final

Question 1

black box warning on antidepressants

Answer 1

associated w increased risk of suicidl thinking, feeling, and behavior

Question 2

goals of milieu therapy-3

Answer 2

1. manipulate the environment so that all aspects of pt experience is therapeutic
2. pt to learn adaptive coping, interaction and rel skills to be used in their life
3. achieving client autonomy

Question 3

principals of milieu therapy 1-4

Answer 3

1. promote fundamental respect for self/others,
   and socialization
2. use opportunities for communication
3. pt act at a level equal to their ability and enhance self esteem (autonomy reinforced)
4. provide opportunities for unit mgt

Question 4

principals of milieu therapy 5-9

Answer 4

5. indiv held responsible for their own actions
6. peer pressure used to reinforce rules and regulations
7. team approach used
8. group discussion/temp seclusion for acting out
9. RN funct to consistently promote goals

Question 5

transference

Answer 5

unconscious redirection of feelings from one person to another

Question 6

countertransference

Answer 6

redirection of a nurse’s feelings toward pt

Question 7

empathy

Answer 7

the experience of understanding another person’s condition from their perspective

Question 8

orientation phase-6

Answer 8

1. parameters est
2. trust, respect, honesty, and effective communication key in est rel
3. expectations clarified
4. rn gathers info and sets priority
5. consistency and listening critical at this stage
6. rn promotes pt comfort by reducing anxiety

Question 9

Working phase-6

Answer 9

1. where rn interventions take place
2. prob identified and plans to address put into action
3. positive changes my alt w resistance or lack of change
4. exploration of thoughts, feelings, and behaviors
5. content chosen by pt, RN facilitates process
6. rn advocates that pt needs reflected in plan of care

Question 10

resolution/termination phase-5

Answer 10

1. ending based on mutual understanding and celebration of goals that have been met
2. may be met w ambivalence
3. both should share feelings related to ending the rel
4. validate plans for the future as a strategy
5. increased autonomy observed

Question 11

attentive/active listening

Answer 11

not passive; entails hearing, processing, and purposefully comprehending client’s words, nonverbals, and situation