Prnu 101- Ch.14- Nursing Assertiveness

Front 1

3 main behavior styles

Back 1

- Nonassertive (passive)
- Agressive
- Assertive

Front 2

Assertiveness is a style of interaction that is ___, ___, and ___ of self and others

Back 2

- direct
- honest
- respectful

Front 3

Assertive Behavior:
- seperates what
- promotes what type of behavior and communication
- promotes what type of response

Back 3

- separates the person from the issue
- honest and open
- voluntary response (speak out of choice)

Front 4

Assertiveness:
- current name for ___
- overall message
- characteristics
- is a ___, not a weapon

Back 4

- honesty
- " I count. You count."
- pro active, positive, confident
- tool

Front 5

4 forms of non-verbal assertive behavior

Back 5

- firm voice
- erect posture
- direct eye contact
- be in control

Front 6

Non- Assertive:
- what type of behavior
- in handeling conflict
- in expressing feelings

Back 6

- fear based, self defeating, emotionally dishonest
- avoid conflict, look the other way, take easy way out
- do not express feelings (internalize)

Front 7

Non-Assertive Behavior:
- eye contact
- body language
- communication w/ another
- overall message

Back 7

- lack of eye contact
- swaying or shifting
- hesitant or whine
- "I do not count. You count."

Front 8

Aggressive Behavior:
- type of response
- type of behavior
- body language
- overall message

Back 8

- automatic response (not based on choice)
- emotional behavior based on anger
- hands on hips, pointing finger, glaring eyes, shouting
- "You do not count. I count."

Front 9

3 types of negative coping mechanisms
- definition
- behavior style

Back 9

- Projection: when individuals attribute their own weaknesses onto others
- aggressive behavior
- Rationalization: a logical but untrue reason offered as an excuse for the behavior
- non assertive behavior
- Denial: refusing to recognize the exsistance and significance of patient's personal concerns; way of excusing personal responsibility
- non assertive behavior

Front 10

List examples of:
- projection
- rationalization
- denial

Back 10

- projection: "my education is better than yours"
- "you're only a PN"
- rationalization: patient is a "troublemaker", "manipulator", "uncooperative"
- denial: - patient being transferred from skilled to intermediate nursing facility
- "she will be upset"
- "its not my responsibility"

Front 11

Continuous cycle of unresolved issues:
- what can help break the cycle

Back 11

- worry > fear > anger > rage
- problem solving and communication skills

Front 12

Manipulation:
- is considered ___ in some cultures
- not all cultures are focused on moving toward ___

Back 12

- acceptable norm
- assertive behavior

Front 13

Negative Manipulation:
- 2 characteristics of maladaptive behavior
- 3 types of manipulators
- best approach or strategy

Back 13

- feelings and needs of others are disregarded
- other people are treated as objects to fulfill the needs of the manipulator

- Seducer: initiates a relationship w/ someone
- Passive-Aggressive: focuses on the other's weaknesses
- Divide and Conquer: confides half-truths, rumors, gossip, or innuendos
- assertive approach and firm limit setting

Front 14

Workplace assults take place more often against ____ than people in any other occupation

Back 14

- health care workers (especially nurses)

Front 15

4 categories of workplace violence

Back 15

- Employee
- Domestic
- Property
- Commercial

Front 16

Co-worker Violence:
- what is an early sign that a co-worker may have the potential for violence

Back 16

- lack of cooperation

Front 17

Patient Violence:
- What initial action should be taken if a student nurse is hit during the care giving process
- What intervention is most effective at reducing patient violence

Back 17

- leave the patient in a safe situation and immediately report the event to an instructor
- communicate self respect and respect for patients

Front 18

As a student nurse is leaving the hospital after her clinical rotation she notices several young men loitering on the walkway that she must take and her car is parked far away.
- what would be the best course of action

Back 18

- call for a security guard to escort you to the car

Front 19

Sexual Harassment:
- 2 forms
- is not about ___, but is about ___
- how to respond

Back 19

- unwanted sexual advances
- verbal or physical conduct of a sexual nature
- not about sex or passion
- is about abuse of power
- respond assertively by telling the person that the behavior is "unwanted and offensive"