Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
24 Cards in this Set
- Front
- Back
|
Bridges to the Relationship
|
Respect
Caring Empowerment Trust Empathy Mutuality Ethically-Based Professional Values of Veracity, Confidentiality, Autonomy, Justice, and Beneficence |
|
|
Barriers to the Relationship
|
Anxiety
Stereotyping and Bias Over-involvement as a Boundary Violation Violation of Personal Space Cultural Barriers Gender Differences? |
|
|
Respect
|
how the wish to be called
assists in building a professional relationship |
|
|
Caring
|
a natural response to help those in need
an intentional human action characterized by commitment, a sufficient level of knowledge and skill clients want us to understand why they are suffering |
|
|
Empowerment
|
assist client to take charge of their life
provide client with information, tools and resources to build skills to reach health goals leads to better patient outcome |
|
|
Trust
|
foundation in all relationships
interpersonal trust/sense of feeling safe key to establishing a workable relationship |
|
|
Techniques Designed to Promote Trust
|
Convey respect
consider client uniqueness show warmth and caring use client's proper name active listening enough time to answer questions congruence between non-/verbal be flexible & consistent use attending posture |
|
|
Empathy
|
perceives and understands client's emotions accurately
compassion feel client's emotion yet remain objective |
|
|
Levels of Empathy
|
1 - unawareness of the client's message of feelings
2 - superficial acknowledgment of the clients message 3- recognition of the client's message and some of the client's feelings 4- Acknowledgment of the message and obvious feelings 5- full therapeutic acknowledgment of the client's hidden message and meanings |
|
|
Mutuality
|
n & c agree on c's health problems and the means for resolving them & both parties are commited to doing so
mutual respect for each others value system and autonomy |
|
|
Ethically-Based Values
|
Veracity - C can expect the truth from N
Confidentiality - N will not divulge private information |
|
|
Mild Anxiety
|
heightened state of alertness
increased acuity of hearing, vision, smell, touch enhanced learning & problem solving increased adaptability and responsiveness |
|
|
Moderate Anxiety
|
decreased sensory perceptions, but can expand with guidance
loss of concentration decreased cognitive ability inhibited functioning |
|
|
Severe Anxiety
|
Greatly diminished perceptions
decreased sensitivity to pain limited thought processes unable to solve problems cannot cope with stress w/o help limited functioning |
|
|
Panic/Anxiety
|
no response to sensory perceptions
no cognitive or coping abilities death is imminent w/o intervention |
|
|
Stereotyping & Bias
|
attributing characteristics to a group of people as though all persons in the identified group possess them
ethnicity, culture, religion, social class, age, STD's, addiction Prejudices/Discrimination |
|
|
Over-involvement as a Boundary Violation
|
clarity is needed about N & C roles in relationship
professional boundaries |
|
|
Violation of Personal Space
|
provides a sense of comfort and protection
defined by past experiences, current circumstances and our culture |
|
|
Proxemics
|
the study of an individual's use of space
optimal territorial space needed by most individuals living in western culture - 86-108 ft sq |
|
|
Steps in the CAREing process
|
C - connect with client
A - appreciate the client's situation R - respond to client's needs E - empower the client |
|
|
Strategies for Empowerment
|
Accept your client
Explore C's feelings form and alliance with C Reinforce C's autonomy offer information make sure C actively participates clarify C holds the major responsibility |
|
|
Nursing Actions that Facilitate Empathy
3 Major Skills |
a - Recognition and classification of requests
b - attending behaviors c- empathetic responses |
|
|
Tips to Reduce Relationship Barriers
|
Establish Trust
demonstrate caring and empathy empower the C recognize and reduce C anxiety appropriate personal distance avoid medical jargon |
|
|
Respect for Personal Space
|
cultural and developmental factors
C's reaction to intrusions regard for C's dignity and privacy longterm care - encourage personalizing of space |
