NR 222 Chamberlain College of Nursing - NURSING exam 2 Study Guide

NR 222 Chamberlain College of Nursing - NURSING
exam 2 Study Guide
Make sure we’re not unconsciously biased
 Evaluate our own values


Therapeutic communication
 Purposeful use of communication
 Build+ maintain helping relationships with patients, families,
significant others
 Purpose to our conversation
 Patient-centered/ planned/ goal directed
 Factors
o Rapport
 Harmony + affinity between people in relationships
o Empathy
 Understand another’s feeling without losing personal
identity + perspective
o Trust
o Reliance on pt to carry out responsibilities + prmises
o Proxemics
 Personal space
 Intimate: 0-1.5 ft
 Personal: 1.5-4 ft
 Social: 4-12 ft
 Public: 12 – 25< ft
 techniques
o active listening
o sharing
o touch
o silence
o clarifying
o reflecting
o focus
o paraphrase
o summarize
o humor

,health promotion/ sensitivity to each pt. goals + values
 goals to have pt adopt health promoting behaviors
o info not enough




therapeutic effectiveness
 self-awareness + self-reflection
 openness
 self-confidence + strength
 genuineness
 concern for individual
 respect for individual
 knowledge
 ability to empathize
 sensitivity
 acceptance
 creativity
 ability to focus + confront


Emotional/ spiritual/ physical care
 Listening
o Shows pt you care
o Get info
 Silence
o Nonverbal response
 Open ended questions
 Listen/ silence/ touch/ convey acceptance


Health people 2020
 Improve health literacy
o Health promotion requires effective communication
o Read, comprehend, + follow through on health info.


Values clarification
 Method discovering 1’s values + importance of these values

,  Own values + biases
 Helps people recognize what values they hold + evaluate how those
values influence their actions
 Pt values lead to behaviors that conflict with RN value of promoting
health
o Ethical dilemmas
o RN examine conflicting values
o Possible outcomes to promote health interventions


Steps in self-awareness
 Listening to oneself
o Self-concept
 Mental picture of self
o Self-esteem
 How people feel about way they see themself
o Judgement + attitudes about self
 Listening to + learning from others
o feedback
 Self-disclosure
o Share aspects of self
o Disclosure in 1 triggers disclosure in another
 Practical reflection
o Understand 1’s own thoughts + actions to take action in future
 Need self awareness + clarifications of values
o Therapeutic use of self impaired


Relationship stages
 Orientation/ introductory phase/ RN + pt meet
o RN structure interaction
o Establishing a connection
 Consistency
 Sensitive pacing of communication
 Active listening
 Conveying concern + warmth
 Pay attention to comfort + control
 Working phase
o RN + pt work together to promote pt’s health
 Termination phase
o Ending relationship