exam 1 Flashcards
Adaptive coping mechanisms
Help you deal with stress in a healthy way such as meditation, exercise, talking to someone, and listening to ,usic
maladaptive coping mechanisms
temporarily relieve stress such as binge eating, alcohol use, and smoking
302
initial involuntary commitment lasting 120 hours
303
involuntary court ordered commitment lasting up to 20 days
Patients cannot be admitted involuntarily unless:
They are a danger to themselves
they are a danger to others
they are so ill that they cannot care for themselves
Interpersonal communication
transaction between sender and receiver
both parties contribute
communication is verbal and non verbal
always communicating something even when not talking
Active listening technique
SOLER
Sit facing client Observe an open posture Lean forward toward client Establish eye contact Relax
components of non verbal communication
Physical appearance body movement touch facial expressions eye behavior vocal cues
therapeutic communication techniques
Using silence accepting giving recognition offering self making observations encouraging description giving broad openings
non therapeutic communication techniques
giving reassurance rejecting giving approval or disapproval probing defending requesting an explanation interpreting
Role of psychiatric nurse
the stranger resource person teacher leader surrogate counselor
therapeutic nurse-client relationship
goal oriented
directed at learning and growth
client centered
values
differ from attitudes and beliefs in that they are action oriented or action producing
Conditions essential to developing a therapeutic relationship
rapport trust respect genuineness empathy
Phases of a therapeutic nurse client relationship
pre interaction
orientation
working
termination
pre-interaction phase
obtain info about the client and examine ones own feelings about working with particular patient
orientation phase
create an environment for trust and rapport, establish contract for intervention, gather assessment data, ID clients strengths and weaknesses
formulate nursing diagnosis
set up mutually agreeable goals
working phase
maintain trust and rapport
promote clients insight and perception of reality
use problem solving methods to world towards goals
evaluate progress
transference
occurs when the client unconsciously displaces (or transfers) to the nurses feelings formed toward a person form the past
Counterference
Refers to the nurses behavioral and emotional response to the client
termination phase
progress has been made toward attainment of goals
pattern of adaptive coping with stressors has been established
plans for dealing with future stressors
professional boundaries
no self disclosure
gift giving
touch
friendship/romantic relationships
physical assessment
vitals, routine blood work, tox screen, ask about pmh
mental status assessment
appearance hygiene movements attitude emotions affect thought content of thought perception illusions impulse control
Nursing interventions
therapeutic milieu suicidal precautions therapeutic groups medication therapy electroconvulsive therapy
Mild anxiety
seldom a problem
prepares people for action
may lead to enhanced performance, focus
ex: driver with mild anxiety becomes more aware of the road
moderate anxiety
ability to focus becomes slightly impaired
may experience physical signs of anxiety
assistance with problem solving may be required
