NR 222 Unit 5 Health and Wellness Study guide {2020} - Chamberlain college of nursing {A+} | NR222 Unit 5 Health and Wellness Study guide {2020} - {A+}

NR 222 Unit 5 Health and Wellness Study guide {2020} - Chamberlain college of nursing {A+} Unit 5 Edelman: Ch4 1. The Therapeutic Relationship a. Nurse-person interaction is an interpersonal process in which both parties have an emotional involvement with each other, there is a degree of mutuality and reciprocity whereby needs and expectations are shared b. Successful health promotion involves interpersonal skills, personal insight, accountability, mutual respect, and a supportive working milieu (social environment) 2. Values clarification a. Values are qualities, principles, attitudes, or beliefs about the inherent worth of an object, behavior, or idea that guide action by sanctioning certain behaviors and disavowing others i. Cognitive values are those a person ascribes to verbally and intellectually ii. Active values, in contrast, are those a person physically acts out iii. a nurse may claim to value the worth of all people equally (cognitive value), but may treat individuals of various races differently and provide the most time and concern for those who are racially similar to the nurse (active value) b. valuing process: i. Choosing (Cognitive) 1. (1) Choosing freely 2. (2) Choosing from alternatives 3. (3) Choosing after careful consideration of potential outcomes of each alternative ii. Prizing (Affective/emotional process) 1. (4) Cherishing and being happy with personal beliefs and actions 2. (5) Affirming the choice in public, when appropriate iii. Acting (behavior) 1. (6) Acting out the choice 2. (7) Repeatedly acting in some type of pattern c. Life events and social processes can spark a reappraisal of personal values. d. Values clarification is a method for discovering one’s values and the importance of these values i. helps people recognize what values they hold and evaluate how those values influence their actions ii. doesn’t tell a person how to act iii. Values clarification becomes a clinical aim when individuals’ values lead to behaviors that conflict with the nurse’s value of promoting health 3. Values and therapeutic use of self a. Therapeutic use of self is the application of one’s cognitions, perceptions, and behaviors to create interpersonal encounters that promote health in another person, family, group, or community b. Without self-awareness and clarification of values, therapeutic use of self is impaired c. Self-concept is a mental picture of the self (a composite view of personal characteristics, abilities, limitations, and aspirations) d. Self-esteem, the affective component of self-perception, refers to how individuals feel about the way that they see themselves e. Self-awareness involves interactions between the self and the external world and the symbolic connections created by the individual f. Components of self (Johari window) i. (1) The public self, which is shown to others (if small, means little self-awareness; if large, means person is open to the world and is comfortable with his or her self-concept, which is the goal, for this part to be large and other 3 to be small) ii. (2) The semipublic self, which is seen by others but may be outside the individual’s awareness iii. (3) The private self, which is known to the individual, but not revealed to others iv. (4) The inner self, which is the unconscious portion not known even to the individual because it has anxiety-provoking content (if large, means a lot of the person’s experiences, thoughts, and feelings are repressed or suppressed, probably a result of anxiety g. Steps to reaching high self-awareness: i. (1) Listening to oneself and paying attention to emotions, thoughts, memories, reactions, and impulses 1. Without self-reflection, people act automatically and lose some of the meaning of living ii. (2) Listening to and learning from others 1. Feedback from others that conflicts with self-image can produce anxiety, which causes people to ignore it and limit personal growth iii. (3) Self-disclosure 1. sharing aspects of the self-enriches interpersonal life 2. people come to know themselves better because they have exposed their thoughts, actions, and feelings for examination with others 3. clinicians have been wary of self-disclosure because it may cross a boundary from a professional to a personal relationship iv. (4) Practical reflection 1. involves deliberating one’s own thoughts and recollections of events to understand them and to take needed corrective action - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - party knows what to expect c. Without successful transition through the orientation phase, no working alliance will exist and treatment goals will remain unmet d. facilitated by consistency, sensitive pacing of communication, active listening, conveying concern and warmth, and paying attention to comfort and control e. factors that hamper relationships include inconsistency, unavailability, individual factors associated with trust, nurses’ feelings about the other person, confrontation of delusions or strongly held views, and unrealistic expectations 2. Working phase a. emerges when the nurse and the individual collaborate as partners in promoting the person’s health b. Goals are set, and the nurse and individual work mutually toward their accomplishment c. Solving problems, coping with stressors, and gaining insight are all part of the working phase d. Resistant behaviors may be observed during this phase while the nurse and individual become closer and work on potentially anxiety-producing problems 3. Termination phase a. marks the end of the relationship established in the therapeutic contract or negotiated in accordance with the limits of the contract b. Ending a relationship can cause anxiety for both the individual and the nurse. c. Working through any feelings related to termination is an important part of clinical care 6. Health literacy a. the capacity to read, comprehend, and follow through on health information, is a critical component of health promotion b. 9 out of 10 adults encounter problems using everyday health information to make good decisions about health c. Nurses can encourage individuals to ask three essential questions at every health visit: “What is my main problem?”, “What do I need to do?”, “Why is it important for me to do this?” d. promote health literacy by creating a safe and comfortable environment, sitting to establish eye contact rather than standing when communicating, using visual aids and models to illustrate conditions and procedures, and verifying understanding of care instructions by having individuals then teach the content