Unit 2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Therapeutic Nurse/Patient Relationship | purposeful, goal orientated, beneficial to patient
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| Best Practice Nursing Behaviours | -professional intimacy
-power
-empathy
-trust
-respect
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| Halldorstottir- characteristics of nurse/patient relationship? | -caring
-transforming potential of caring
-core of nursing
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| 3 nursing prerequisites from patients view? | -Caring
-competent
-wisdom
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| Stages in the Nursing relationship? | 1. Reaching out
2. Removing masks of anonymity
3. Acknowledgement of connection
4. Reaching a level of truthfulness
5. Reaching a level of solidarity
6. True negotiation of care
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| Concepts of therapeutic relationship? | -solicit feedback
-observe body language
-Assess appearance
-Respond to real message
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| Life Fields theory | Easier to work with someone you have similar culure, beleifs, etc...
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| Self Awareness | Know who you are
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| Self Knowledge | knowledge derived from many sources and people, purposeful and intentional, gives ability to consider many options in relating to others
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| Communication Failure | -Gaps
-Misinterpretation
-Failure to use critical thinking
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| Occasion | timing inapprpriate to be useful
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| Content | relevant info missing or inaccurate
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| Purpose | not knowing or finding out when info is missing
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| Audience | necessary person not in attendance
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| 2009 WHO study | 1/10 of patients harmed while in hospital care
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| 2004 Canadian study | 9000-24000 die from adverse events
-1/2 deemed preventable
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| How to prevent errors? | -documentation
-validation
-clarification
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| Common barriers in communication? | dont allow patients to express their feelings, belittle, shame, and shut down communication
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| Cultural imposition? | everyone is like us and should act as we do
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| Literacy in Canada | 42% of Canadians lack sufficient literacy skills to cope with work and life demands
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| Health literacy in America | 43% of Americans unable to read and understand and act on basic health information.
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| Why is health literacy a threat to patient safety? | -less compliance
-failure to seek preventative care
-remain in hospital longer
-additional care required
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| Behaviour/Signs of illiteracy | -take material home to read
-miss important info and make excuses
-embarrasment/shame
-coping mechanisms
-uncompliant/discontinuing treatments
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| Best practice with iliteracy? | Teachback
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| Patient questions to ask? | -what is the main problem
-what do I need to do?
-why is it important for me to do this?
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| English as a Second Language | -face them
-5 words, 5 letters
-normal tone of voice
-learn phrases in other languages
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| Strongest predictor of a clients health? | Literacy skills
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| Who has the majority of iliteracy problems? | White Canadians
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| Errors related to fatigue? | -med errors
-car accidents
-chronic sleep deprivation= risk for cancer
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| Short term memory | -7 items
-error prone
-interruptions cause errors
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| Frequency of interruptions | 30% of all communication
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| Interruptions for nurses? | 42%
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| Physician interruptions? | 58%
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| More errors occur after how many hours? | 8.5
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| How much info does a patient forget? | 80%
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| of infor remembered, how much is remembered correctly? | 50%
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| Learning process? | -Assessment
-planning
-implementation
-evaluation
-documentation
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| Learning styles? | -cognitive
-affective
-psychomotor
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| Assessing readiness to learn? | -energy level
-stress level
-motivation
-is it important?
-does caregiver need info as well (cognitive)
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| Sick roles? | face life without shield of illness
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