Unit 2 Outline - Exam II Unit IV Therapeutic Communication...

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Exam II # of Questions Unit IV Therapeutic Communication 7 Unit IV The Nursing Process 13 Unit V Teaching/Learning 7 Concept V Aging Adult 13 Unit V Nutrition 11 CS Physical Assessment, PO Med. 4 Dosage Calculation 5 60 total Therapeutic communication o Convey acceptance, ask related questions (open ended (requires a full answer) /closed ended), validate, clarify, reflect, maintain silence, assertiveness, touch Intrapersonal o Self-talk Interpersonal o Occurs between 2 or more people Helping relationship o Exists among people who provide and receive assistance in meeting human needs. Patient needs are met o Orientation phase Establishes guidelines and goals o Working Phase Longest phase Work together to meet patient physical and psychosocial needs ( teaching and counseling) Interaction o Termination Phase Accomplishments of patient; goal completion Dispositional traits o A characteristic or customary way of behaving Empathy, rapport, friendliness
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Empathy shows emotional support without being emotional distraught ` Sympathy involves the nurse emotionally Incongruent communication o When the nurse communicates verbally and non-verbally actions indicate communication readiness. Assertive behavior o Uses I feel or I think o Standing up for oneself and using open, honest, and direct communication Aggressive behavior o Asserting one’s rights in a negative manner that violates the rights of others. I nterviewing techniques o Clarifying - gain understanding of patient comment o Directing- obtain more information about a topic brought up earlier or introduce new aspect of current topic o Validating- Validate what nurse believes they have heard or observed o Reflecting- Repeating what the patient has said or describing patient feeling Communication (care giver- care giver) o SBAR Situation (concern) Background (mental status; health) Assessment (this is what the problem is) Recommendation (test illness recommend moving) Therapeutic statements o Focuses on patient’s needs o Does not block communication
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Teaching Learning o T tune into patient o E edit patient information o A act on every teachable moment o C clarify often o H honor the patient as a partner in education process o Teaching should be ongoing and interactive o Learning should result in behavior change Aims of teaching o Promote and maintain health Hygiene; Exercise o Prevent illness First aid Immunizations Screenings o Restore health Illness and physical condition Pt and nurse expectations of one another o Facilitate coping Stress management Grief counseling o Prevent complications o Contain cost o Political and social environment o Health promotion- stress reduction o Help with therapeutic regimen Learning styles
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o Visual o Auditory o Kinesthetic Factors that affect Learning o Motivation (does client believe this is helpful) o Physical readiness (hearing, vision, pain, can they participate) o
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