MH Chapter 5-7

(Gestures, posture, movements, & body positions) form of nonverbal communication

Occurs when words & associate match (Example: Nurse says she will be back @2 & she comes back @2). ESSENTIAL

Self-efficacy is the blief that personal abilities & efforts affect events in one's life.

Example: Does not say anything at time but afterwards states "She is always late. I had to tell her what she missed."

Ability to resist illness when under stress

Environment in which communication occurs & can include time, physical, social, emotional & cultural

Use of extraneous words w/long tedious descriptions

The nurse who does NOT become upset/responds negatively to pt outbursts, anger, or acting out conveys _____ to pt

Feeling of connectedness w/ or involvement in social system/environment which person feels an integral part

Nurse Roles: Teach pt new methods of coping & solving problems.

Biologic differences affect pt response to tx, specifically psychotrophic drugs differ ethnic groups diff metabolism

Defined as having healthy responses to stressful circumstances or risky situations

Builds when pt is confident in nurse & develops when pt believes nurse will be consistent w/their words & relied on

Consists of words a person uses to speak to one or more listeners

Portrays pt moment-by-moment thoughts,feelings,& needs. May be evident when person does NOT want to reveal emotions

Example: After not saying anything for days nurse jumps up & yells "You're always late! That is so rude! Be on time."

Example: A coworker says to another "So nice of her to join us! Aren't we lucky?"

Phases of Nursing Relationship:Begins when the nurse & client meet & ends when pt begins to identify problems to examine

Emotional sustenance tht comes from friends, family members, & even HCP who help a personwhen a problem arises

Carper's 4 Patterns of Knowing: Derived from the science of nursing

Nurse guides pt to examine feelings & response & develop better coping skills & a more + self-image

Influence how person responds to psychsocial stress/illness. Poor physical health may impair ability to cope

Produces most visible, complex & sometimes confusing nonverbal message (connect w/words to illustrate meaning)

The charge nurse knows the new grad nuse understands nonverbal communication when they state?

Which nursing response is the most appropriate?

Types of Relationships: Purpose of friendships, socialization, companionship

General feelings/ a frame of reference around which a person organizes knowledge about the world

Literal words person speaks

Used to assess the other person & their environment & indicaye whose turn it is to speak. Don't stare (^ when listening)

Behavior that accompanies verbal content(body language,eye contact, facial expression)inidcate pt feelings unconsciously

This statement & action indicates which process?

Decision where if a pt imposes a clear threat to someone the intended victim can be notified

One tht is the opposite of what pt wants to convery (ex. person verbally sad but smiling)

The words are explicit & need no interpretation (ex. When was the last time you took you anti-depressant?)

Community-Based Care is nurses care 4 high risk pt at home & families responsible for primary prevention(Increase what?)

Seems to affect how someone copes or expresses w/illness (ex. age of schizopenia outcomes, ppl younger more - signs)

Frozen into an emotionless deadpan expression similar to a MASK

Nurse Roles: Pt may view nurse as a parent in some situations nurse must be clear/firm & set limits

Nurse sit facing pt , both feet on floor, knees parallel, hands to side, & legs uncrossed or cross at ankle

Vague or indirect messages that need interpretation & exploration (ex. Nothing can help me)

Feelings of concern/compassion for one shows for another(nurse may project personal concerns to pt, removing feelings)

Compassion Fatigue is a type of secondary traumatic stress/burnout comes from working w/traumatic pt

Types of Relationships: Involves 2 ppl who have a romantic or sexual relationship. (Nurse-pt relationship NEVER this)

Types of Relationships: Focuses on needs, experiences, feelings, & ideas of pt only

May indicate different things (depressed/struggling for energy to speak) or "lost in own thoughts". Allow time to think

Research identified genetic links to some disorders (ex. Bipolar disorder, major depression, alcoholism)

Crossed legs or arm folded across chest,or not looking at pt indicate interaction may threaten listener who is defensive

Encourages behavior change & independent

Abstract standards that give a person a sense of right & wrong & establish a code of conduct for living. (ex. hard work)

can be a KEY FACTOR in pt recovery. Nurse must encourage family members to continue to support pt even if in hospital

Carper's 4 Patterns of Knowing: Derived from the art of nursing

Interpersonal interaction b/w nurse &pt during which nurse focuses on pt specific NEEDS to promote good exchange of info

Refers to feeling needed & ACCEPTED

Clear, direct statements of intent (ex. I want to die)

Demonstrates unconditional positive regard, trust, care, & acceptance/ intrest in & acceptance of pt

Nurse Roles: acting on pt behalf when they cannot on their own

Touch can be comforting but for some pt (ex. sexual abuse/cultural differences) it may not be welcomed

Situation/circumstances that clairfy the meaning of content of message

Phases of Nursing Relationship: Maintaining the relationship, gathering more data, promoting independence tasks in work

Refers to feeling tht one meshes or FITS w/system or environment

Preconceptions are ways one person expects another to behave or speak.

By developing self-awarness, nurse can begin to use aspects of themselves to establish relationships w/pt (use themself)

Unclear patterns of words tht often contains figures of speech tht are difficult to interpret(ex. How did you get here?)

Carper's 4 Patterns of Knowing: Derived from the moral knowledge of nursing

Self-Awareness is the process of developing an understanding of one's own beliefs/values/etc & how it affects others.

Nonverbal sound signals (voice volume, tone, pitch, intensity, pauses, speed, emphasis) can indicate fear, anger, happy

Assertive Communication, the ability to express + or - ideas & feelings in an open, honest & direct way

Involves essence of person's being & their beliefs about meaning of life & purpose for living

Phases of Nursing Relationship: Nurse begins to build trust w/pt & establish roles, purpose of meeting & expectations

Ideas that one holds to be true (ex. All old people are hard of hearing)

A MI(mentally ill) pt can detect when some is being fake nurse must be open & honest & display congruent behavior

Involves problem-solving abilities & believing tht one can cope w/adverse or novel situations

Nurse Roles: to build trust, explore feelings, assist in problem-solving & help w/psychosocial needs

Refraining from other internal mental activites & concentrating exclusiveles on what pt says

Pt identifies the issues or concerns causing problems

Means revealing personal info such as biographical info & personal ideas, thoughts, feelings about onself to pt

Groups of people one knows & with whom one feels connected

Example: "When you are late, report is disrupted & I would not like to have to repeat what was already said."

Types of Relationships:If relationship becomes more of a _____than therapeutic, serious work tht helps pt won't be done.

Unconditional nonjudgmental attitude that implies respect

The ability of the nurse to percieve the meaning & feelings of client to communicate tht understanding to pt

Self-awareness issues is to be open, clear, direct when asking personal topics. Examine own beliefs dont let in way

Watching the speakers nonverbal actions as he/she commuicates

Phases of Nursing Relationship:Final stage in nurse-pt relationship begins when problems are resolved & end relationship

Carper's 4 Patterns of Knowing: Derived from the life experiences

Unknowing is the for the nurse to admit they don't know pt world. Nurse open to see/hear pt w/o imposing their own view