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1. emotional barriers to communication: -defensiveness
-anger
-annoyance
-intimidation
-frustration
-devaluation
-embarrassment/humiliation
-bitterness
-anxiousness
-inferiority
2. concepts needed for therapeutic relationship: -caring
-empowerment
-trust
-empathy
-mutuality
3. caring: develops from a natural response to meeting the needs of others
4. empowerment: Assisting the patient to take charge of their own lives to feel valued and involved in their care
5. empathy: ability to be sensitive and convey understanding of pt feelings. Putting yourself in someone else's
shoes
6. mutuality: agreement between the nurse and patient on health problem and care needed for resolution
7. barriers that affect the development of nurse-client relationship: -anxiety
-stereotyping
-over familiarity
-intrusion into personal space
-limited time
8. anxiety (barriers): decrease perception field
9. stereotyping (barriers): attributing characteristics to entire group
10. maintain ____ ft when providing care: 4
11. how to communicate with visually impaired pt: -acclimate pt to env. and keep it clutter free
-ask them their preferred method
12. how to communicate with older adult: ask them how they want to be addressed
13. how to handle an illiterate older adult: use symbols and images that the pt is familiar with
, NSG-310 Exam 3
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14. how to communicate with hearing impaired pt: use chosen method of communication
15. how to communicate with a pt who has cognitive impairment: -use touch when
communicating with an anxious/demented pt
-clarify the message
16. nursing communication begins with:: establishing a safe env and managing of healthcare info
17. Title VI of the Civil Rights Act: mandates use of trained interpreter for any client experiencing
communication difficulties related to language
18. 1964 Civil Rights Act: prohibits discrimination based on national origin for an organization receiving
federal funds
19. the rehabilitation Act: Act that prohibits discrimination based on physical or mental disabilities for any
org receiving federal funds including medicare.
20. dispositional: attributes caused by internal characteristics within an individual as opposed to external (situ-
ational) influences.
21. eustress: good stress that helps us cope with daily challenges
22. mild stress: increases alertness of surroundings and helps with learning and decision making
23. moderate stress: stress caused when people experience frustration or conflict
24. severe stress: stress that interferes with person's ability to function
25. severe chronic stress: weakens the immune system
26. untreated, severe mental stress reactions associated with traumatic events
can develop into:: PTSD
27. acute stress: requires immediate action and once the situation is resolved, homeostasis is re-established
28. acute stress may become a crisis...: depending on the magnitude and coping abilities/resilience
29. chronic stress: manifests over extended period of time as result of repeated exposure to stressors
30. symptoms of chronic stress: -irritability
-fatigue
-insomnia
-lack of attention to healthy lifestyle/behaviors
-excessive anxiety
31. children express stress through: behavior
32. Men tend to have _________ tendencies: fight or flight
33. women tend to have _______ tendencies: tend and befriend