Nursing 212

Health Differences Across the Lifespan 2 Study Guide • Environment: Existing forces outside the organism and in the context of culture • Health: A word symbol that implies forward movement of personality and other ongoing human processes in the direction of creative, constructive, productive, personal, and community living. • Nursing: A significant therapeutic interpersonal process. Nursing functions cooperatively with other human processes that make health possible for individuals in communities. The roles of a nurse: • Stranger: Receives the patient in the same way one meets a stranger in other life situations; provides an accepting climate that builds trust • Teacher: Imparts knowledge in reference to a need or interest • Resource person: Provides a specific needed information that aids inthe understanding of a problem or newsituation • Counselor: Helps to understand and integrate the meaning of current life circumstances and provides guidance and encouragement to makechanges • Surrogate: Helps to clarify domains of dependence, interdependence, and independence and acts on the patient’s behalf as an advocate • Leader: Helps the patient assume maximum responsibility for meeting treatment goals in a mutually satisfying way The Four Sequential Phases in the Interpersonal Relationship 1. Orientation 2. Identification 3. Exploitation 4. Resolution The Orientation Phase • Problem-defining phase • Starts when the patient meets the nurse as a stranger • Problem is defined and type of service needed is decided • Patient seeks assistance, conveys needs, asks questions, and shares preconceptions and expectations of past experiences • Nurse responds, explains roles to client, helps to identify problems, and uses available resources and services

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