QUESTIONS SOLUTIONS GRADED A+
◉ Traditional nurse-patient relationship phases. Answer: 1.
Orientation-Introductory "getting to know you", begins with
developing trust
2. Working-address the tasks outlined in orientation phase;
regression often precedes positive change
3. Termination -therapeutic end to relationship
*each phase builds on the previous phase
◉ these factors are involved in self awareness. Answer: Professional
boundaries- spaces between the nurse's professional power and the
patient's vulnerability (NCSBN)
Boundary violations-male nurse example
◉ Principles for determining professional boundaries. Answer: -
nurse responsible for maintaining boundaries
-work within a zone of helpfulness. Not too aloof and not too
emotionally involved
-examine boundary crossing, aware of implications, avoid repeating
,-care setting, community influences, client needs and nature of
therapy affect outlining of boundaries
-actions that overstep boundaries to meet the need of nurse is
violation
-avoid duel relationships (business and friendship both)
-it may be difficult to determine when nurse-client relationship is
truly terminated with post-termination relationships. (client may
need additional services)
◉ Tips on developing self awareness:. Answer: distinguish their own
emotional needs from their patients' needs
Reflective practice
No stereotypes - ANA Code of Ethics provision 1
Nonjudgemental acceptance
Patient centered care
◉ Patient centered care. Answer: caring and human relatedness
◉ Types of Communication. Answer: Verbal-all forms of speech
,Nonverbal- primary means of communicating feelings and emotions.
Facial expression
Body movement
Proxemics
Personal appearance
Vocal cues
Pacing
Touch
Therapeutic communication: Bedside Manner
-connection between patient and a care provider. Ensures -patients
understand their conditions and recommend course of treatment.
-Consciously think about word choices, body language, tone and
other signals.
◉ Effects of touch. Answer: Decrease heart rate
Increase muscle relaxation
Increase rapport between caregiver and patient
, Increase response to treatment
◉ Successful communication involves. Answer: Feedback-reciever
relays to sender effect of senders message
Appropriateness-when reply fits circumstances and matches
message.
-may need to alter your question from "how are you" to something
more specific to get an appropriate answer.
Efficiency-simple clear words timed at a pace suitable to
participants
Flexibility-base messages on immediate situation rather than
preconceived expectations.
ex: nursing student who prepares to teach patient about diabetes
but enters room to find them crying- first address the immediate
situation
◉ Active listening involves:. Answer: a nonjudgemental
acknowledgement of feelings where nurse communicates interest
and attention