2026
Nursing Theory: Interpersonal relations: Peplau - Answers The theory explains the purpose of
nursing is to help other identify their felt difficulties
Interdisciplinary - Answers Nurse to Nurse
Interpersonal - Answers Nurse to patient/family
Orientation - Answers Problem defining phase, nurse and client meet as strangers.
Role of Client in Orientation - Answers Conveys needs, ask questions, shares preconceptions
and explanations based on past experiences
Role of Nurse in Orientation - Answers Explains professional role, identifies resources and
services
Identification - Answers Mutual goal setting
Role of Client in Identification - Answers Sense of belonging
Role of Nurse in Identification - Answers Make client feel capable of dealing with the problem
and set up for success, make client feel less hopeless and helpless
Exploitation - Answers Mutual work to solve clients problems, all activity is aimed as solving the
problem
Role of Nurse in exploitation - Answers aids client is using all available resources to help
Resolution - Answers Client may be sent home with new goals, set by self or pair, client and
nurse must end relationship.
Client role in resolution - Answers establishes independent emotional balance
nurse role in resolution - Answers clients needs have to be met
Factors that can influence orientation phase for Client - Answers values, culture, race, beliefs,
past experiences, expectations, and preconceived ideas
Factors that can influence orientation phase for Nurse - Answers values, culture, race, beliefs,
past experiences, and expectations
Surrogate - Answers helps to clarify domains of dependence, interdependence, and
independence and acts on clients behalf as an advocate
Therapeutic Communication - Answers listening, establishing guidelines, reducing distance,
restating, seeking clarification, focusing, planning, remaining silent, making open-ended
,comments, acknowledging, reflecting, seeking consensual validation, summarizing
Non-therapeutic Communication - Answers failing to listen, parroting, reassuring, defending,
making stereotypical responses, patronizing, failing to probe, being judgmental, rejecting,
getting advice, changing topic
Communicating at the end of life - Answers be present for the person, relating to the person and
not the illness, paying attention by listening, without judgment, to the needs, wishes, and
personal wisdom of the dying person. Compassionate listening is letting the person talk in
whatever way they need to talk. Show compassion by gentle touch using lotion on your hands,
or giving a back rub, creating a peaceful environment
creating success - Answers set goals, to see the action or destination, balance comes from
action of all three components of the model and setting the intentions of care for yourself,
knowing that the foundation of holistic nursing is self-care for the nurse
finding meaning - Answers meaning for nurse-belong to people, have a few people who are
permanent part of your life, people whom you can share yourself, to accept pain as part of life,
able to experience the contrasting joy, to know you have made a difference can comfort when
you are unable to control the cause of life events
the nurse as the meaning maker - Answers ability to develop a belief system, understanding or
explaining events that seem beyond human understanding is reflected in interpersonal
communication with clients and families
5 rights of delegation - Answers right tasks, right circumstances, right person, right
direction/communication, right supervision/evaluation
right tasks - Answers task that is delegable for a specific patient
right circumstance - Answers appropriate patient setting, available resources, etc.
right person - Answers the qualified professional delegating to the person qualified to do the
task to the right patient
right direction/communication - Answers clear, concise, description of the task (who, what,
when, where, why)
right supervision/evaluation - Answers appropriate monitoring and feedback
IOM core competencies - Answers provide patient-centered care, work in inter professional
teams (healthcare teams), employ evidence-based practice, apply quality improvement, utilize
informatics
Quality and Safety Education for Nurses (QSEN) - Answers preparing future nurses who will
have the knowledge, skills, and attitudes necessary to continuously improve the quality and
, safety of the healthcare system within they work, patient centered care, evidence based practice,
quality improvement, teamwork, collaboration and teamwork, safety, informatics
patient confidentiality-health insurance portability and accountability act (HIPPA) - Answers
Improve the efficiency and effectiveness of healthcare system by encouraging the development
of a health information system, simplification of healthcare claims, standards of data
transmission, and privacy regulation
privacy - Answers limiting way that health plans, pharmacies, hospital and other entities can use
clients personal medical information
patients right - Answers right be free of unwarned intrusion, people do not have to disclose
sensitive information-but their healthcare may be compromised, many will provide sensitive
information
professional duty - Answers only necessary information should be shared, patients should
approve sharing information in writing with family loved ones/other healthcare organizations
social media guidelines - Answers cannot transmit any place online individually identifiable
patient information, observe ethically prescribed professional patient-nurse boundaries, patients,
colleague, institutions and employer might view postings, use privacy settings and seek to
separate personal and profession information online, bring content that could harm a patients
privacy, rights, or welfare to attention of authorities, participate in development intuitional
policies governing online contact
principles of delegation - Answers rn or nurse must manager judges which staff member is
competent to perform an assigned duty, however permitted tasks might depend on the
organization or institution, nurses must take responsibility of their actions and actions of other
involved in the delegation process, unlicensed assistive personal cannot delegate a task
delegated to them by a nurse-engaging in practice without a license, nurse cannot delegate a
task if the nurse does not know how to perform the task-delegating beyond nurses scope of
practice
barriers to delegation - Answers lack of assertive communication skills, process that don't
promote teamwork, history of poor accountability, guilty/ worry about being seen as "lazy"
mandated reporting - Answers other public reporting failed (fails, firearms, injuries), child
abuse/neglect, elder abuse/neglect, communicable diseases (HIV)
negligence - Answers failure to act as a reasonably prudent person would
malpractice - Answers failure of a professional to use such care as a reasonably prudent
member of that profession would use under similar circumstances to lead to no harm
elements must be necessary to prove - Answers there was a duty owed to the patient, there was