Fund Quiz Ch 25, 26, 27, 28

Caring is sharing deep and genuine concern about the welfare of another person

Caring practice involves connection, Mutual recognition, and involvement between nurses and clients

Comfort

Dignity

Help him grow and actualize himself

Knowing, which means understanding the others needs and how to respond to these needs.

Alternating rhythms, which signifies moving back and forth between the immediate and long-term meanings of behavior, considering the past.

Patience, enables the other to grow in his own way and time.

Honesty, which includes awareness and openness to one's own feelings and a genuineness of caring for the other.

Trust, involves letting go, to allow the other to grow in his own way and own time.

Humility, which means acknowledging that there is always more to learn, and that learning may come from any source.

Hope, his belief in the possibilities of the others growth.

Courage, is the sense of going into the unknown, informed by Insight from past experiences

Focuses on both the differences and similarities among individuals in diverse cultures

Preservation of the Pines Manor lifeways. Accommodations that help clients adapt to or negotiate for satisfying care. Andrey patterning nursing care to help the client move toward Wellness.

She defines caring as assistive, supportive, and enabling experiences or ideas towards others with evident or anticipated needs, to ameliorate or improve a human condition LifeWay

Focuses on caring in organizations (i.e. hospitals) as cultures. The theory suggests that caring in nursing is contextual and is influenced by the organizational structure

Proposes that caring is the human mode of being. All individuals are caring, and develop their caring abilities by being true to self, being real, and being who they truly are

Compassion, competence, confidence, conscience, commitment, comportment

Awareness of one's relationship to others

Having the knowledge, judgment, skills, energy, experience and motivation required to respond adequately to the demands of one's professional responsibilities

Comfort with self, client, and others that allows one to build trusting relationships

Morals, ethics, and an in-form sense of right or wrong

The deliberate choice to act in accordance with one's desires as well as obligations

Appropriate bearing, demeanor, dress, and language that are in harmony with a caring presence

Views caring as the essence and the moral ideal of Nursing

With parents at the time of pregnancy, miscarriage, and birth

Knowing (striving to understand). Being with (emotionally present). Doing for (doing for the other how they would do for themselves). Enabling (facilitating the others passage through life). Maintaining belief (sustaining faith in the others capacity to get through an event with meaning).

They include knowing the client, nursing presence, empowering the client, compassion, and competence

Knowledge is gained by observing and talking with the client and family while using effective listening and communication skills. The nurse cannot remain detached, but must be actively engaged with the client

On a moral commitment by the nurse and the nurses ability to assess and realize another person state of being

By being emotionally present to the client and family, the nurse conveys that they and their experiences matter. Being present is a way of sharing in the meanings, feelings, and lived experiences of the client

the caring behavior of enabling is defined as facilitating the others Passage through life Transitions and unfamiliar events. Enabling also includes coaching, informing, explaining, supporting, assisting, guiding, focusing, and validating. There are times when enabling involves substitutive care meaning doing for the client who is unable to do for oneself, but doing no more than is needed at the time.

Providing an environment in which the client can function safely and effectively. The nurse should remain Mindful and professional boundaries and responsibilities to avoid enabling pathologic or undesirable choices by the client. The goal is always to promote healthy growth and development

Walking in their shoes

False. Compassion is a gift from the heart, rather than an advanced skill or technique

Just as competence without compassion is cold and inhumane, compassion without competence is meaningless and dangerous

A healthy lifestyle, such as nutrition, activity and exercise, Recreation.

Mind-body therapies, such as guided imagery, meditation, and yoga

Pace and intonation, Simplicity, Clarity and brevity, timing and relevance, adaptability, credibility, and humor

The manner of speech, as in the rate or rhythm in tone, will modify the feeling and impact of the message. The tone of words can express enthusiasm, sadness, anger, or Amusement. The rate of speech May indicate interest, anxiety, boredom, or fear

Simplicity includes the use of commonly understood words, brevity, and completeness nurses need to learn to select appropriate, understandable, and simple terms based on the age, knowledge, culture, and education of the client

A message that is direct and simple will be effective. Clarity is the saying precisely what is meant, and brevity is using the fewest words necessary. An aspect of this is congruence, or consistency, or the nurses Behavior or non-verbal communication matches the word spoken

Timing needs to be appropriate to ensure that words are heard. Moreover, the message needs to relate to the person or to the person's interests and concerns

The nurse needs to alter spoken messages in accordance with behavioral cues from the client. The suggest meant is referred to as adaptability

Credibility means worthiness of belief, trustworthiness, and reliability. Credibility may be the most important Criterion of effective communication. Nurses Foster credibility by being consistent, dependent, and honest. The nurse needs to be knowledgeable about what is being discussed and to have accurate information

The use of humor can be a positive and Powerful tool in the nurse client relationship, but it must be used with care

Nonverbal communication is sometimes called body language, it includes gestures, body movements, use of touch, and physical appearance, including a dormant. For example, if a nurse says to a client, I'd be happy to sit here and talk to you for a while, yet glances nervously at a watch every few seconds, the actions contradict the verbal message

Clothing and adornments can be sources of information about a person. How a person dresses is often an indicator of how the person feels. People who are tired or ill may not have the energy or the desire to maintain their normal grooming

The ways people walk and carry themselves are often reliable indicators of self concept, current mood, and health

No part of the body is as expressive as the face. Feelings of surprise, fear, anger, disgust, happiness, and sadness can be conveyed by facial expressions

Hand and body gestures maintenance eyes and clarify the spoken word, or they may occur without words to indicate a particular feeling or to give a sign

Email

It is a fast, efficient way to communicate and it is legible. It provides a record of the date and time of the message that was sent or received

One disadvantage or negative aspect of email is concerned by both clients and Primary Care Providers regarding privacy, confidentiality, and potential misuse of information. Another disadvantage is one of social economics. Not everyone has a computer, and even if people have access to computers at, say, a public library, not everyone has a necessary computer skills.

Language, psychosocial, and intellectual development move through stages across the lifespan. Knowledge of a client's developmental stage will allow the nurse to modify the message accordingly. The use of dolls and games coupled with simple language may help explain a procedure to an eight year old. With adolescents who have developed more abstract thinking skills, a more detailed explanation can be given, or as a well-educated, middle-aged business executive may wish to have detailed technical information provided. Older clients are apt to have had a wider range of experiences with the health care system, which may influence their response or understanding. With aging also comes changes in vision and hearing Acuity that can affect nurse client interactions

From an early age, females and males communicate differently. Girls tend to use language to sync confirmation, minimize differences, and establish intimacy. Boise's language to establish Independence and negotiate status within a group. These differences can continue into adulthood so then a man and a woman May interpret the same communication differently

Values of the standards influence behavior, and perceptions are the personal view of an event. Because each person has unique personality traits, values, and life experiences, each will perceive and interpret messages and experiences differently. For example, if the nurse closes the curtains around a crying woman and leaves her alone, the woman May interpret this as the "nurse thinks I will upset others and that I shouldn't cry," or, "the nurse respects my need to be alone."

The distance between prefer in interactions with others

The study of distance between people in their interactions

0 - 1 and 1/2 ft

1-1/2 to 4 ft

4 to 12 ft

12 ft and Beyond

A concept of the space and things that an individual considers as belonging to the self. For example, clients in a hospital often consider their territory as bounded by the curtains around the bed unit or by the walls of a private room

Temperature extremes, excessive noise, and a poorly ventilated environment can all interfere with communication. Also, lack of privacy might interfere with a client's communication about matters the client considers private

Is a speech style similar to baby talk that gives a message of dependence and unconfidence and is seen as patronizing by older adults

The verbal and nonverbal aspects of the message match with congruent communication. Clients more readily trust the nurse when they perceive the nurses communication as congruent.

Boundaries are defined as limits of individuals, objects, or relationships. For nurses, professional boundaries are crucial in the context of the nurse client relationship. To keep clear boundaries, the nurse keep the focus on the client and avoid sharing personal information or meeting his or her know needs through the nurse client relationship. If the client seeks friendships with the nurse or relationship outside the work environment, the nurse affirms his or her professional role and declines the invitation

An important characteristic includes the use of I statements versus you statements. The you statement places blame and puts the listener in a defensive position. On the other hand, the I statement encourages discussion. For example, a nurse who states I am concerned about... Will be gaining the attention of the primary care provider while also giving a message about the importance of working together for the benefit of the client. It is an important for the nurse to be clear, concise, organized, and fully informed when verbally presenting the client concern

A patient's Bill of Rights mandates client education as a right of all clients

To help patients better participate in their care and make informed care decisions. This requirement means that providers must perform a learning needs assessment that includes the patient's cultural and religious beliefs, emotional barriers, desire and motivation to learn, physical or cognitive limitations, and barriers to communication

To produce specific learning

They teach clients and their families or significant others in the hospital, primary care clinics, Urgent Care, Managed Care, the home, and assisted living and long-term care facilities

Increasing a person's level of Wellness. Growth and development topics. Fertility control. Hygiene. Nutrition. Exercise. Stress Management. Lifestyle modification. Resources within the community.

Health screening, reducing health risk factors, specific protective Health measures, first aid, and safety

Have larger groups of people who have an interest in some aspect of Health, such as nutrition classes, CPR or cardiac risk factor re-education classes, and bicycle or swimming safety programs. Community Education programs can also be designed for small groups or individual Learners, such as childbirth classes or Family Planning classes

The instruction of professional colleagues through continuing education, in service programs, and staff development. For example, experienced nurses May function has preceptors for new graduate nurses or for newly employed nurses

The important aspect of learning which is the individual's desire to learn and to act on the learning, this is referred to as compliance. Compliance is the extent to which a person's Behavior coincides with medical or health advice. Compliance is best Illustrated when the person recognizes and accepts the need to learn, and then follow through with the appropriate behaviors that reflect the learning. Many people, however, few the term compliance and a negative perspective because the term implies the learner is submissive and this is in conflict with a learner's right to determine his or her own health care decisions rather than be told what to do by a healthcare professional

The degree to which clients follow the agreed-on recommendations of healthcare providers

The Art and Science of teaching adults

The discipline concerned with helping children learn

Term used to describe the process involved in helping older adults to learn

As people mature, they move from dependence to Independence. An adult's previous experiences can be used as a resource for learning. Learning is related to an immediate need, problem, or deficit. An adult is more oriented to learning when the material is useful immediately, not sometime in the future. Learning is reinforced by application and prompt feedback.

Cognitive, effective, and psychomotor

The thinking domain, which include six intellectual abilities and thinking processes beginning with knowing, comprehending, and applying to analysis, synthesis, and evaluation

The feeling don't need, which deals with personal issues such as attitudes, beliefs, behaviors, and emotions

The skill domain, which includes fine and gross motor abilities such as giving an injection

Thorndike. His major contribution that applied to teaching is that learning should be based on the learner's Behavior and what is directly observable

An act is called a response when it can be traced to the effects of a stimulus

Focused on conditioning behavioral responses to a stimulus that causes the response or behavior. To increase the probability of response, Skinner introduced the importance of positive reinforcement in fostering repetition of an action. Bandera however cleanse that most learning comes from observational learning and instruction rather than trial-and-error Behavior.

A pleasant experience such as a praise and encouragement

The process by which individuals copy or reproduce but they have observed, and modeling, which is the process by which a person learns by observing the behavior of others

Age and development. Motivation. Readiness. Active involvement. Relevance. Feedback. Non-judgemental support. Simple to complex learning. Repetition. Timing. Environment. Emotions. Physiological events. Cultural aspects. Psychomotor ability.

The knowledge or skill to be learned must be personally relevant to the learner. Clients learn more easily if they can connect the new knowledge to that which they already know or have experienced

Physiological events such as critical illness, pain, or sensory deficits inhibit learning. Because the client cannot concentrate and apply energy to learning, the learning itself is impaired. The nurse should try to reduce a physiological barriers to learning as much as possible before teaching. For example, providing analgesics and rest before teaching is often helpful

Language and values. The client who does not understand the nurses language they learned very little. To be effective, nurses must be culturally sensitive and competent. Otherwise, the client may be partially or totally non-compliant with recommended treatments, this is important because Western medicine may conflict with a client's cultural healing beliefs and practices

Muscle strength. Motor coordination. Energy. Sensory acuity.

A mentor is a wiser and more experienced person who guides, supports, and nurtures a less-experienced person. Having a mentor is recognized as important for career development

In the clinical area, the term preceptor is used to describe an experienced nurse who assist the new nurse in improving clinical nursing skill and judgment

Delegation is the act of transferring to a competent individual the authority to perform a selected nursing task in a selected situation. The delegate assumes responsibility for the actual performance of the task or procedure. The delegator retains accountability for the outcome

Each state nurse Practice Act specifies which actions constitute the legal practice of nursing, which actions are the purview only of nurses, in which may be delegated to others. The model State nursing practice Act author by the ncsbn states that both the registered nurse, including advanced practice nurses, and the licensed vocational in practical nurse made delegate nursing interventions to implement the plan of care

The right task, under the right circumstances, to the right person, with the right direction and communication, and the right supervision and evaluation

Vital signs. Intake and output. Transfers and ambulation. Post mortem care. Bathing. Feeding. Gastrostomy feedings in established systems. Attending to safety. Weighing. Performing simple dressing changes. Suctioning of chronic tracheostomies. Performing basic life support.

LVN or LPN, and other registered nurses

An intended, purposeful attempt by an individual, group, organization, or larger social system to influence its own current status

Recover changes hidden or occurs without the individual's awareness. An example is the gradual, subtle increase in the severity of the clients on a nursing unit

It is change of which a person is aware. An example might be that a piece of equipment will no longer be available since the agency has changed suppliers

An alteration imposed by external events or individuals. It occurs when unexpected events force a reaction