18 Questions
What type of data involves expressed feelings, emotions, and self-report about a health condition?
Subjective data
What is the phase in nursing where the nurse determines the patient's goal and sets priorities for interventions?
Planning
Which of the following is NOT part of a nurse's role regarding patient diagnosis?
Providing direct hands-on patient care
During which phase of the nursing process are nursing diagnoses prioritized to establish a sequence of care?
Planning
What is considered the 'actionable part of the process' in patient care according to the text?
Intervention
In what phase do nurses use critical thinking skills to make clinical judgments they share with the healthcare team members?
Diagnosis
What is the primary goal of the termination phase in the nurse-client relationship?
To summarize achieved goals and discuss discharge plans
Which technique of therapeutic communication involves beginning a conversation with a broad question?
Broad opening remarks
What is the purpose of reflection as a therapeutic communication technique?
To reflect questions back to the patient for open conversation
Why is sharing observations an important technique in therapeutic communication?
To allow the patient to clarify their thoughts and feelings
Which therapeutic communication technique prompts patients to open up and share their thoughts?
Open-ended questions
In therapeutic communication, what does offering self refer to?
Making oneself available to the patient
What is the main focus of the pre-orientation phase in the nurse-client relationship?
Reviewing the patient's chart
In which phase of the nurse-client relationship is educating the patient and evaluating progress towards goals typically done?
Working phase
What is a key aspect of the orientation phase in the nurse-client relationship?
Establishing rapport and setting goals
During the working phase of the nurse-client relationship, what is a primary responsibility of the nurse?
Evaluate progress towards goals
Which activity is NOT typically done during the pre-orientation phase of the nurse-client relationship?
Setting mutually agreed-upon goals
What distinguishes effective verbal and nonverbal communication in a nurse-patient interaction?
Ensuring harmonious and healing outcomes
Study Notes
Assessment
- Pain level is assessed on a scale of 1 to 10 through patient self-reporting
- Assessment involves expressing feelings, emotions, and self-report about a health condition
Diagnosis
- Nurses do not make a professional diagnosis of a specific disease or medical condition
- Nurses use critical thinking skills to make clinical judgments and share with healthcare team members
Planning
- The nurse determines the patient's goal and sets priorities for interventions
- Patients have multiple nursing diagnoses, and prioritizing them establishes a sequence of care
Interventions
- Interventions provide continuity to patient care and involve both direct and indirect patient care
- Direct care involves hands-on assistance to help the patient reach their goals
Therapeutic Nurse-Client Relationship
- Defined as a helping relationship based on mutual trust, respect, and nurturing faith and hope
- Involves assisting with the patient's physical, emotional, and spiritual needs through knowledge and skill
- Develops when the nurse and patient come together in the moment, resulting in harmony and healing
Phases of the Nurse-Client Relationship
- Pre-orientation phase: preparing for the meeting, reviewing the patient's chart, and examining thoughts and feelings
- Orientation phase: introductions, establishing rapport, boundaries, and patient confidentiality
- Working phase: gathering data, identifying and practicing problem-solving skills, and providing education
- Termination phase: summarizing goals, discussing new coping mechanisms, and discharge plans
Therapeutic Communication
- A collection of techniques prioritizing the physical, mental, and emotional well-being of patients
- Nurses provide support and information while maintaining professional distance and objectivity
- Techniques include:
- Broad opening remarks
- Open-ended questions
- Sharing observations
- Clarification/validation
- Reflection
- Offering self
Explore the process of gathering patient data through verbal communication and assessing symptoms to make clinical judgments in nursing practice. Learn how nurses use critical thinking skills to contribute to healthcare team decisions.
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