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102 CH 26 Mod E

Terms in this set (48)

CH 26
Factors influencing communication and relationship development (16)
1. development/age
2. gender
3. appearance*
4. diagnosis*
5. education*
6. setting*
7. values and perception
8. ethnic and cultural background*
9. personality*
10. personal space
11. territoriality
12. roles and relationships
13. environment
14. congruence
15. interpersonal attitudes
16. boundaries
four types of spaces
1. intimate
2. personal
3. social
4. public
Helping relationship characteristics (5)
1. intellectual and emotional bond
2. respects client as an individual
3. respects client confidentiality
4. focuses on client well being
5. mutual trust
Four phases of a healthy relationship
1. preinteraction
2. introductory
3. working
4. termination
Empathy
being able to understand form patient perspective
Respect
show respect for clients willingness to be available
Genuineness
personal statements that can solidify empathy
concreteness
assist the client to be specific
confrontation
nurse points out discrepancies between thoughts, feelings, and actions
Strategies for developing helping relationship (9)
1. listen actively
2. help id what the person is feeling
3. put yourself in their shoes (empathy)
4. be honest
5. be genuine and credible
6. maintain confidentiality
7. know your role and limits
8. be aware of cultural differences
9. employ ingenuity
Potential barriers to effective communication (9)
1. development/age
2. gender
3. values and perception
4. personal space
5. territoriality
6. environment
7. congruence
8. interpersonal attitudes
9. boundaries
Major barriers to communication (13)
1. failure to listen
2. improperly decoding clients message
3. putting nurse needs over clients
4. stereotyping
5. agreeing/disagreeing
6. defensiveness
7. challenging
8. probing
9. rejecting
10. changing subject
11. unwarranted reassurance
12. passing judgement
13. giving advice
What should a nurse never ask?
why
Compliance
desire to learn and act on learning
Learning is change in human _______ or _______ that cannot be solely accounted for by growth
disposition or capability
Attributes of learning
1. experience occurs inside the learner
2. discovery of personal meaning
3. consequence of experience
4. collaborative process
5. evolutionary process
6. intellectual and emotional process
Adult learning principles
1. people move from dependent to independent
2. utilize previous experience
3. learning related to immediate need
4. adults are more oriented to learning what material is useful
5. learning reinforced by application and feedback
Three principle learning domains
1. cognitive
2. affective
3. psychomotor skills
Cognitive
Intellectual abilities, thinking process
Affective
"feeling" areas such as emotional and social goals
Psychomotor skills
gross motor abilities, hands on
Factors affecting learning (15)
1. development/age
2. motivation
3. readiness
4. active involvement
5. relevance
6. feedback
7. nonjudgmental support
8. simple to complex learning
9. repetition
10. timing
11. environment
12. emotions
13. physiological events
14. culture
15. phsychomotor ability
Guidelines for client teaching (6)
1. respectful relationship
2. build on existing client knowledge
3. let client set time for learning
4. use non medical language
5. clear communication
6. pace the session
Parts of teaching process that should be documented in the clients chart (6)
1. diagnosed learning needs
2. learning outcomes
3. topics taught
4. client outcomes
5. need for additional teaching
6. resources provided
CH 15

Documentation and recording must not be ________; It is strictly ________
judgmental; objective
Joint Commission requires that client info must be (4)
1. complete
2. accurate
3. confidential
4. specific to client
Strategies to ensure confidentiality with computer records (5)
1. never share password
2. don't leave computer unattended
3. never leave info displayed
4. shred unnecessary worksheets
5. know how to correct errors
Record (chart, client record)
a formal, legal documetn
Purposes of recording
1. Communication
2. Planning client care
3. auditing health agencies
4. research
5. education
6. reimbursement
7. legal documentation
8. health care analysis
Guidelines for recording (DO's) (6)
1. chart change in client condition
2. read prior nurse notes
3. use factual, specific objective descriptions
4. correct errors
5. record direct quotes
6. review notes before end of shift
Guidelines for recording (DON'T's) (6)
1. leave a blank space for someone to chart later
2. chart in advance
3. use vague terms
4. alter charting
5. use words showing bias
BASIC Guidelines for recording
1. date/time
2. timing
3. legibility
4. permanence
5. accepted terminology
6. correct spelling
7. signature
8. accuracy
9. sequence
10. appropriateness
11. completeness
12. conciseness
13. legal prudence
Each entry begins with ______ and ends in _______
time (military); signature
Types of reporting (4)
1. change of shift report
2. telephone report
3. care plan conference
4. nursing rounds
Guidelines for change of shift report (8)
1. follow a particular order
2. provide basic id info
3. new clients- reason for admission
4. significant changes in clients condition
5. provide exact info
6. need for emotional support
7. nurse prescribed and MD prescribed orders
8. priorities of care
Nursing Rounds (4)
1. two or more nurses visit selected clients at bedside
2. nurses obtain info that will help plan care
3. provides clients opportunity to discuss care
4. evaluate care client received
Strategies for professional communication among health care workers (individual)
be respectful of others, raise awareness, increase communication skills
Strategies for professional communication among health care workers (administrative)
position statement, clear definitions, model professional behavior, develop emotionally safe work environment
Strategies for professional communication among health care workers (academic)
develop, implement curriculum educating nursing students
Nurses are train to be ______, while physicians are trained to be ______
descriptive; brief
What does SBAR stand for?
Situation
Background
Assessment
Recommendation
How does SBAR help?
improves nurse/MD communication
Nursing informatics
science of using computer information system in practice of nursing
Nursing informatics advantages (3)
1. improves health care delivery
2. more nurses engaged in information system infrastructure
3. Speed adoption of technology that can enhance health care safety and effectiveness
Bedside data entry allow recordings of (6)
1. assessments
2. medication administration
3. progress notes
4. care plan updating
5. client acurity
6. accured charges
Computer based patient records (CPRs) and electronic medical records (EMR's)
permit electronic client data entry and retrieval, provides access to stored data, constantly available
Computers in client assessment can ______ providers of conflicting _______ or client parameters that indicate _____ ______
warn; medications; dangerous conditions
Electronic access (10)
1. used in everyday practice
2. digital or tympanic thermom
3. digital scales
4. pulse oximetry
5. ECG
6. apnea
7. fetal heart monitors
8. blood glucose analyzers
9. ventilators
10. IV pumps
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