Front | Back |
What is caring?
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- encompasses the nurse's empathy for and connection with the patient
- the ability to demonstrate emotional characteristics like compassion, sensitivity, patient-centered care |
What is empathy?
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- the ability to percieve, reason and communicate understanding of another person's feelings without criticism
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What does understanding your own self-concept mean?
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- being aware of your own biases, values, personality, cultural background(s) and communication styles
- be able to self-reflect |
What does non-verbal communication include?
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- physical appearance
- facial expression - posture - gestures - eye contact - voice - use of touch |
What are the 8 verbal communication skills?
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- active listening (decode messages including thoughts, words, opinions, emitions)
- restatement (use words of patient so that patient elaborates) - reflection (identify main themes, which lets patient better understand own thoughts) - encouraging elaboration (facilitation - assists patients to continue conversation) - silence (gather thoughts, provide accurate answers) - focusing (use it when patient strays from topic and needs redirection) - clarification (when patient's word choice or idea is unclear) - summarizing (end of interview, two or three of most important findings) |
What are some nontherapeutic responses?
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- false reassurance
- sympathy (from viewpoint of nurse) - unwanted advice (from nurse perspective, not patient) - biased questions (causes patient to feel guilty) - changes of subject - distractions (hectic, cold, loud) - technical or overwhelmic language) - interrupting |
What are the four phases of an interview?
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- preinteration phase
- beginning phase - working phase - closing phase |
What do you consider during the preinteration phase?
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- background history, any relevant information
- personalize questions to prepare yourself - research anything you don't understand |
What makes up the beginning phase?
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- introduce yourself by name, tell them why you're here
- ask them what they prefer to be called - beginning of establishing therapeutic relationship |
What makes up the working phase?
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- collect data by asking specific questions (open-ended)
- use communication strategies to drill deeper - reflective content (paraphrasing) - chart pt's hstory and health issues - use a balane between listing and documenting |
What makes up the closing phase?
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- summarize important points
- let patient know next steps - thanks patient and family members for providing information |
What are some lifespan issues that may arise in an interview?
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- with children - begin with parents and children together, observe interactions, fine and gross motor skills, attention span, language and development... then observe child alone
- new borns and infants - acknowledge issues like fatigue during interview, observa parents as they communicate with baby - children and adolescents - become mroe directly involved, see if child or parent does more talking - adolescents need privacy, treat tme maturely - older adults - avoid rushing interview; several visits... respect, temperature of room |