NUR 124 midterm
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Created by:
vampramara on September 12, 2011
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60 terms
Terms | Definitions |
|---|---|
 Communication | is a combination of verbal and non-verbal behaviors integrated for the purpose of sharing information. |
| Metacommunication | is a broad term used to describe all of the factors that influence how the message is perceived. It is a message about how to interpret what is going on. Pg 164 A&B fig 9-1 |
| Denotation | refers to the generalized meaning assigned to a word. |
| Connotation | points to a more personalized meaning of the word or phrase. |
| Paralanguage | The oral delivery of a verbal message, expressed through tone of voice, inflection, sighing, and so on is referred to as_______. |
| Body Language | Kinesics is an important component of nonverbal communication. Commonly referred to as _______ _______, it is defined as involving the conscious or unconscious body positioning or actions of the communicator. |
| Interpersonal competence | develops as the nurse comes to understand the complex cognitive, behavioral, and cultural factors that influence communication. |
| Message competency | refers to the ability to use language and nonverbal behaviors strategically in the intervention phase of the nursing process to achieve the goals of the interaction. |
| Therapeutic communication | A term first coined by Jurgen Ruesch in 1961, refers to an interactive dynamic process entered into by nurse and client for the purpose of achieving identified health-related goals. |
| Active listening | is a dynamic process in which a nurse hears a client's message, decodes its meaning, asks questions for clarification, and provides feedback. |
| Open-ended questions | encourage the client to take the initiative/ cannot be answered with a y/n or a one word. |
| Close-ended questions | narrow the focus of the question to a single word for ex y/n or simple phrase answer. |
| Minimal cues | is transmitted through body actions (e.g., smiling, nodding, and leaning forward) encourage clients to continue their story. |
| Paraphrasing | is a response strategy used to check whether the nurse's translation of the client's words is an accurate interpretation of the message. |
| Reflection | as a listening response focuses on the emotional implications of a message. |
| Feedback | _____ is a message given by the nurse to the client in response to a message or observed behavior. |
| Reframing | Bandler and Grindler define reframing as "changing the frame in which a person perceives events in order to change the meaning." |
| Active Listening | Make Chris Run Past Sonic's Slut Tanya- Minimal verbal cues, Clarification, Restatement, Paraphrasing, Summarizing , Silence and Touch. |
| What is the difference between a professional and social relationship? | Professional is client centered to meet the client's needs and goals. Social is about the person meeting their personal interests and desires. |
| Multiculturism | Refers to a society where several diverse cultural worldviews can co-exist. |
| Acculturation | This is a process by which a person consciously learns and accepts the values of a new culture. |
| Cultural diversity | is the difference between cultural groups and learning to understand the differences in cultural perspectives. |
| Cultural competence | refers to a set of cultural behaviors and attitudes integrated into the practice of a system, agency, or its professionals that enable them to work effectively in a cross cultural situation. |
| Assimilation | is a concept used to describe the adoption of common behaviors, customs, values, and language of the dominant culture so that the original culture disappears. |
| Subculture | is defined as an ethnic, regional, economic, religious or social group of people within the dominant culture who have a adopted a cultural lifestyle with social rules that vary from the dominant cultural norms. ex Gothic subculture. |
| Ethnicity | defined as a personal awareness of certain symbolic elements that bind people together in a social context. |
| Ethnocentrism | Refers to a belief that one's own culture is superior. |
| Sympathy | is feelings sorry for someone. |
| Empathy | is the capacity to see the world as if it were your own:perceive another's emotions accurately. |
| Technical communication | e.g. email/facebook etc. |
| Cultural relativism | holds that each culture is unique and should be judged on its values and standards. |
| Emic worldview | approach of studying a culture's behavior from the perspective of an insider. |
| Etic worldview | An outsider's perspective of an intercultural encounter. |
| Cultural assessment | A systematic and comprehensive examination of the cultural care values, beliefs, and practices of individuals, families, and communities. |
| Abraham Maslow's Hierarchy of needs | 1. Physiological needs which are food and shelter. 2.Security which is safety, security, and freedom from illness or threats 3.affiliation/love and belonging which is the feeling of belonging to something 4.esteem needs which is the feeling of self worth 5.self-actualization which is self fulfillment or finding the meaning of lie. |
| Anxiety | means to cause anguish or distress. It reduces a person's objectivity, making it difficult to envision possibilities, weigh options, make choices and take action. ex me having that panic attack while getting AHA CPR certificate. |
| Levels of anxiety | mild moderate severe panic ex AHA CPR |
| Erickson's Human Stages of Development | Birth/1 year -Turst vs. Mistrust 1yr-3yrs- Autonomy vs. Shame 3yrs-6yrs- Initiative vs. Guilt 6yrs-11yrs-Industry vs. Inferiority puberty- Identity vs. Role confusion Young adult- Intimacy vs. Isolation Middle age- Generativity vs. Stagnation Old age-Integrity vs. Despair |
| Phases of a Therapeutic (helping) Relationship: | Preorientation phase: Reviews charts, information about client prior to 1st meeting, plans actions for clients, makes arrangements for 1st meeting with client. Orientation phase: Meet client, observe and make judgement, put client at ease with social interaction prior to any therapeutic interaction. Client tests nurse, client develops trust. Nurse begins assessment by identifying problems and goals. Nurse and client clarity roles. Working phase: INDEPTH PHASE OF THE RELATIONSHIP. Nurse and client work together, open communication, open sharing of feelings and problems, confrontation...How do we confront appropriately? Termination phase: evaluate achievement, separation |
| Ego Defense Mechanisms | -represent an unconscious patter of coping that people use to protect the self from conflicting situations. EX. Regression Repression Denial Displacement Intellectualization Reaction Formation Projection |
| What is Regression? | returning to an earlier more primitive form of behavior in the face of a threat to self-esteem. |
| What is Repression? | unconscious refusal to allow painful facet, feelings, or perceptions into awareness. |
| What is Denial? | unconscious refusal to allow painful facts, feelings, or perceptions into awareness. |
| What is Rationalization? | Offering a plausible explanation for unacceptable behavior. |
| What is Projection? | attributing unacceptable feelings, facts, behaviors, or attitudes to others; usually expressed as blame. |
| What is Displacement? | redirecting feelings onto an object or or person considered less of a threat than the original object or person. |
| What is Intellecutalization? | unconscious focusing on only the intellectual not the emotional aspects of a situation or circumstance. |
| What is Reaction Formation? | Unconscious assuming of traits opposite of undesirable behaviors. |
| What is Sublimation? | redirecting socially unacceptable unconscious thoughts and feelings into socially approved outlets. |
| What is Undoing? | verbal expression or actions representing one feeling, followed by expression of the direct opposite. |
| Regression | Name that defense Mechanism in this clinical ex. : Julie was completely toilet trained by 2 years. When her younger brother was born, she began wetting her pants and wanting a pacifier at night. |
| Denial | Name that defense Mechanism in this clinical ex. : Bill Marshall has had a massive heart attack. His physician advises him to exercise with caution. Bill continues to jog 6 miles a day. |
| Repression | Name that defense Mechanism in this clinical ex. : Elizabeth has just lost her job. Her friends would not know from her behavior that she has any anxiety about it. She continues to spend money as if she were still getting a paycheck. |
| Rationalization | Name that defense Mechanism in this clinical ex. : Annmarie tells her friends she is not an alcoholic even though she has blackouts, because she drinks only on weekends and when she is not working. |
| Projection | Name that defense Mechanism in this clinical ex. : Ruby just received a critical performance evaluation from her supervisor. She tells her friends that her supervisor does not like her and feels competitive with her. |
| Displacement | Name that defense Mechanism in this clinical ex. :Mrs. Jones took Mary to the doctor for bronchitis. She is not satisfied with the doctor's explanation and feels he was condescending, but says nothing. When she gets to the nurse's desk to make the appointment, she yells at her for not having the prescription ready and taking too much time to set the appointment. |
| Intellectualization | Name that defense Mechanism in this clinical ex. : Johnnie has been badly hurt in a car accident. There is reason to believe he will not survive surgery. Hist father, waiting for his son to return to the intensive care unit, asks the nurse many questions about the equipment, and philosophizes about the meaning of life and death. |
| Reaction formation | Name that defense Mechanism in this clinical ex. :John has a strong family history of alcoholism on both sides. He abstains from liquor and is known in the community as an advocate of prohibition. |
| Sublimation | Name that defense Mechanism in this clinical ex. :Bob has lot of aggressive tendencies. He decided to become a butcher and thoroughly enjoys his work. |
| Undoing | Name that defense Mechanism in this clinical ex. : Barbara criticizes her subordinate, Carol, before a large group of people. Later, she sees Carol on the street and tells her how important she is to the organization. |
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