Generally, physicians tend to feel helpless after a challenging interaction with a patient, and may be unsure about how to take things forward or whom to consult for advice.
The nurse considers the feelings and needs of a patient by stating, "I know you are concerned about your surgery tomorrow. How can I help you?" What type of communication is this? a. Intrusive b. Aggressive d. Assertive Assertive communication takes a patient's feelings and needs into account, yet honors the patient's rights as an individual. 3.
4 Avoiding issues that are uncomfortable for a patient 4 Rationale: A therapeutic nurse-patient relationship is goal directed. It can also include the need to help a patient discuss any pertinent topics, whether comfortable or uncomfortable. The nurse is caring for a postoperative patient who is still having pain despite analgesia administration.
Patients will walk into your clinic with a set of beliefs and expectations affected by their personality and the severity of their symptoms, and the implications of this for their quality of life.
Responding to the feelings expressed by a patient is an effective therapeutic communication technique. The correct option is an example of the use of restating. The remaining options block communication because they minimize the patient's experience and do not facilitate exploration of the patient's expressed feelings.
The nurse is using the therapeutic communication technique of formulating a plan of action to help the client explore alternatives to drinking alcohol. The use of this technique, rather than direct confrontation regarding the client's poor coping choice, may serve to prevent anger or anxiety from escalating.
The nurse defines reality or indicates his or her perception of the situation for the client.
A written request is a component of a voluntary admission. Providing written information regarding the illness is likely premature initially. The family may have had no role to play in the patient's' admission. The nurse is preparing a patient for the termination phase of the nurse-patient relationship.
Fearfulness, anger, and aggressiveness are more characteristic of an involuntary admission. Voluntary admission does not guarantee a patient's understanding of their illness, only of their desire for help. A patient admitted voluntarily for treatment of an anxiety disorder demands to be released from the hospital.
The remaining options block communication because they minimize the patient's experience and do not facilitate exploration of the patient's expressed feelings. In addition, use of the word "why" is nontherapeutic. Click again to see term 👆. Tap again to see term 👆.
Ending treatment sometimes may be traumatic for patients who have come to value the relationship and the help. Because loss is an issue, any unresolved feelings related to loss may resurface during this phase. The remaining options are not specifically associated with this issue of unresolved feelings.
The nurse finds the patient depressed and weeping. The patient expresses that he is fed up with his poor health. He feels that he has become a burden on his family because he can't work now. The nurse finds that the patient's body language is suggestive of altered self-concept .
Focusing on strengths and accomplishments to minimize the emphasis on failures assists the patient in altering distorted and negative thinking. The other interventions are important, but they are not designed to impact thoughts. The nurse is trying to assess if a patient is free from identity stressors.
Mastectomy is a surgical procedure for removal of affected breast tissues. Mastectomy has a negative effect on the physical appearance of a female and may be unacceptable to many women. This can be a major factor in lowering their self-esteem. Chronic illness and the idea of depending on others also lower self-esteem.
Behaviors that are suggestive of altered self-esteem include frequent crying, hesitant speech, avoiding eye contact, slumped posture, and an unkempt appearance. Normal speech and maintaining good eye contact are suggestive of a normal and positive self-esteem. A 55-year-old male patient underwent a colostomy.
Older adults experience significant challenges to self-concept, including mental and physical changes associated with aging and changes in identity and roles following retirement and/or loss of significant others. The adjustment to stressors is most important. The other influences are important but to a lesser degree.
1, 2, 3, 5. Having a child changes the role of a person to a parent and affects a person's self-concept. Losing a child brings shock and depression, which negatively influence the self-concept.
This also promotes development of self-concept due to increased autonomy. Children between 1 and 3 years of age cannot understand feedback given by peers and teachers. Children from 3 to 6 years of age have increased language skills, including the identification of feelings.
Patients can be overwhelmed by a variety of beliefs and emotions: frustration, feeling they have little to no control over their diagnosis and health condition, uncertainty over the course of their treatment and prognosis, fear, worries, and overall dissatisfaction with the healthcare system.
Patients seek professional help because they are in pain or are concerned.
Another fundamental requirement for a positive interaction to occur is ensuring that the patient’s psychological safety is ensured . This is particularly relevant for taking small risks when interacting with the patient while, at the same time, facing uncertainty or ambiguity.
Not being in control can trigger negative emotions and can make communication difficult . Empathy and effective listening can help with this. Also, keeping the patient informed and involving them in the decision-making process is the basis for giving them a sense of control.
In a complex clinical case, doctors may seem so preoccupied with finding the solution to the clinical problem that it is sometimes easy to forget that the patient might be overwhelmed by anxiety, frustration and negative emotions, and require re-assurance to feel safe, at ease and trust in the doctor.
Patients can have very high expectations and trust in the system, and when it appears that their condition is a medical “dead end” or that their prognosis cannot be determined with precision due to the nature of the disease, it can be very upsetting.
Two important factors are the local healthcare setting in which the interactions take place, and the variation in clinical practice between regions and countries. In particular, the majority of healthcare settings are overworked and overstretched to meet demand, and this continuously affects interactions.