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FUNDALEC103-MID&FIs > WEEK 3- NURSING AS AN ART > Flashcards

WEEK 3- NURSING AS AN ART Flashcards

1
Q

lifelong process, used to develop meaningful relationships. promotes personal growth and attainment of patient’s health related goals.

A

COMMUNICATION

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2
Q

what are some ways a nurse with expertise in communication express their caring?

A
  • becoming sensitive to self and others
  • instilling faith and hope
  • providing supportive environment
  • assisting with gratification of human needs
  • allowing for spiritual expression
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3
Q

morals, ethics, and an informed sense of right and wrong. awareness on personal responsibility

A

CONSCIENCE

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4
Q

convergence between one’s desire and obligations and the deliberate choice to act in accordance with them

A

COMMITMENT

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5
Q

expressed by being sensitive to the anxiety and apprehension they may feel toward receiving a call from a stranger who is asking about health-related issues

A

COMPASSION

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6
Q

expressed by being able to give the participant the information they need to have an understanding as to what they are consenting

A

COMPETENCE

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7
Q

is achieved by ensuring the participant that the information they share will be used appropriately and for the greater good.

A

CONFIDENCE

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8
Q

what are the 6cs of caring?

A

COMPASSION, COMPETENCE, CONFIDENCE, CONSCIENCE, COMMITMENT, COMFORTMENT

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9
Q

ability to take initiative in establishing and maintain communication, being authentic, appropriate response, and mutuality

A

INTERPERSONAL RELATIONSHIP

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10
Q

what are the levels of communication

A

intrapersonal and interpersonal

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11
Q

this occurs within an individual. this level is also called self talk, inner thought, inner dialogue

A

interpersonal communication

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12
Q

one-to-one interaction between the nurse and another person that often occurs face-to-face. Meaningful interpersonal communication results in exchange of ideas, problem solving, expression of feelings, decision making and personal growth.

A

INTERPERSONAL COMMUNICATION

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13
Q

occurs within a person’s spiritual domain. occurring in prayer, meditation, religious rituals to communicate with higher power

A

TRANSPERSONAL COMMUNICATION

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14
Q

occurs when small number of persons meet together. This can be seen used by nurses through group therapy

A

SMALL GROUP COMMUNICATION

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15
Q

an interaction with the audience. Nurses have opportunities to speak with groups of consumers.

A

PUBLIC COMMUNICATION

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16
Q

use of technology to create ongoing relationships with patient and their health care team.

A

ELECTRONIC COMMUNICATION

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17
Q

what are the EIGHT elements of the communication process?

A 
SENDER
MESSAGE
ENCODING
MEDIA
DECODING
RECEIVER 
FEEDBACK
NOISE
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18
Q

they are the person who sends their idea to another person

A

SENDER

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19
Q

idea, feeling, suggestion, guidelines, orders or any content which is intended to be communicated

A

MESSAGE

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20
Q

process of converting the idea, thinking or any other component of message into symbols, words, actions, diagram

A

ENCODING

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21
Q

medium, passage or route through which encoded message is passed by the sender to the receiver

A

MEDIA

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22
Q

means translating the encoded message into language understandable by the receiver

A

DECODING

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23
Q

he is the person whom the message has been sent to

A

RECEIVER

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24
Q

it is the response by the receiver. marks the completion of the communication process

A

FEEDBACK

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25
Q

it is the hindrance in the process of communication

A

NOISE

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26
Q

refers to the form of communication in which the message is transmitted verbally. The goal is to have people understand what we are trying to convey

A

VERBAL COMMUNICATION

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27
Q

spoken words are used, includes f2f, speech, telephonic conversation, video, radio, television, voice over internet

A

ORAL COMMUNICATION

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28
Q

GIVE SOME ADVANTAGES OF ORAL COMMUNICATION

A

QUICK FEEDBACK

F2F- FACIAL EXPRESSION, BODY LANGUAGE

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29
Q

is the sending or receiving of wordless messages. gesture, body, language, posture, tone of voice or facial expression. This is all about the body language of the speaker

A

NONVERBAL COMMUNICATION

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30
Q

what are the three elements of nonverbal communication

A

appearance, body language, sounds

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31
Q

speaker: clothing, hairstyle, neatness use of cosmetics
surrounding: room size, lighting, decorations, furnishings

A

APPEARANCE

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32
Q

facial expressions, gestures, postures

A

BODY LANGUAGE

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33
Q

voice tone, volume, speech rate

A

SOUNDS

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34
Q

0-18inches, holding a crying infant, performing physical assessment, includes bathing, grooming, dressing, feeding a client

A

INTIMATE ZONE

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35
Q

18IN-4FT

sitting at a client’s bedside, taking the client’s nursing history, exchanging information at change of shift

A

PERSONAL ZONE

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36
Q

4-12FT

making rounds with physician, sitting at the head of the conference table, teaching a class, conducting family therapy

A

SOCIAL ZONE

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37
Q

12FT+

speaking at a community forum

A

PUBLIC ZONE

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38
Q

what are some factors influencing communication?

A
  • developmental level
  • gender
  • sociocultural differences
  • roles and responsibilities
  • space and territoriality
  • physical mental and emotional state
  • values
  • environment
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39
Q

refers to the relationship between a healthcare professional and a client (or patient)

A

THERAPEUTIC RELATIONSHIP

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40
Q

what are some other terms used alternatively for “therapeutic relationship”

A

helping relationship, helping alliance, nurse-patient relationship, working alliance, therapeutic alliance

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41
Q

_____ therapeutic nurse-patient relationship is a supportive interaction that moves a patient toward wellness. Based on trust, respect, interest, and empathy

A

therapeutic nurse-patient relationship

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42
Q

interaction process in which nurse fulfills her role by using her professional knowledge and skill in such a way that she is able to help the patient physically, socially and emotionally

A

therapeutic relationship

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43
Q

what are the four phases of a therapeutic nurse-patient relationship (in order)

A
  1. pre-interaction phase
  2. introductory/ orientation
  3. working phase
  4. termination phase
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44
Q

phase which a nurse goes through before actual interaction with the patient. begins when the nurse is assigned to a patient BEFORE they interact. involves preparation for first encounter.

A

PRE-INTERACTION PHASE

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45
Q

task of this phase is to obtain available information about the client from their charts, initial assessment is made. examining ONES FEELINGS, FEARS AND ANXIETIES ABOUT working with a particular client, set objective for the interaction phase, take help of the clinical supervisor

A

PRE-INTERACTION PHASE

46
Q
  • begins when the nurse goes to the patient, introduces herself and gets introduction about him.
  • nurse and client get acquainted ( know someone slightly)
  • this phase ends when the nurse and her patient begin to accept each other as a unique human being
A

INTRODUCTORY/ ORIENTATION PHASE

47
Q

task of introductory/orientation phase

A
  • establishment of contact
  • making agreement or pact
  • talking with the patient
  • assess client needs, coping strategies, defense mechanisms, strengths and weakness
48
Q

nurse introduces herself, build trust and rapport by demonstrating acceptance. establishing a therapeutic environment ensuring safety and privacy

A

ESTABLISHMENT OF CONTACT

49
Q

Initiating a therapeutic contract by establishing a time, place and duration of each meeting as well as the length of time the relationship will be in effect

A

MAKING AGREEMENT OR PACT

50
Q

while talking with the patient, shows trust in her behavior. patient may present a prepared spiel to a nurse.

A

TALKING WITH THE PATIENT

51
Q

starts when the nurse and the patient are able to overcome the barriers of orientation and introductory phase. during this phase the nurse and the patient actively work on meeting the goals which they had established prior

A

WORKING PHASE

52
Q

The characteristic feature of this phase is that the nurse is able to _____ and the patient’s fear of unknown is also decreased

A

OVERCOME ANXIETY

53
Q

final step of the therapeutic relationship, nurse terminates the relationship when they mutually agree, and goals are reached. Separation occurs

A

TERMINATION PHASE

54
Q

what are the therapeutic communication techniques

A
  1. listening
  2. broad openings
  3. restating
  4. clarification
  5. reflection
  6. humor
  7. information
  8. focusing
  9. sharing perceptions
  10. theme identification
  11. silence
  12. suggesting
55
Q

active process of receiving information

A

LISTENING

56
Q

Expression of interest, leaning forward, nodding head, frequent validation, attempt to fully understand

A

ACTIVE LISTENING

57
Q

SOLER IN ACTIVE LISTENING STANDS FOR WHAT?

A 
S- sit facing the client
O- open posture
L- lean forward towards client
E- establish eye contact
R- relax
58
Q

encouraging the patient to select topics for discussion, eg; “what are you thinking about?” asking open-ended questions

A

“tell me what happened?” and “how are you today?”

59
Q

repeating the main thought expressed by the patient

A

RESTATING

60
Q

attempting to put vague ideas or nuclear thoughts of the patient into words to enhance the nurse’s understanding or asking the patient to explain what he means

A

CLARIFICATION

61
Q

directing back the patient’s ideas, feelings, questions and content, eg; “you are feeling tense and anxious and it is related to a conversation you had with your husband”

A

REFLECTION

62
Q

signifies understanding, empathy, interest, and respect for the patient

A

REFLECTING OR VALIDATING

63
Q

the discharge of energy through comic enjoyment of the imperfect

A

HUMOR

64
Q

skill of information giving

A

INFORMATION

65
Q

questions or statements that help the patient expand on a topic of importance

A

FOCUSING

66
Q

asking the patient to verify the nurse’s understanding of what the patient is thinking or feeling

A

SHARING PERCEPTIONS

67
Q

this involving identification of underlying issues or problems experienced by the patient or problems experienced by the patient that emerge repeatedly during the course of the nurse-patient relationship

A

THEME IDENTIFICATION

68
Q

lack of verbal communication for a therapeutic reason

A

SILENCE

69
Q

presentation of alternative ideas for patient’s consideration relative to problem solving

A

SUGGESTING

70
Q

trying to get the patient to expand upon a topic or bring up another topic

A

EXPLORING

71
Q

THIS IS AN EXAMPLE OF WHAT?

‘So far we have talked about’

A

SUMMARIZING

72
Q

what are non-therapeutic techniques

A
  1. reassuring
  2. rejecting
  3. giving approval
  4. advising
  5. defending
  6. requesting
  7. belittling

-this should be avoided

73
Q

“everything’s going to be alright”

A

FALSE REASSURANCE

74
Q

the process of attending to people’s needs, experiences and feelings, and intervening so that they learn particular things, and go beyond the given

A

TEACHING

75
Q

aim to engage and empower individuals and communities to choose healthy behaviors, and make changes that reduce the risk of developing chronic diseases and other morbidities

A

HEALTH PROMOTION

76
Q

“Enables people to increase control over their own health. covers a wide range of social and environmental interventions that are assigned to benefit and protect individual people’s health and quality of life by addressing and preventing the root causes of ill health, not just focusing on treatment and cure”

A

HEALTH PROMOTION - defined by WHO

77
Q

differs from health promotion because it focuses on specific efforts aimed at reducing the development and severity of chronic diseases and other morbidities

A

DISEASE PREVENTION

78
Q

health promotion and disease prevention often address ____, which influence modifiable risk behaviors.

A

SOCIAL DETERMINANTS OF HEALTH

79
Q

what are DETERMINANTS OF HEALTH?

A
  • economic, social, cultural, political conditions in which people are born, grown and live that affect health status
80
Q

what are MODIFIABLE RISK BEHAVIORS?

A

tobacco use, poor eating habits, lack of physical activity, (which contribute to the development of chronic disease

81
Q

what are typical activities for health promotion, disease prevention, and wellness programs

A
  1. communication (public service announcements, health fairs, mass media campaigns, newsletters)
  2. education (courses, trainings, support groups)
  3. Policy, systems, and Environment-
82
Q

raising awareness about healthy behavior for the general public

A

COMMUNICATION

83
Q

empowering behavior change and actions through increased knowledge

A

EDUCATION

84
Q

making systematic changes through improved laws, rules, regulations, functional organizational components

A

POLICY, SYSTEMS, AND ENVIRONMENT

85
Q

_______ is a guiding principle in health care that emphasizes health promotion and disease prevention rather than the management of symptoms and illness

A

HEALTH MAINTENANCE

86
Q

give a few examples of health restoration and maintenance

A
  1. yearly/ preventive physical
  2. PSA COUNSELING AND TESTING
  3. FITNESS RECOMMENDATIONS
87
Q

is defined as “set of interventions designed to optimize functioning and reduce disability in individuals with health conditions in interaction with their environment”
- Helps a person to be as independent as possible in everyday activities and enables participation in education, work, recreation and meaningful life roles

A

REHABILITATION

88
Q

give examples of rehabilitation

A
  • exercises to improve a person’s speech, language and communication after a brain injury
  • modifying an older person’s home environment to improve their safety and independence at home and to reduce risk of falls
  • psychological support for a person with depression
89
Q

is highly person-centered, meaning that the interventions and approach selected for each individual depends on their goals and preferences

A

REHABILITATION

90
Q

made up of different health professionals, including physiotherapies, occupational therapists, speech and language therapists, orthotists and prosthetists, and physical medicine and rehabilitation doctors

A

REHABILITATION WORKFORCE

91
Q

WHAT are some benefits of rehabilitation

A
  • reduce impact of broad range of health conditions
  • helps minimize or slow down the disabling effects chronic health conditions, such as cardiovascular disease, cancer and diabetes
  • it is an investment
  • enables individuals to participate in education and gainful employment
92
Q

universal phenomenon influencing the ways in which people think, feel and behave in relation to each other

A

CARING

93
Q

CARING IS _______

A

PRIMARY

94
Q

this determines what matters to a person

A

CARING

95
Q

____- is a human experience

A

ILLNESS

96
Q

who said “caring is the essence of nursing”

A

MADELEINE LEININGER

97
Q

_______ describes the concept of care as essence and central unifying and dominant domain that distinguishes nursing from other health disciplines

A

MADELINE LEININGER

98
Q

TRUE OR FALSE: Madeline Leininger describes the concept of care as essence and central, unifying and dominant domain that distinguishes nursing from other health disciplines

A

TRUE

99
Q

what was Madeleine Leininger theory?

A

TRANSCULTURAL NURSING OR CULTURE CARE THEORY

100
Q

What are the cultural aspects of care

A

a. nurse caring behavior

b. implications for patient-centered care

101
Q

this is caring which involves knowing a patients cultural values and beliefs, although need for human caring is universal, application is influenced by cultural norms

A

NURSE CARING BEHAVIOR

102
Q
  • KNOWS the patient’s beliefs and attitudes regarding health care and caring practices
  • know the patient’s cultural practices regarding end-of-life care.
  • determine if a member of the patients family is the best source to guide use of caring practices
  • knowing patients cultural practices regarding removal of life support
  • know the patients cultural practices regarding care of the body after death
A

IMPLICATIONS FOR PATIENT-CENTERED CARE

103
Q

who made the “THEORY OF CARING”

A

JEAN WATSON

104
Q

philosophy and science of caring is concerned on how nurses express care to their patient
her theory stresses HUMANISTIC ASPECTS OF NURSING as they intertwine with scientific knowledge and nursing practice

A

JEAN WATSON

105
Q

according to Watson, ____ is central to nursing practice, promotes health better than simple medical care

A

CARING

106
Q

watson defined 3/4 of metaparadigm concepts in nursing, what are they?

A

human being/person, health, nursing (fourth is environment)

107
Q

____ a valued person in and of him or herself to be cared for, respected nurtured, understood and assisted

A

HUMAN BEING

108
Q

_____ defined as a high level of overall physical, mental and social functioning; general adaptive maintenance level of daily functioning; absence of illness, or the presence of efforts leading to the absence of illness

A

HEALTH

109
Q

____ as a science of persons and health-illness experience that are mediated by professional, personal, scientific, and ethical care interactions

A

NURSING

110
Q

TRUE OR FALSE: JEAN WATSON does not define the 4th metaparadigm concept of ENVIRONMENT

A

TRUE

111
Q

What are Watson’s 10 CARATIVE FACTORS

A
  1. FORMING humanistic-altrusistic value systems
  2. instilling faith-hope
  3. cultivating a sensitivity to self and others
  4. developing a helping-trust relationship
  5. promoting an expression of feelings
  6. using problem-solving for decision-making
  7. promoting teaching-learning
  8. promoting a supportive environment
  9. assisting with gratification of human needs
  10. allowing for existential-phenomenological forces

FUNDALEC103-MID&FIs (10 decks)

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