nr222 the therapeutic relationship (3/4) & professional communication and interprofessional collaboration (4/4)

Practice flashcards covering therapeutic nurse-client relationships, interprofessional collaboration, professional communication frameworks, and conflict resolution based on lecture notes.

What is the primary goal of a therapeutic nurse-client relationship?

To create a purposeful, positive change in a client’s life, such as achieving personal growth and meeting health needs.

How does a nurse lead the therapeutic relationship?

By using a goal-directed approach.

What occurs during the preinteraction phase?

The nurse gathers information about the client, such as medical records and prescriptions, before the initial interaction.

What is another name for the orientation phase?

The introductory phase.

What type of communication style is beneficial during the orientation phase?

A friendly, informal, and warm communication style.

In which phase do the nurse and client collaborate as partners to promote health?

The working phase.

What are the main tasks during the termination phase?

Summarizing progress, reinforcing support strategies, and preparing the client for discharge or transition.

What are the four distinct phases of a therapeutic relationship?

Preinteraction, orientation, working, and termination.

Which communication technique encourages clients to share thoughts to change behavior when they are not ready for health promotion?

Motivational interviewing (MI).

What are the key features the nurse-client relationship is built upon?

Empathy, trust, care, and respect.

In what settings is forming caring relationships with a client’s entire family most common?

Community and home care settings.

When is the risk for miscommunication highest in healthcare?

During client transitions, such as moving from one department to another or during shift changes.

How is interprofessional collaboration defined?

A partnership between healthcare professionals that includes the client.

What are three advantages of interprofessional collaboration?

Reduced medical errors, reduced inefficiencies and costs, and improved job satisfaction.

Who is responsible for designing nutrition programs to manage acute or chronic conditions?

Registered Dietitian.

Which professional assesses speech, language, cognitive-communication, and swallowing skills?

Speech Therapist.

What is the focus of an Occupational Therapist?

Helping clients develop, recover, and maintain skills for daily living like dressing and bathing.

What is the focus of a Physical Therapist?

Improving physical function, such as walking, balance, or strengthening muscles.

Who cares for clients with acute or chronic respiratory disorders?

Respiratory Therapist.

Which professional can diagnose and treat mental, behavioral, and emotional problems through therapy?

Clinical social worker.

What do healthcare providers ($HCPs$) like $MD$, $DO$, $APRN$, and $PA$ do?

Diagnose and treat injuries or illnesses, address health maintenance, and prescribe medications.

What is the role of a Case Manager?

To organize, facilitate, and evaluate care options to achieve holistic, cost-effective client care.

What is the focus of $Standard\,5A$?

Coordination of Care, including collaborating with the team to manage care based on mutually agreed-upon goals.

What is the focus of $Standard\,11$?

Collaboration, including communicating for safe transition and partnering to advocate for change.

How old is Mrs. Lopez in the pneumonia recovery case study?

$72$ years old.

In the case of Mr. Daniels, what was the result after $Standard\,11$ was put into action?

His confusion was treated, his discharge plan was safer, and his family felt supported.

What does the mnemonic $ISBAR$ stand for?

Identify, Situation, Background, Assessment, and Recommendation.

What is hand-off communication?

The transfer of essential client information, responsibility, and accountability from one caregiver to another.

Where does the American Nurses Association recommend shift-to-shift hand-offs occur?

At the bedside.

What is expected of a professional nurse's appearance regarding scents?

To be odor-free, avoiding strong-smelling soaps and perfumes.

What traits must a nurse display to be considered trustworthy?

Consistency, reliability, honesty, competence, and respect.

What does autonomy mean in a professional nursing context?

Being self-directed and independent in accomplishing goals while advocating for others.

When should a nurse introduce themselves to a client or colleague?

Always introduce yourself with your name and status when communicating.

What is an example of a demeaning way to refer to a client that should be avoided?

Referring to them by a diagnosis or room number, such as 'the appendectomy in room $107$.'

Why should nurses avoid terms of endearment like 'honey' or 'sweetie'?

They are too personal and do not progress beyond professional boundaries.

What is the purpose of the $AIDET^{\text{\textregistered}}$ framework?

To decrease client anxiety, increase compliance, and improve clinical outcomes through effective communication.

What does the 'A' in $AIDET^{\text{\textregistered}}$ stand for and involve?

Acknowledge: Greet the client by name and make eye contact.

What does the 'I' in $AIDET^{\text{\textregistered}}$ stand for and involve?

Introduce: Share your name, skill set, professional certification, and experience.

What does the 'D' in $AIDET^{\text{\textregistered}}$ stand for and involve?

Duration: Give an accurate time expectation for procedures or updates.

What does the 'E' in $AIDET^{\text{\textregistered}}$ stand for and involve?

Explanation: Explain step-by-step what to expect and how the client can contact the nurse.

What does the 'T' in $AIDET^{\text{\textregistered}}$ stand for and involve?

Thank You: Thank the client for their communication, cooperation, or choosing the hospital.

What is a specific strategy for communicating with a client who has hearing loss?

Face the client with your mouth visible and speak at a normal volume.

What environmental adjustment is recommended for clients with vision loss?

Use indirect lighting.

What printing size is recommended for written materials for visually impaired clients?

At least $14$-point print.

What is the difference between aphasia and dysarthria?

Aphasia is the loss of ability to understand or express speech; dysarthria is slurred speech due to muscle weakness.

What is a communication strategy for a client with cognitive impairment?

Use simple sentences, avoid long explanations, and ask one question at a time.

How should a nurse handle lateral violence (workplace bullying)?

Remain calm, address the behavior in an assertive manner, ask it to stop, and notify a supervisor.

What is intrapersonal conflict?

An internal struggle within a person related to their own values.

Which word is central to assertive responses?

The word 'I,' as in 'I want' or 'I feel.'

What is the focus of the American Nurses Association Code of Ethics $Provision\,8$?

The commitment to build collaborative relationships to address health disparities and achieve greater public health ends.