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NURS1130 > Weeks 2-4 Midterm Study > Flashcards

Weeks 2-4 Midterm Study Flashcards

1
Q

Communication models (2)

A

Linear

Transactional

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2
Q

communication model components (5)

A

Sender
Message
Channel
Receiver
Context

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3
Q

Transactional communication model is a

A

Feedback loop

It’s more complex

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4
Q

Additional factors that influence commiunication
(Personal, self awareness, environment)

A

Personal
- gender, age, education

Self awareness
- values, beliefs

Environment
- timing, privacy

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5
Q

Therapeutic communication definition

A

Dynamic interactive process by clinicians and patients for the purpose of achieved identified health related goals

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6
Q

therapeutic communication can occur through

A

Word, facial expressions, body language, email, writing

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7
Q

Building rapport serves as…

A

The basis for a therapeutic relationship

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8
Q

Congruence

A

Presenting your true thoughts and feelings verbally and nonverbally

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9
Q

Incongruence

A

Verbal messages don’t correspond with nonverbal messages

Conflicting messages are sent

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10
Q

Non verbal communication examples

A

Facial expression
Body language
Touch
Gestures
Voice tone
Eye contact
Time
Appearance

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11
Q

Active listening

A

Intentional form of listening
- note feelings
- encourage patients to explore concerns and expand on ideas
- use of open ended questions
- requires full attention without judgement

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12
Q

Constructive feedback is …

A

Objective
Descriptive
Honest
Clear
Relevant
Focused on behavior (not the person)
Provided quickly

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13
Q

Few examples points from BCCNM confidentiality doc (know for exam)

A
  • respect client right to access own health records
  • share relevant info with the healthcare team
  • comply with legal obligation to disclose info under court order, warrant, etc
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14
Q

Patient centred care relationships are the..

A

Basis of professional therapeutic relationships

They begin with the expectation that clients will take an active role in managing their health

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15
Q

Phases of patient centred relationship (4)

A

Preinteraction
Orientation
Working
Termination

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16
Q

Patient centred relationship: pre interaction phase

A

Gather information from charting

Familiarize yourself with precautions

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17
Q

Patient centred relationship: orientation phase

A

Introductions

BUILDS TRUST - key point

Defined purpose of relationship

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18
Q

Patient centred relationship: working phase

A

Utilize nursing process

Problem solving period

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19
Q

Patient centred relationship: termination

A

This phase is defined early so patient can prepare

End of work
Discuss outcomes with client

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20
Q

Characteristics of a therapeutic relationship

A

Patient centred
Respectful
Therapeutic
Based on trust
Appropriate power use
Client dignity and privacy is respected
Holistic
Specific
Goal directed
Time limited
Individualized

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21
Q

Examples of bridges

A

Respect
Trust
Empathy
Ethical behaviour
Confidentiality

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22
Q

Examples of barriers

A

Anxiety
Stereotyping

Space violation
Confidentiality violation

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23
Q

Characteristics of the nurse in a therapeutic relationship

A

Care
Self awareness
Presence
Respect
Authentic
Protects privacy

24
Q

Empathy is the ability to

A

Truly know another person within a trusting and mutually respectful relationship

25
Q

Compassion

A

Seeking to address the suffering and needs of a person through relational understanding

26
Q

Presencing

A

Being fully present (body, mind, emotions, and spirit) to another person

27
Q

Active listening vs presencing

A

Active listening - more words/responding

Presencing - more action and non verbal communication

28
Q

Nontherapeutic communication techniques

A

Asking personal questions
Giving personal opinions
Changing subjects
False reassurance
Sympathy
Arguing

29
Q

Obstacles within the patient that effect communication

A

Pain
Inability to understand
Feeling defensive
Deprived of privacy

30
Q

Obstacles within a nurse that effect communication

A

Preoccupation
Rushing
Making assumptions
Stereotypes
Defensiveness

31
Q

Aphasia

A

Partial or total loss of the ability to communicate verbally or in writing

  • person with aphasia may have difficulty speaking reading writing or understanding
32
Q

Types of aphasia

A

Expressive
- cannot put thoughts into words
Receptive
- cannot understand what is being said
Global (both)

33
Q

For an unresponsive client, you should…

A

Always assume the client can hear what you say

34
Q

Self concept

A

Totality of each persons beliefs about themselves. Contains cultural concepts, gender, environments, beliefs, values, education, etc

35
Q

Culture

A

Integration of historical, social, economic, physical contexts

36
Q

Self esteem

A

A persons personal sense of worth and well being
- related to life experiences and childhood

37
Q

Self clarity

A

Extent to which a person clearly and confidently knows who they are

38
Q

Self efficacy

A

Persons beliefs about their ability to accomplish a task and deal with challenges

39
Q

Person centred relationship (PCC)

A

Therapeutic relationship links to assisting people to achieve health goals

40
Q

Person centredness

A

Recognizing a persons knowledge and expertise in managing their health

41
Q

Person centred care is a set of…

A

A set of therapeutic relationships where healthcare providers engage with people

  • understand persons experience with health
  • Support effective self management
  • promote healthy lifestyle behaviours
42
Q

Person centred vs social relationships

A

Social
- no defined end
- no set out goals
- friendship purposes

Person centred (therapeutic)
- subject to ethical and legal standards
- defined beginning and end
- goals to be met

43
Q

Boundaries

A

Invisible structure impaired by legal, ethical, and professional standards

44
Q

Countertransferance

A

Occurs when something activates a nurses unconscious/unresolved feelings from a past relationship

45
Q

Shared decision making (SDM) is …

A

Person specific

  • reviewing care plans, asking about priorities,e tc
46
Q

CARE acronym

A

Connect with the person
Appreciate the persons situation
Respond to persons needs
Empower the person to solve problems with you

47
Q

Empowerment

A

Assisting people to assume responsibility for their own health

48
Q

semantic noise

A

using medial terms, or when stereotypes/emotions influence Communication

49
Q

categories of questions

A

open
Focuses
Closed

50
Q

Open ended questions

A

Begins with what, how, or describing

Reflect on situation

51
Q

focused questions

A

useful in emergencies

Need concise info

What was the signs and symptoms of…..

52
Q

Meta communication

A

Combination of verbal and non-verbal behaviours integrated to share info

Used to describe all factors that influence how messages are received

Ex. Body language, tone, eye contact, etc

53
Q

Relational practice

A

A way for the nurse to care for a person while encompassing their cultural contexts

Guided by conscious participation with clients using relational skills such as listening, questioning, and empathy

54
Q

Caring is fundamental to…

A

An effective nurse client relationship

55
Q

Themes from caring theories

A

Empowerment
Commitment of nurse
Relational practice
Understanding context
Getting to know client as a unique person

56
Q

Caring from a critical social perspective…..

A

Directs nurses to critically examine the dominant social conditions that often constrain people and their health

57
Q

Strategies for communicating with those with aphasia or other communication difficulties

A

Go slow
One thing at a time
Do not interupt
Treat as an adult
Don’t pretend to understand
Use gestures
Minimize distractions

NURS1130 (8 decks)

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