruence
mood matches facial expression
S.O.L.E.R.
nonverbal communication
S = square w/ client
O = open posture
L = leaning forward
E = eye contact
R = relax
S. U. R. E. T. Y.
nonverbal communication
S. = sit at angle
U = uncross legs/arms
R = relax
E = eye contact
T = touch
Y =your intuition
Simple vs Complex reflection
simple = uses what client says & clarifies emotions
complex = educated guess, nurse infers client emotion
4 stages of transtheoretical model of change
1.PRE-CONTEMPLATION = client denial of issue–raise awareness
- CONTEMPLATION = client can see importance of change made & but struggles finding comfort in current state
- PREPARATION = client demonstrates minor changes to current habits
- ACTION = 180 days since previous behavior
S.M.A.R.T. goals
s = specific
m = measurable
a = achievable
r = realistic
t = time
while using the cultural formulation interview (CFI) tool the nurse should remember to
elicit the client’s perspective of what THEY BELIEVE is causing the problem
orientation phase of nurse-client relationship
establish boundaries & develop mutual goals
___ sends “distress” signal to ____
AMYGDALA sends “distress” signal to hypothalamus
3 stages of General Adaptation Syndrome
- Alarm
- resistance
3 exhaustion
mild anxiety level presents as
nail biting, foot tapping, or fidgeting
*hypervigilence
*restlessness
**increased awareness & ability to problem solve is at peak
moderate anxiety presents as
**PRACTICING DEEP BREATHING
increased vital signs
** increased bathroom use
**limited ability to learn new things
**limited perception
**less concentration
severe anxiety presents as
*REPEATING PHRASES
*chest pain
*feeling of no solution
*unable to focus on more than 1 thing at a time
*nausea, impending doom
panic anxiety presents as
- DISSOCIATION & FAINTING
*fight or flight,
*disorganized
*unable to process environment
*hallucinations
toxic stress
result of chronic stress where body learns that fear, trauma, & stressors are normal
3 types of coping styles
- problem-focused
- emotion-focused
- avoidant
chronic stress can increase risk of
**due to exposure to cortisol
diabetes
obesity
anxiety
insomnia
cardiovascular disease
hardiness
a positive self-perception and attributes of hopefulness
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?
- discussing ways to use new behaviors
- practicing new problem solving skills
- developing goals
- establishing boundaries
- discussing ways to use new behaviors
