What drives a person's response to illness?
- Age, growth, and development-affects how he/she copes
- Genetics-not under voluntary control
- Physical Health & Health practices-the healthier a peson is, the better they respond to illness
- Individual health practices
- Individual responses to drugs
Define hardiness and its 3 components
- Ability to resist illness when under stress
- 1. Commitment:active involvement in life activities
- 2. Control:ability to make appropriate decisions in life activites
- 3. Challenge:ability to perceive change as beneficial rather than just stressfull
Describe resilience and resourcefulness
- Resilience is having healthy responses to stressful circumstances
- Resourcefulness involves problem-solving abilities and believing that one can cope with adverse or novel situations
What is spirituality?
The essence of a person's being and his or her beliefs about the meaning of life and the purpose of living
What are some interpersonal factors?
- Sense of belonging-the feelingof connectedness with or involvement in a social system
- Value-feeling needed and accepted
- Social Networks-groups of people whom one knows and with whom one feels connected
- Social contact-friendly talk that goes on at parties
- Family support-source of social support that can be a key factor in the recovery of clients with psychiatric illness
What are cultural factors in social interaction?
- Culturally competent-being sensitive to issues related to culture, race, gender, sexual orientation, etc
- Beliefs about illnesses-culture has the most influence on a person's health beliefs and practices
- Unnatural or personal-beliefs attribute the cause of illness to the active, purposeful intervention of the outside agent, spirit or supernatural force of deity
- Natural-view is rooted in a belief that natural conditions or forces like cold, heat, wind or dampness are responsible for illness
What are factors in cultural assessment?
- Communication, space, social organization, time orientation, environmental controls, and biologic variation
- Socioeconomic status/social class-one's income, education and occupation strongly influence a person's health including whether or not they have insurance
- Cultural patterns and differences-starting point for the nurse to begin to relate to people with ethnic backgrounds different from his or her own
Name and describe the phases of angry behavior/hostility
- Triggering phase-incident that initiates an aggressive response
- Escalation phase
- Crisis phase-as client escalates toward this phase he or she loses the ability to perceive events accurately, solve prolems, express feelings or control behavior
- Recovery phase
- Post Crisis phase
What are components of a therapeutic relationship?
- Genuine interest
- Empathy-ability to perceive the meanings and feelings of the cient and to communicate the understanding
- Acceptance-avoiding judgements of the person no matter the behavior
- Positive regard-unconditional non-judgmental attitude
- self-awareness and therapeutic use of self-allows nurse to observe, pay attention to, and understand the subtle responses and reactions of clients when interacting with them
Define and describe the phases of therapeutic relationship
- Orientation-meeting the client and ends when the client begins to identify problems to examine
- Working-problem identification (the issues and concerns) and exploitation (guides client to examien feelings and responses and to develop better coping skills
- Termination-resolution phase is the final stage in the nurse-client relationship. Problem is resolved and relationship is ended
What diminishes a therapeutic relationship?
- Inappropriate boundaries
- Feelings of sympathy and encouraging client dependency
- Non-acceptance and avoidance
What is the nurse's role in a therapeutic relationship?
- Surrogate Parent
What is the difference between congruence and incongruence?
- Congruence-consistent, environment in which communication occurs and can include the time and the physical, social, emotional, and cultural environments.
- Incongruence-inconsistent, when what the speaker says and what he or she does do not agree
What are the differnt zones in relation to proxemics
What are the 5 different kinds of touch?
List all Therapeutic listening techniques
Accepting, broad openings, consensual validation, encouraging, comparison, description of perceptions, encouraging expression, exploring, focusing, formulating a plan of action, giving info, giving recognition, making observations, offering self, placing event in time or sequence, presenting reality, reflecting, restating, seeking info, silence, suggesting collaboration, summarizing, translating into feelings, verbalizing the implied, voicing doubt
List NonTherapeutic communication
Advising, agreeing, belittling feelings, expressed, challenging, defending, disagreeing, disapproving, giving approval, giving literal responses, indicating the existence of an external source, interpreting, introducting an unrelated topic, making sterotyped comments, probing, reassuring, rejecting, requesting an explanation, testing, using denial
How does nonverbal communication work with verbal communication?
- Accent-using flasing eyes or hand movements
- Complement-giving quizzical looks, nodding
- Contradict-rolling eyes to demonstrate that the meaning is opposite of what one is saying
- Regulate-taking a deep breath to demonstrate readiness to speak
- Repeat-using nonverbal behaviors to augement verbal messages
- Substitute-using culturally determined body movements that stand in for words