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Terms in this set (30)
Sit squarely facing the patient; gives the message that nurse is there to listen and is interested.
Observe an open posture.
"Open posture"=arms and legs are uncrossed. Suggests nurse is open to what the patient has to say.
With a "closed" posture, the nurse can convey a defensive stance causing the same response in the pt.
Lean toward the pt. Shows that you are involved, interested, and making a sincere effort to be attentive
Establish eye contact.
Restlessness and fidgetiness communicate a lack of interest and may convey a feeling of discomfort that is likely to be transferred to the pt.
promotes behavior change by guiding pts to explore their own motivation for change and the advantages and disadvantages of their decisions.
evidence-based and patient-centered style of communication
Incorporations active listening and therapeutic communication techniques
FOCUSED ON WHAT THE PT WANTS TO DO RATHER THAN THE WHAT THE NURSE THINKS SHOULD BE.
Originally developed for pts with substance abuse disorder
What is essential to forming therapeutic relationships?
Rapport, trust, respect, genuineness, and empathy
Implies special feelings on the part of both the patient and the nurse based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude.
May be accomplished by discussing non-health-related topics.
A SENSE OF HARMONY, TAKES INTO ACCOUNT INDIVIDUAL'S UNIQUENESS
Must be earned, not presumed.
One must feel confidence in that person's presence, reliability, integrity, veracity, and sincere desire to provide assistance when requested.
BIG FACTOR: Ensure confidentiality
To believe in the dignity and worth of an individual regardless of their unacceptable behavior.
The nurse's ability to be open, honest, and real in interactions.
May call for a degree of self-disclosure-a quality of "humanness" is revealed to the pt but BE CAUTIOUS...it allows a pt to feel more comfortable revealing info
The ability to see beyond outward behavior and to understand situations from a pt's point of view.
Who analyzes the assessment data to determine diagnoses, problems, and areas of focus for care and treatment, including level of risk?
Who identifies expected outcomes and healthcare consumer's goals for a plan individualized to the healthcare consumer or to the situation?
Who develops a plan that prescribes strategies and alternatives to assist the healthcare consumer in attainment of expected outcomes?
Who employs strategies to promote health and a safe environment?
Who educates about medications and strategies to manage side effect?
Who provides consultation to influence the identified plan, enhance the abilities of other clinicians to provide services for healthcare consumers, and effect change?
Who uses prescriptive authority, procedures, referrals, treatments, and therapies in accordance with state and federal laws and regulations?
Who incorporates knowledge of pharmacological, biological, and complementary interventions with applied clinical skills to restore the healthcare consumer's health and prevent further disability?
Who provides, structures, and maintains a safe, therapeutic, recovery-oriented environment in collaboration with health-care consumers, families, and other health care clinicians?
Who uses the therapeutic relationship and counseling interventions to assist healthcare consumers in their individual recovery journeys by improving and regaining their previous coping abilities, fostering mental health, and preventing mental disorder and disability?
Who conducts individual, couples, group, and family psychotherapy using evidence-based psychotherapeutic frameworks and the nurse-client therapeutic relationship?
Who evaluates progress toward attainment of expected outcomes?
PLAN-the actions or treatments to be carried out
Interventions-nursing actions actually carried out
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