Exam 1 Flashcards
words and actions match. EX: the nurse says “i have to leave now to go to a clinical conference, but I will be back at 2 pm.” And the nurse indeed returns at 2 pm.
Congruence
the ability of the nurse to perceive the meanings and feelings of the client and to communicate that understanding to the client. Putting oneself in clients shoes.
Empathy
are feelings of concern or compassion one shows for another. Focus shifting to nurses feelings
Sympathy
“I see you are sad.. how can I help”
Empathy
“I feel so sorry for you”
Sympathy
is when the person considers a range of possibilities and freely chooses the value that feels right.
Choosing
is when the person considers the value, cherishes it, and publicly attaches it to themselves
Prizing
when the person puts the value into action.
Acting
What are influencing factors of mental health?
personal, interpersonal, social/cultural
What is the purpose for DSM-5: Taxonomy published by the American Psychiatric Association
- Standardize nomenclature, language
- Identify defining characteristics or symptoms
- Assist in identifying underlying causes
DSM Classification allows the practitioner to identify what factors that relate to a patient’s condition…
- Major psychiatric disorders
- Medical conditions
- Psychosocial and environmental problems that may affect the diagnosis and treatment
What are examples of basic level functions of practice
- Counseling
- Milieu therapy
- Self-care activities
- Psychobiologic interventions
- Health teaching
- Case management
- Health promotion, maintenance
What are examples of advanced level functions of practice
- Psychotherapy
- Prescriptive authority for drugs
- Consultation, liaison
- Evaluation
Focus on discovering causes of patient’s unconscious, repressed thoughts, feelings, conflicts related to anxiety.
Free association, dream analysis, behavior interpretation used to gain insight into and resolve these conflicts, anxieties
what is this?
Psychoanalysis
What is this called?
the nurse says “i have to leave now to go toa clinical conference, but will be back at 2 pm.” and the nurse indeed returns at 2pm
Congruence
The nurse who does not become upset or responds negatively to a clients outburst, anger, or acting out is called
acceptance
Unconditional nonjudegmental attitude is called
positivie regard
what is this example called?
an adolescent female client working with a nurse who is about the same age as the teens parents might react to the nurse like she reacts to her parents. She might experience intense feelings of rebellion or make sarcastic remarks; these reactions are actually based on her experience with her parents not the nurse
transference
when the client displaces onto the therapist attitudes and feelings that the client orginally experienced in other relationships
what is this called refers to unconscious feelings that the health care worker has toward the patient?
Countertransference
Congruent Communication
when context and process agree.
ex.. a client says “ i know i havent been myself, i need help.” has a sad facial expression and a sincere voice tone.
Incongruent communication
when context and process disagree.
ex.. a client says “im here to get help.” but has a rigid posture, clinched fist, and seems irritated.
Therapeutic communication: most comfortable when nurse and patient are how many feet apart?
3 to 6 feet apart
