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NSG3450 PRACTICE MIDTERM EXAM 2

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NSG3450 PRACTICE MIDTERM EXAM 2 ...

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  • August 14, 2024
  • 54
  • 2024/2025
  • Exam (elaborations)
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  • nsg3450
  • nsg 3450
  • NSG3450
  • NSG3450
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Humat
NSG3450 PRACTICE MIDTERM
EXAM 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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