NRSG 217 Flashcards
what is essential for someone to have in order to recover from a mental illness?
resilience: ability and capacity to secure resources needed to support well-being.
resilience is characterized by?
- optimism
- sense of mastery
- competence
most accepted explanation for mental illness. combination of genetic vulnerability and negative environmental stressors.
Diathesis Stress model
what are future challenges?
- aging population
- increasing cultural diversity
- expanding technology
- patient advocacy
- legislative involvment
what should the Nurse-Patient relationship establish?
that the nurse is confidential, safe, reliable, and consistant.
when interacting with patient, how far in distance should you be from them to set boundries?
2-3 feet or whats comfortable
what is it called when there is a “blurring of boundaries” and the patient places their feelings on you. For ex; hugs you or says you remind them of someone…
Transference
what often results in countertransference?
when the patient has transference towards nurse.
what is countertransference?
the nurse puts feelings on patient unawareness .
what factors help Nurse-Patient relationship?
- consistency
- pacing
- listening
- initial impression
- promote patient comfort and balancing control
what do patient factors include?
- trust
- active participation
what factors promote patient growth?
- positive regard (attitudes, actions)
- empathy’
- genuieness
- attending
- suspending value judgments
- help develop resources
what are nursing interventions for atypical antipsychotics?
BP checks, BMI measurements, blood glucose, lipids, monitor for hypo glycemic, assess for sedation or hypotension
what are nursing interventions for Tricyclic antidepressants?
BP, pulse, monitor labs, weight and appetite increase, mental status, mood, sensorium, suicidal tendencies, urinary retention, constipation
What are some eps side affect treatment agents?
Artane, Benadryl, Cogentin, Symmetrel
