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NSG3450 PRACTICE MIDTERM EXAM 2
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NSG3450 PRACTICE MIDTERMEXAM 2
Data from patients
Primary sources
Secondary sources.
data from other individuals or sources
HEADSSS Psychosocial Interview Technique
H Home environment (e.g., relationship with parents and siblings)
E. Education and employment (for example, school performance).
A Activities (e.g., sports participation, after-school activities, peer relationships).
Drug, alcohol, or tobacco use
S Sexuality (e.g., if the patient is sexually active, has safe sex, or utilizes
contraception)
S Suicide risk or symptoms of depression or another mental illness
S "Savagery" (e.g., violence or abuse at home or in the neighborhood).
SADPERSONS SCALE
S- sex
A- age
D - Depression
,P- prior attempt.
E: Excessive alcohol
R: Rational thinking.
S- Single.
O- Organized plan.
N: No social support.
S- stated future attempts.
Problem-focused diagnosis
Current state + relevant factors + evidence.
What elements influence communication?
environment, developmental differences, gender, personal space, territoriality,
sociocultural variables, roles, and relationships.
Someone has power.
complementary
Both has power.
symmetrical
Therapeutic Communication Techniques
1) ACTIVE LISTENING - Shows clients that they have your full attention.
2) OPEN-ENDED QUESTIONS - Initially used to encourage clients to relate their
own stories. Ask inquiries in a language that the client understands.
,3) CLARIFYING - In-depth questions regarding specific details or guiding them to
key parts of the history.
4) SUMMARIZING - Verifies the accuracy of the story.
Communication Style, Eye Contact, and Touch
Are cultural concerns
Clarifying techniques
paraphrase, restatement, reflection, and exploration
Strategies to Avoid
Arguing, minimizing, or confronting the patient
Providing false reassurance
Interpreting or speculating
Probing into sensitive areas that the patient is unwilling to talk
Attempting to "sell" the patient into accepting treatment.
Patients engage in attacks on others.
Participation in criticizing other employees.
Proxemics
Study of personal space:
Intimate distance (0–18 inches)
Personal distance (18–40 inches)
, Social distance (4–12 ft)
Public distance (12 feet or more)
Process of recording
-A written record of a part of the nurse-patient session that reflects as precisely as
possible the verbal and nonverbal behaviors of both patients and nurses.
-An effective tool for identifying communication patterns.
Objectives and functions of the nurse-patient relationship
enable the expression of painful ideas and feelings.
Help in issue solving.
help with activities of daily living
Promote self-care and independence.
Provide medication education.
Promote recuperation.
Model and respect boundaries.
Boundaries
Exist to protect patients.
expected and accepted.
Transference and Countertransference
difference in power between the nurse and the patient
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