Mental Final Flashcards
What is the most important factor when providing therapeutic communication to pts with a mental illness?
Using open therapeutic technique and meeting them where they are at in a nonjudgmental regard
What should a a nurse do if a pt asks about personal information?
Redirect the patient back to the line of questioning
What is a token economy?
Using “tokens” to reward positive behavior by trading them for privileges, especially in the hospital setting.
Compensation
Overachievement in one area to offset real or perceived deficiencies in another area.
Conversion:
Expression of an emotional conflict through the development of a physical sx, usually sensorimotor
Denial:
Failure to acknowledge an unbearable condition; failure to admit the reality of a situation or how one enables the problem to continue
Displacement:
Ventilation of intense feelings toward persons less threatening than the one who aroused those feelings
Dissociation:
Dealing with emotional conflict by a temporary alteration in consciousness or identity
Fixation:
Immobilization of a portion of the personality resulting from unsuccessful completion of tasks in a developmental stage
Identification:
Modeling actions and opinions of influential others while searching for identity, or aspiring to reach a personal, social, or occupational goal
Intellectualization:
Separation of the emotions of a painful event or situation from the facts involved; acknowledging the facts but not the emotions
Introjection:
Accepting another person’s attitudes, beliefs, and values as one’s own
Projection:
Unconscious blaming of unacceptable inclinations or thoughts on an external object
Rationalization:
Excusing own behavior to avoid guilt, responsibility, conflict, anxiety, or loss of self-respect
Reaction Formation:
Acting the opposite of what one thinks or feels
Regression:
Moving back to a previous developmental stage to feel safe or have needs met
Repression:
Excluding emotionally painful or anxiety-provoking thoughts and feelings from conscious awareness
What is milieu therapy?
“the total environment and its effect on the patient’s treatment”
What is the purpose/benefit of partial hospitalization programs?
Programs are designed to help client’s in a gradual transition from being inpatient to living more independently and to prevent readmission
Why are multidisciplinary teams important in mental healthcare?
Multidisciplinary approach = multifaceted level of care and meeting the patient’s needs more effectively
What are examples of advocating for a client?
Ensuring privacy and dignity. The process of acting on the client’s behalf. Informed consent.
What is boundary blurring?
When the nurse-patient relationship becomes blurred as the nurse did not maintain the boundaries set in the orientation phase.
What is the first priority of the orientation phase?
Building a rapport and opening lines of communication to establish a trusting relationship
What is assertiveness training?
“I” statements. Communicating both negative and positive emotions in an open and direct manner
What is the best way to communicate to a client during severe anxiety?
Patient’s in a severe anxiety attack cannot respond to external stimuli. The nurse can sit with the patient and wait for their anxiety to decrease to a more manageable level.
What is resilience?
Having healthy responses to stressful circumstances or risky situations
What is culturally competent care?
Being sensitive to issues related to race, ethnicity, culture, sexual identity and orientation, as well as socioeconomic situation
What should a nurse do when attempting to provide culturally competent care to a client from a different racial or cultural group?
A nurse should always check their own bias while striving to give equitable and culturally competent care to all patients.
What do affect, blunted affect, flight of ideas, judgement, and insight mean?
Affect: the outward expression of the patient’s emotional state
Blunted Affect: showing little or a slow-to-respond facial expression
Flight of Ideas: excessive amount and rate of speech composed of fragmented or unrelated ideas
Judgement: the ability to interpret one’s environment and situation correctly and to adapt one’s behavior and decisions accordingly
Insight: the ability to understand the true nature of one’s situation and accept some personal responsibility for that situation
Suppose a nurse learns a client hasn’t been taking their medication. What should their initial response be?
Ask the client why they’ve stopped their medication and educate them on the importance of medication compliance.
What might be a sign that a client is hallucinating?
The client cannot focus on their surroundings or external conversations, they admit to hearing or seeing things, they’re having one sided conversations.
Suppose a client is involuntarily hospitalized because they are a danger to others. What rights does the patient lose?
The patient loses the right to autonomy/free will/right to refuse care
What is autonomy? What is an example of a nurse advocating for it?
A patient’s right to self-determination.
Making the client a part of their own care team/the patient reserves the right to refuse meds/treatment.
What are Kubler-Ross’s stages of greiving?
Denial, Anger, Bargaining, Depression, and Acceptance
