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NSG 1610 Assessing Health & Wholeness > Week Three > Flashcards

Week Three Flashcards

1
Q

What are 6 communication deficits that patients may experience?

A

1) Environmental Deprivation

2) Associated with mental disorders

3) Impaired cognitive processing

4) Vision

5) Impaired verbal communication

6) Hearing

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2
Q

What is a communication deficit?

A

looking at impairments that affect the ability - the ability to receive, send, process, graphics, symbols etc.,

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3
Q

What is the definition of successful aging?

A

We want to encourage our older adult to adapt and to be flexible to age and the related changes that come with age without losing who that individual is

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4
Q

What are some ways that you can promote successful aging? (4)

A
  • We want to create situations of empowerment
  • Provide assistance PRN
  • Provide opportunities for them to stay active
  • Create moments that support autonomy and allow engagement
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5
Q

What are some ways that you can empower older adults in their communication strategies?

A
  • Remind them of their lifetime of strengths… get to know your residents
  • Reminisce
  • Encourage social and spiritual supports
  • Support independence
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6
Q

What is a way that you can communicate with someone who is cognitively impaired?

A

Support communication with verbal cues and touch

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7
Q

What are 3 components of Communicating for Continuity of Care (COC)?

A

1) Management Continuity

2) Informational Continuity

3) Relational Continuity

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8
Q

What is management continuity? (COC)

A

we need to have appropriate care management

approaches, needs to be consistent, coherent and flexible

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9
Q

What is Informational Continuity? (COC)

A

Using the information/data that you have been given to tailor patient care and specific treatments to their needs

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10
Q

What is required to obtain informational continuity? (COC)

A

Accurate record sharing, real time communication, cautious with regard to gaps, safety nets built into place

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11
Q

What is relational continuity? (COC)

A

telling us that this therapeutic relationship with a practitioner spans more than one episode (relational continuity is difficult to occur with staffing shortages)

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12
Q

What does relational continuity ensure for the relationship between patient and healthcare provider?

A

This relationship goes across time and is centered, collaborative, and coordinated

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13
Q

What are the 5 parts of the Code of Behaviour?

A

1) Everyone on that interprofessional team has agreed to certain expectations and behaviour

2) There should always be open and honest communication

3) No bullying or disruptive behaviour

4) We all have to adopt to the same code of behaviour

5) We need to collaborate, cooperate, and share our expertise

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14
Q

What are 3 Considerations in Teamwork & Communication?

A

1) Need to be aware of barriers (past situations that you and others have experienced)

2) Need to be aware of any past conflicts that have occurred in a team setting

3) Be aware of disruptive behavior

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15
Q

What are 6 considerations for Teamwork & Communication?

A

1) We should have a common goal

2) Needs to be open and safe communication

3) We should demonstrate mutual respect

4) Shared decision making

5) Role clarity needs to occur if we have difference in regard expectations

6) Message clarity

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16
Q

What are 4 components of Interprofessional Communication?

A

1) Code of Behaviour

2) Teamwork & Communication

3) Collaboration

4) Conflict Resolution

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17
Q

What are the 3 steps to Conflict Resolution?

A

1) Identify Source of Conflict

2) Set Goals

3) Implement Solutions high quality, mutually acceptable

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18
Q

What are some ways you can achieve Step #3 in conflict resolution?

A
  • Reframe
  • Assume responsibility
  • Identify goals
  • Obtain factual data
  • Intervene early
  • Describe, Express Concern, Specific course of action, consensus
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19
Q

What are some ways goals need to be set in conflict resolution?

A

Immediate
Specific
Measureable

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20
Q

What is important to do in Step #1 in conflict resolution?

A

Identify our own feelings

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21
Q

Theories of Communication:
What do Purnell and Leninger have in common?

A

Purnell and Leninger take into consideration culture and how important culture is in regards to our theories of communication

22
Q

Theories of Communication:
What do Peplau, Rogers, and Maslow have in common?

A

Peplau, Rogers and Maslow DO NOT take culture into that patient centered relationship

23
Q

Why do we have to consider the theories of communication?

A

The importance of understanding our patients concerns and issues

Teaches us how to start a conversation

24
Q

What is Peplau’s theory of communication titled?

A

“Interpersonal Nursing”

A well known theory of interpersonal relationships in nursing and focuses on our interaction with clients!

25
Q

What needs to happen for Peplau’s theory of communication to be successful?

A

Sequential means that we progress through the phases in a linear way, there is no looping and for communication to be successful with our patient, then we need to pass through all four phases

26
Q

What are the 4 Sequential Phases of a nurse and patient relationship in Peplau’s theory?

A

1) Pre Interaction Phase

2) Orientation

3) Working Phase

4) Termination

27
Q

Define the Pre Interaction Phase in Peplau’s theory of communication:

A

Your patient is not participating in this phase, this is entirely you (ex. Look at patients chart, you are preparing yourself before your interaction with the patient)

28
Q

Define the Orientation phase in Peplau’s theory of communication:

A

Your patient is involved here

29
Q

Define the Working phase in Peplau’s theory of communication:

A

Beginning of establishing trust and becoming comfortable

The patient tells you their problems, this is the longest portion with your client

30
Q

Problem identification & exploitation is apart of what phase in Peplau’s theory of communication?

What does identification and exploitation mean?

A

Working phase

The beginning of establishing trust and becoming comfortable

31
Q

Define the termination phase in Peplau’s theory of communication ?

A

You have met the needs of your patient has come to an end

32
Q

What does each phase in Peplau’s theory of communication serve to do?

A

Each phase serves to broaden as well as deepen the emotional connection between nurse and patient

These 4 phases are an overlapping part of a holistic relationship

33
Q

What are the 6 nursing professional roles in Peplau’s theory of communication?

A

1) Nurse is responsible for conduct and boundaries

2) Communication is occurring for a specific health related purpose (goals)

3) Communication focuses on the needs of the patient

4) The only reason for a relationship is because a patient has a need

5) There are pre designed roles

6) There are limited self disclosure by the nurse but expected self disclosure by the patient

34
Q

What does Roger’s theory of communication state?

A

States that each person has within himself or herself the capacity to heal if given support and treated with respect and unconditional positive regard in a caring, authentic, and therapeutic relationship

35
Q

Why type of model is Roger’s theory of communication?

A

This is a client centered (person-centred approach) model, the patient has the capacity to heal if the patient is given support, treated with respect and unconditional positive regard (the patient has an innate ability to health themselves)

36
Q

What 3 major provider attributes of person centred relationships are in Roger’s theory of communication?

A

1) Authenticity (being “real” in a relationship without artificial facades)

2) Prizing (trust & respect)

3) Empathetic understanding

37
Q

What does Maslow’s theory of communication prioritize?

A

His theory offers a motivational framework that nurses use to prioritize patient needs in planning their care

38
Q

What is important to consider when using Maslow’s theory of communication?

A

The first levels needs need to be met before I can meet the rest of the needs (This pyramid moves from the bottom up)

39
Q

Define Physiological needs in Maslow’s hierarchy of needs? (bottom-up)

A

Fundamental needs that have to be met for survival Hunger, thirst, sexual appetite, sensory stimulation

Basic needs

40
Q

Define Safety & Security in Maslow’s hierarchy of needs? (bottom-up)

A

Physical safety and emotional security (freedom from injury, freedom from abuse, safe neighborhoods)

Basic needs

41
Q

Define Love & Belonging in Maslow’s hierarchy of needs? (bottom-up)

A

Social connections

psychological needs

42
Q

Define Self-Esteem in Maslow’s hierarchy of needs? (bottom-up)

A

Individual has a need for recognition and appreciation, that sense of dignity, respect, and approval

Psychological needs

43
Q

Define Self-Actulization in Maslow’s hierarchy of needs? (bottom-up)

A

we can assist clients achieve their potential

Self fulfillment needs

44
Q

What theory of communication did Leininger found?

A

Transcultural Nursing

45
Q

What is the Leininger theory of communication?

A

“Theory of of Cultural Care” asks us to examine culture from our patient’s point of view, attending to their values and beliefs about health and illness

46
Q

How did Leininger view the concept of “Care”?

A

Viewed the concept of “care” as the essence of nursing, is basic to well-being, health, and facing death

47
Q

How is cultural care defined in Leininger’s theory of communication?

A

Another construct of this theory is “cultural care” this is defined as willingness to be open to alternative thinking that is of benefit and is useful to the patient

48
Q

What should a culturally sensitive nurse need to do in Leininger’s theory of communication?

A

A culturally sensitive nurse helps patients adapt to develop a shared goal of health outcome and modify health behaviors to achieve optimal health

Nurses must have knowledge about diverse cultures to provide care that “fits” the patient

49
Q

How does Purnell consider cultural competence?

A

From a macro level down to a microlevel

Global society, community, family, down to the microlevel in person

50
Q

What does using Purnell’s theory of communication allow for?

A

Using Purnell’s domains as a framework for understanding individual differences allows for a comprehensive cultural assessment, leading to a culturally congruent, individualized, patient-centered approach to patient care

51
Q

Is Purnell’s theory of communication an all encompassing theory?

T/F?

A

True

52
Q

When caring for a patient and implementing Purnell’s theory of communication, what does the nurse understand about their patient?

A

We need to understand the patients cultural explanation to their health issue

NSG 1610 Assessing Health & Wholeness (5 decks)

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