week 2- relational practice

Question 1

personhood (carl rogers)

Answer 1

• humans possess an innate drive towards growth and fulfillment
• humans release their actualizing potential through positive human relationships as long as conditions of self-worth are present

Question 2

conditions of self-worth

Answer 2

genuineness, unconditional positive regard, empathy

Question 3

person-centred care

Answer 3

• respecting individuals as people, recognizing care partnership
• person means all those involved in a caring interaction
• reflects the potential impact of staff relationships and team effectiveness on creating therapeutic environment

Question 4

four key concepts of person-centred nursing

Answer 4

1. being in relation- relationships have a therapeutic benefit
2. being in a social world- people are social beings
3. being in place- impact of environment on care
4. being with self- sense of self depends on being recognized, respected and treated as a person

Question 5

patient-centred care

Answer 5

• respecting individuals as persons, recognizing care partnership
• focus is on recipient of care

Question 6

outcomes of person-centred care

Answer 6

satisfaction with care, involvement with care, feeling of well-being, creating a therapeutic culture

Question 7

processes of person-centred care

Answer 7

working with patients beliefs, providing holistic care, engagement, having sympathetic presence, shared decision making

Question 8

how to interact with a patient

Answer 8

• approach with respect
• position self near client
• speak clearly and slowly
• inquire at a relaxed pace
• listen, seek to understand
• confirm person’s view of desired self

Question 9

factors that may influence a patient’s response

Answer 9

• anxiety
• sensory deprivation (impaired hearing/vision)
• cautiousness (likely to omit info)
• lived experiences (supportive/unsupportive relationships)

Question 10

what themes to discuss with a patient

Answer 10

• somatic orientation (ailments, bodily functions)
• loss reactions (loss of friends and loved ones)
• life review
• fear of losing control (fear of losing physical/mental functions)
• death
• family (relationships)

Question 11

autonomy

Answer 11

• nurses are required to respect a patient’s right to make decisions about their own care
• patient’s must be provided with the appropriate information to make a decision and they must be capable of making a decision

Question 12

ways of knowing

Answer 12

empirical, aesthetic, personal, ethical, emancipatory

Question 13

empirical knowing

Answer 13

based on objective data and scientific inquiry

Question 14

aesthetic knowing

Answer 14

art of nursing, involves empathy and creativity

Question 15

personal knowing

Answer 15

self-awareness and self-reflection

Question 16

ethical knowing

Answer 16

understanding philosophical positions regarding what is right

Question 17

ageism

Answer 17

a term used to describe prejudice toward older adults through attitudes and behaviour

Question 18

elderspeak

Answer 18

baby talk directed to older adults, is a form of ageism in which younger people alter their speech on the assumption that all older adults have difficulty comprehending what is said to them

Question 19

sensorineural hearing loss

Answer 19

results from damage to any part of the inner ear or the neural pathways to the brain

Question 20

conductive hearing loss

Answer 20

involves external and middle-ear abnormalities that reduce the transmission of sound to the middle ear

Question 21

most common sensory impairment in people over 60 years of age

Answer 21

hearing loss, 65% of people aged 70-79 have hearing loss

Question 22

negative outcomes of hearing loss

Answer 22

decreased function, miscommunication, social isolation, depression, reduced income/employment, safety risk

Question 23

three major categories of impaired verbal communication

Answer 23

reception, perception, articulation

Question 24

anomia

Answer 24

difficulty retrieving words during spontaneous speech and naming tasks

Question 25

aphasia

Answer 25

affects a person’s ability to use and understand spoken or written language (expressive and receptive aphasia)

Question 26

dysarthria

Answer 26

impairment in the ability to articulate words as the result of damage to the speech mechanism controlled by either the CNS or PNS

Question 27

reminiscing

Answer 27

- recalling from the past, usually occurs from childhood onward - cultivates a sense of security through the recounting of comforting memories, a sense of belonging through sharing and self-esteem through the confirmation of uniqueness

Question 28

relational orientation

Answer 28

a way of thinking and focusing attention on the intrapersonal, interpersonal and contextual levels in health care

Question 29

intrapersonal analysis

Answer 29

- what's going on within people - recognizing how bias influences actions - self-reflection

Question 30

interpersonal analysis

Answer 30

- what's going on between people - how are relationships influencing the situation?

Question 31

contextual analysis

Answer 31

- what is going on around the people involved in the situation? - what are the systems and health care settings that impact the situation?

Question 32

genogram

Answer 32

- three generations - shows family structure, relationships and boundaries - used to uncover roots of significant family challenges

Question 33

ecogram

Answer 33

- representation of family connections in relation to the larger community - assess family strengths, resources and support system