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39 Cards in this Set

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Values
Personal belief about the worth of a given idea that sets standards and influences behavior (lecture 9/29, also Potter p.393).
Ethics
-The ideals of right and wrong behavior
-Sensative to unequal relationships that can lead to an abuse of power.
-Ethic of care make RN the Pt advocate

(Potter p.111).
Attitude
A feeling or emotion toward a fact or state. Influences behavior.
Behavior
The manner in which an individual conducts his/herself.
Values clarification
Process of self-discovery that helps a person gain insight into values (Potter p. 393-394).
Describe what is meant by the term caring and list at least 5 caring behaviors.
Caring is a universal phenomenon that influences the ways in which people think, feel and behave in relation to one another. Caring is essential in helping the patient reach positive outcomes (Potter p.108). Caring behaviors include: eye contact, attention to clients concerns, physical touch, respecting values, listening.
Define and describe the purposes and components of the health history and interview.
The health history is data collected about the client’s current level of wellness, including a review of body systems, family and health history, sociocultural history, spiritual health, and mental and emotional reactions to illness. The health history is obtained during an interview and allows for the nurse to form a partnership with the client so that the interview is oriented to the client, not the disease (Potter p.289, 673).
Define and describe the components and factors that influence therapeutic communications.
Therapeutic communication is specific responses that encourage the expression of feelings and ideas to convey the nurse’s acceptance and respect. Components can include: Active listening, sharing observations, sharing empathy, sharing hope, sharing humor, sharing feelings, using touch, using silence, providing information, clarifying, focusing, paraphrasing, asking relevant questions, self-disclosure and confrontation (Potter p.437-440).
Values clarification
Process of self-discovery that helps a person gain insight into values (Potter p. 393-394).
Describe the components of and demonstrate a therapeutic helping relationship.
In this type of relationship the nurse assumes the role of professional helper and comes to know the client as an individual who has unique health needs, human responses, and patterns of living. The relationship is therapeutic; promoting a psychological climate that facilitates positive change and growth (Potter p.431).
Therapeutic silence
Allows for both patient and nurse to reflect on what has just been communicated and consider what needs to be said. Demonstrates nurses patience and may prompt patient to discuss something difficult (Potter p.439).
Non-verbal communication
Includes all 5 senses and everything that does not involve spoken or written word. Example- body cues. (Potter p.429)
Open-ended questions
Broad general questions that require more than a “yes” or “no” answer. Allow for the patient to take the conversational lead and introduce pertinent information. “What’s your biggest problem at the moment?” (Potter p. 288, 440)
Clarification
Restating an unclear or ambiguous message to clarify sender’s meaning OR asking the other person to rephrase, further explain or give an example of (Potter p.439).
Confrontation
Helping the other person become aware of inconsistencies in his or her feelings, attitudes, beliefs and behaviors. Should only be used once trust is established, and it should be done with sensitivity (Potter p.440).
Empathy
The ability to understand and accept another person’s reality, to accurately perceive feelings and to communicate this understanding to the other (Potter p.438).
Facilitation
The act of making easy or easier
Acceptance
Coming to terms with a particular situation and finding a sense of peace.
Paraphrasing
-Restating another’s message more briefly using one’s own words.
-Sends feedback to let client know you are listening
-NN practice so doesn't sound artificial
Focusing
Used to focus on key elements or concepts of a message. Useful when conversation is vague or patient is repeating his or her self (Potter p.440).
Stating observations
Commenting on how the other person looks, sounds, or acts. Often allows the client to communicate without the need for extensive questioning, focusing or clarification (Potter p.437).
Sympathy
Non-therapeutic. Concern, sorrow or pity felt for the client; focuses on nurse’s feelings rather than clients (Potter p.441).
Reflection
The process of purposefully thinking back or recalling a situation to discover its purpose or meaning. As a nurse it helps to think back on a client situation, to make sense of the experience and to gain insight as to the meaning of the situation (Potter p.263).
Offering information
Providing relevant information tells the patient what they need to know so they can make decisions, experience less anxiety and feel safe and secure (Potter p.439).
Summarizing
Concise review of key aspects of an interaction.
Brings satisfaction and closure.
Helpful during termination phase of RN/Client Relationship.
Clarifies Expectations

(Potter p.440).
False reassurance
Offering hope with statements such as “you’ll be fine.” Discourages open communication and further expression of feelings (Potter p. 441).
Communication
Communication is the means to establishing helping-healing relationships between nurses and patients. “All behavior communicates, and all communication influences behavior.”(Potter p.425) Communication is explored in detail in chapter 23.
Describe special techniques for communications with elderly and children.
When communicating with children it is helpful to include the parents as sources of information about the child’s health history. Children are especially responsive to non-verbal communication so it is important not to make sudden movements, loud noises or threatening gestures. The elderly may have hearing or speech disorders that make it difficult to communicate. Being aware of these impairments and adjusting will improve communication (Potter p.435-436).
Describe the nurses’ Code of Ethics and its purpose.
The nurses’ Code of Ethics sets forth ideals of conduct. These ideals include responsibility, accountability, advocacy, confidentiality and veracity
(Potter p.391-392).
Confidentiality
The ethical principle or legal right that a physician or other health professional will hold secret all information relating to a patient. Federal legislation known as HIPAA requires it in the United States (Potter p.391).
Advocacy
Active support. Advocacy for individual clients is essential and can include aiding in asserting their rights and obtaining required services (Eliiopoulos p.77).
Accountability
Ability to answer for one’s own actions. The nurse balances accountability to the client, the profession, the employer, and society (Potter p.391).
Responsibility
Refers to the characteristics of reliability and dependability. Implies an ability to distinguish between right and wrong. Includes a duty to perform actions well and thoughtfully (Potter p.391).
Sensitivity
The act of quality of being sensitive. Sensitive to another's feelings and emotions.
Dignity
The quality or state of being worthy of esteem or respect. As a nurse it is important to help the patient maintain their dignity.
Respect
To feel or show deferential regard for. Important in nurse-client communication.
Theraputic Communication
Therapeutic communication is specific responses that encourage the expression of feelings and ideas to convey the nurse’s acceptance and respect. Components can include: Active listening, sharing observations, sharing empathy, sharing hope, sharing humor, sharing feelings, using touch, using silence, providing information, clarifying, focusing, paraphrasing, asking relevant questions, self-disclosure and confrontation (Potter p.437-440).
List the Theraputic Communication Techniques:
Active Listening - SOLER
Sharing Observations
Sharing Empathy
Sharing Hope
Sharing Humor
Sharing Feelings
Using Touch
Using Silence
Providing Information
Clarifying
Focusing
Paraphrasing
Asking Relevant Questions
Self Disclosure
Theraputic Confrontation
List the NON Thereputic Communication Techniques
>Asking Personal Questions
>Giving Personal Opinions
>Changing the Subject
>Automatic Responses
>False Reassurance
>Sympathy
>Asking for Explanations
>Approval or Disapproval
>Defensive Response
>Passive or Agressive Responses
>Arguing