indicators of warmth - Answers -warmth is displayed primarily in a nonverbal manner
-subtle facial expressions and body signs
-gestures (small movements of hand, brow, or eyes)
-shift of posture toward the other person
-a smile
-direct eye contact
-verbal reinforcers "I see..."
genuineness - Answers -the ability to be oneself within the context of a professional role
-Rogers describes genuineness as conference, the willingness to be open and not hide behind a
professional facade
-it is important to be genuine with clients and colleagues because it gives them the message
"you are strong and worthy of me engaging fully with you"
importance of trust in relationships - Answers establishing trust is the foundation of all
interpersonal relationships
breaching confidentiality - Answers nurses are morally and legally obliged not to share patient
info with others
nurse-patient confidentiality can be breached if there is: - Answers -suspicion of abuse of minor
or elders
-commission of a crime
-threat or potential threat of harm to oneself or others
burnout - Answers when nurses continue to help and work with patients without caring for
themselves, they become at risk for burnout
-watching and responding to patient suffering extracts a toll
HALT - Answers approach for resiliency and stress management
-Hungry
-Angry
-Lonely
, -Tired
introduced in AA as a reminder of vulnerabilities that make us less resilient
patient-centered care - Answers a dimension of quality in which care is individualized and
customized to patients and families
delivering bad news - Answers -plan what is to be said ahead of time and organize your shout
-establish rapport
-control the environment as much as possible
-find out what the client and family already know
-find out how much given individuals want to know (details) (don't make assumptions)
-use language the client and family will understand (be sensitive and respectful of cultural
issues)
-respond to the reactions of the client and family using an empathic approach
-when appropriate, explain the treatment plan and prognosis, and summarize
dealing with infants - Answers -respond to tone of voice, familiar voices and sounds, touch
-communicate by crying
-will allow strangers to touch and hold them from about 1-6 months, stranger anxiety sets in
from about 6-12 months
-comforting and feeding can help develop a relationship
ethnocentricity - Answers occurs when an individual believes that her or his cultural, values,
belief, and practice are the best and superior to those of individuals from another culture
cultural competence - Answers the ability of healthcare providers and organizations to
understand and respond effectively to cultural and language needs brought by patient to the
healthcare encounter
individualistic culture - Answers value the development of the individual most, even at the
expense of the group
collectivist culture - Answers value the needs of the group with individuals expected to conform
to the group (Asian & Native American cultures)
power distance - Answers the degree to which power or status difference are minimized or
maximized