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Nurs 102.
Nurs 102 Exam 02 Prep.
| Question | Answer |
|---|---|
| What are the 3 main differences of a helping relationship? | 1. Purpose is primarily for the benefit of the patient. 2. To help the client achieve and maintain optimal health. 3. Goal directed toward growth of client. |
| Client's Rights. | 1. Health concerns addressed. 2. Informed consent/information. 3. Safe & efficient care. 4. Courteous care/genuine interest. 5. Confidentiality. 6. To refuse care w/o losing helping relationship. 7. Access to help w/o roadblocks. 8. Quality of care |
| Do's in a Helping Relationship. | Prepared. Punctual & polite. Promote client well being. Put client needs first. Proficient. Praise. Patient. |
| Dont's in a Helping Relationship. | Patronize. Preach or pressure. Pigeonhole/label. Procrastinate. Put down. Punish. Reveal. Meet |
| Therapeutic Communication Techniques. | Listen. Silent. Open ended ?s. Reduce physical distance. Restate. Reflect. Clarify. Focus. Summarize. Plan. |
| Non-therapeutic Communication Technique. | Fail to listen. Fail to go deeper. Parrot. Judge. False reassurance. Reject. Defend. Give advice. Make trite comments. Change topics. Patronize. |
| Behaviors of Warmth. | 1. Primarily displayed in nonverbal communication. 2. Face. 3. Posture. 4. Matching & mirroring. |
| Congruence. | Verbal message matches nonverbal message. |
| Genuineness.... | builds trust & credibility. |
| When should a nurse self disclose? | When you wish to increase level of understanding & strengthen client trust. When the nurse is comfortable sharing the disclosure. |
| Empathy. | Communicates understanding. |
| Natural empathy. | The intrinsic ability to understand the feelings of others. |
| Clinical empathy. | A tool or skill that is consciously & deliberately employed to achieve a therapeutic intervention. |
| Aspects of Empathy. | Preverbal- transports self into another's world w/o losing self. Verbal- accurate reflection of feelings- your understanding of what is told. Nonverbal- warmth/genuiness=true caring and concern for clients. |
| Criteria for Empathy. | Accuracy. Specificity. Naturalness. Warmth. Genuineness. |
| When to communicate empathy. | 1. Anytime people share their thoughts & feelings. 2. Anytime you want someone to know beyond a doubt that they have been heard & understood. |
| Asking ?s. | Why- clarify purpose. What & how- be sensitive, confidential. Who- client & SO's. When & where- privacy. |
| Tactile errors in asking ?s. | Long winded build up. Thunder stealer. Multiple Choice Mix-up. Incomprehensible. Offensive misuse of "why ?'s". Misuse of closed questions. |
| Expressing Opinions. | Act of disclosing what you think/feel about health care situations. Offering recommendations. Considered assertive communication. |
| Giving Advice. | Unilateral process of solving problems, making decisions for others. Prevents client independence. |
| Criteria for expressing opinions. | 1. First ask permission. 2. Allow others freedom to make their own decisions. 3. Include rationale for your viewpoint. 4. There is a right time. |
| Spirituality. | To be connected to... your inner self, others, transcendent being. |
| Spirituality is... | broader than religion. |
| FICA. | Faith & belief. Importance. Community. Address in care. |
| Educator. | on health conditions & treatments. |
| Counselor. | help patient cope with their dx & feelings about their health & well being. |
| Coach. | help patient achieve behavior change. |
| Healthy People 2020. | National initiative to improve the health of our country. Focus is on prevention. |
| What is MI? | Motivational Interviewing- Directive. Client-centered. Explore & resolve ambivalence. |
| Directive. | Focus & goal oriented. |
| Client-centered. | Clients have the capacity to find their own answers. |
| Ambivalence. | Conflicting motivations- both wanting and not wanting to change. There's a but in the sentence. |
| Stages of Change. | 1. Precontemplation. 2. Contemplation. 3. Preparation. 4. Action. 5. Maintenance. 6. Relapse. |
| Precontemplation. | Unwilling to make a change. |
| Contemplation. | Ambivalence. Greatest use of MI. |
| Preparation. | Turning thinking into action. |
| Collaboration. | Provider & client are equal. |
| Evocation. | Ideas for change should come from patient. |
| Autonomy. | Patient has the right to change or not. |
| Guiding Principles for MI. | 1. Express Empathy. 2. Support Self-Efficacy. 3. Develop Discrepancy. 4. Roll with Resistance. |
| Brief negotiation roadmap. | Open the encounter. Negotiate the agenda. Assess & use your OARS. Tailor the transition. Closing the encounter. |
| MI Adherent: | Information Exchange: EPE. |
| EPE. | Elicit. Provide. Elicit. |
| Step One Elicit. | What they already know. What they want to know. |
| Provide. | Ask for permission to provide information. |
| Step Three Elicit. | Ask for their thoughts/feelings about the information. Ask what more they want to know. |
| DARNCT. | Desire. Ability. Reasons. Need. Commitment. Taking steps. |
| Change Talk. | Preparatory language to commitment language & relates to readiness to change. |
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