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28 Cards in this Set

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Peplau theory :
Therapeutic conversations help make illness bearable by reinforced self-esteem & supporting the natural healing powers of a person
Ida Orlando developed
Deliberate nursing process theory we have a deliberate reason to carry out the nursing process.
-pts expressed need for help leads to a reaction in the nurse= reaction from the nurse consists of a perception, thought or feeling which is shared w/ the pt and owned by the nurses.=-After validation of need, help is identified, and a deliberate action is taken to meet the pt's need.
Counter transference



transference
done by nurse



Can be neg traits or pos ones, or ones desired in sig other but did not receive
working phase 1of 3
-Maintain relationship
-Share info
-Gather further data
-Promote patient’s problem-solving skills, self-esteem, & use of language
-Facilitate behavioral change
working phase 2of 3
-Evaluate progress
-Support the practice & expression of alternative adaptive behavior
-Problem solving & help them identify new or other appropriate coping skills
working phase 3 of 3
-Identifying needs, concerns, needs for knowledge & working on them
-Reflect & become aware of any transference & counter
-Maintaining relationship, gathering data
-Facilitating any behavioral change
Working phase goal
-Development of a strong working relationship can allow pt to experience increased levels of anxiety & demonstrate functional behaviors in a safe setting while trying out new & more adaptive coping behaviors
Working phase goal
-Development of a strong working relationship can allow pt to experience increased levels of anxiety & demonstrate functional behaviors in a safe setting while trying out new & more adaptive coping behaviors
Working Phase includes (pt 1 of 3)
-Maintain relationship
-Share info
-Gather further data
-Promote patient’s problem-solving skills, self-esteem, & use of language
Working Phase includes (pt 2 of 3)
-Facilitate behavioral change -Evaluate progress
-Support the practice & expression of alternative adaptive behavior
-Problem solving & help them identify new or other appropriate coping skills
Working Phase includes (pt 3 of 3)
-Identifying needs, concerns, needs for knowledge & working on them
-Reflect & become aware of any transference & counter -Maintaining relationship, gathering data
-Facilitating any behavioral change
Termination Phase 1 of 2
-Final stage of relationship
-Summarizing goals & objectives achieved
-Discussing ways for patient to incorporate into daily life any new coping strategies learned
Termination Phase 2 of 2
-Reviewing situations that occurred during the nurse-patient relationship
-Exchanging memories, which can help validate the experience for both nurse & patient & facilitate closure of that relationship
*hallmark of termination phase
Separation & loss
Proxemics=
personal space
-intimate distance 0—18 in (those we trust, feel safe)
-Personal 18—40 in (friends, collegues)
-Social 4—12 ft (strangers, acquaintances)
-Public 12ft & more (Public speaking)
Symmetrical
Complementary
equal

unequal

~ur relationship effects how you speak to someone
peplaus principles to guide communication
clarity & continuity don't be ambiguous in what you are saying. i.e, what you say can be taken differently by different people
This is Berol’s model Effective Communication Components/process 1 of 2
"STIMULUS" One person has a need to communicate w. another for info, comfort, or advice
-"SENDER" encoder: The person sending the message initiates interpersonal contact
This is Berol’s model Effective Communication Components/process 2 of 2
-"MESSAGE" is the info sent or expressed to another.
-"RECIEVER" decoder: The person receiving the message then interprets the message
-"RESPONDS" to sender by providing feedback
o Clarifying techniques
-Paraphrasing:
-Restating:
-Reflecting:
-Exploring
-Paraphrasing:
-Restating:
-Reflecting:
-Exploring
-restating in new words
-mirror using "key" words
-in Q or statement: reflect pt feeling or idea
-"tell me more" ask to describe
Projective Questions

Presupposition Questions
what if

Miracle questions, useful tool
Hispanic
eye contact
—taught to avoid eye contact w. authority figures (nurses, physicians) avoidance of eye contact is a sign of respect
Chinese
eye contact
gazing around & looking to one side when listening to another is considered polite

Speaking to an older adult—direct eye contact is used
Russians
—find direct, sustained eye contact the norm for social interactions
—touch important part of nonverbal communication
Native Americans
—disrespectful or sign of aggression to engage in direct eye contact
Haiti
eye contact
—customary to hold eye contact w/ everyone but the poor
Chinese touch
—may not be touched by strangers