MODELS FOR WORKING WITH PSYCHIATRIC PATIENTS Flashcards
Is a turning point in an individual’s life that produces an overwhelming emotional response
Crisis
Characteristics of a Crisis
-Crisis will happen to everyone at some point
- Crisis does not necessarily equate to psychopathology
-Triggered by specific identifiable events
- Crises are personal by nature
- Crises are self-limiting
- A crisis situation may lead to psychological growth or deterioration
Characteristics of Individuals in Crisis:
-Have feelings of helplessness
- Believe that resources are unavailable for resolving the crisis
- Have increasing levels of anxiety
What are the Phases of Crisis Development?
Phase 1: Exposure
Phase 2: Ineffective Coping
Phase 3: Palliative Coping
Phase 4: Maladaptive Coping
-Precipitating Stressor
-Previous coping mechanism is employed
Exposure
-Previous coping mechanism falls
-Increasing levels of anxiety
Ineffective Coping
Strategies temporarily decreases anxiety so that the person can focus on problem-solving
Palliative Coping
Is a time for doing what is needed to help the individual get relief and for calling into action all the people and other resources required to do so
Crisis Intervention
What is the role of the therapist?
Direct, supportive active participant
The role of nurses in crisis intervention
Nurses may be called on to function as crisis helpers in virtually any setting committed to the practice of nursing
is a scientific structuring of the environment in order to effect behavioral changes and to improve the psychological health and functioning of the individual
Milieu Therapy
Basic Assumptions of Milieu Therapy
-The health in each individual is to be realized and encourage to grow
- Every interaction is an opportunity for Therapeutic Intervention
- The client own his or her environment
- Each client owns his or her behavior
- Peer pressure is a useful and powerful tool
- Inappropriate behaviors are dealt with as they occur
- Restrictions and punishment are to be avoided
What is the goal of milieu therapy?
To manipulate the environment so that all aspects of the client’s hospital experience is considered therapeutic
Criteria for a therapeutic environment
- Basic psychological needs are fulfilled
- The physical facilities are conducive to the achievement of goals
- A democratic form of self-government exists
- Responsibilities are assigned according to client capabilities
- A structured program of activities is part of the treatment program
- community and family are included in the treatment program
-Medical Doctor
-Acts as the team leader
-Provides diagnosis and prescribes medications and treatment
-Performs psychotherapy
Psychiatrist
-Doctorate in clinical psychology with 2- to 3- years of supervised clinical internship
-Conducts individual, group, and family therapy
-Administers, interprets, and evaluates psychological test
Clinical Psychologist
-Registered Nurse with master’s degree in Psychiatric Nursing
-Conducts individual, group, and family therapy
-Presents educational program for staff nurses
-Provides assistance to staff nurses requiring clinical guidance
Psychiatrist Clinical Nurse Specialist
-Registered Nurse
-Conducts ongoing assessment of client’s mental and physical status
-Manages the therapeutic milieu on a 24- hour basis
-Administers medications
-Assist with therapies
-Focuses on one-to-one relationship development
Registered Nurse
-Master’s degree in social work*
-Conducts individual, group, and family therapy
-Performs in-depth psychosocial history
-Works with client and family to ensure that requirements for discharge are fulfilled and needs can be met by appropriate community resources.
Social Worker
Is a form of learning whereby a conditioned stimulus (CS) becomes associated with an unrelated unconditioned stimulus (US) in order to produce a behavioral response known as conditioned response (CR)
Classical Conditioning