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Pyschiatric Nursing > Psychiatric Nursing > Flashcards

Psychiatric Nursing Flashcards

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1
Q

The most important element in Nurse-Patient Relationship

A

Acceptance

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2
Q

Purpose of Acceptance / Nurse-Patient Relationship

A

to help the client develop new and effective coping mechanisms

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3
Q

Elements of a contract:

A

1) time, duration, and venue of sessions
2) termination and criteria for termination
3) nurse and patient’s responsibilities
4) participants

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4
Q

what are the 4 phases of the Nurse-Patient Relationship (POWT)

A

Pre-orientation
Orientation
Working
Termination

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5
Q

The phase of the Nurse-Patient Relationship wherein the nurse’s responsibility is to read the patient’s chart.

A

Pre-orientation

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6
Q

the goal in pre-orientation is:

A

Self-awareness (introspection)

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7
Q

the problem in pre-orientation is:

A

reluctance of the nurse

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8
Q

why do we need self-awareness

A

to maintain professionalism when dealing with patients

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9
Q

nurse’s responsibility in the orientation phase

A

Formulate nursing diagnosis

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10
Q

goal in the orientation phase

A

establish trust and build rapport

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11
Q

a problem that the nurse may encounter in the orientation phase

A

resistance of the patient

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12
Q

How to build trust and rapport with patients?

A

involve the client in planning. make sure that your words and actions are congruent.

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13
Q

the longest phase in the nurse-patient relationship?

A

working

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14
Q

nurse’s responsibility in the working phase:

A

promote the client’s insight

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15
Q

goal in the working phase:

A

RN: explore, Pt: verbalize

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16
Q

problem in the working phase:

A

emotional attachment

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17
Q

what is transference

A

patient redirects feelings to nurses

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18
Q

what is countertransference

A

the nurse redirects feelings to the patient

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19
Q

how to prevent emotional attachment?

A

remind the patient about the contract, redirect the feelings of the client, encourage verbalization

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20
Q

nurse’s responsibility during the termination phase:

A

determine the client’s feelings about the end of the relationship

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21
Q

goal during the termination phase:

A

evaluate the effectiveness of the interventions

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22
Q

problem during the termination phase

A

separation anxiety

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23
Q

is separation anxiety normal?

A

yes

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24
Q

how do we prevent separation anxiety during the termination phase?

A

constantly remind the patient about the contract

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25
Q

what to do in case of separation anxiety?

A

encourage verbalization

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26
Q

What is the meaning of crisis?

A

when coping mechanisms are ineffective that results in disequilibrium.

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27
Q

types of crisis = SAM

A

Situational,
Adventitious/social,
Maturational/Developmental

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28
Q

duration of crisis

A

4-6 wks

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29
Q

goal during crisis:

A

help the pt return to pre-crisis level

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30
Q

where to focus during a crisis? what type of therapy?

A

present (gestalt therapy)

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31
Q

approaches during crisis?

A

directive to promote problem solving
supportive to encourage expression of feelings

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32
Q

initial assessment during crisis:

A

precipitating event - “tell me what happened.”

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33
Q

factors to consider in crisis:

A

perception / feelings
support system
effectiveness of coping mechanism

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34
Q

therapeutic communication - CARES

A

clarify
acknowledge
restate, reflect
explore
silence

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35
Q

structural theory of personality is by:

A

Freudi

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36
Q

3 divisions of the mind:

A

conscious, unconscious, and subconscious

37
Q

3 divisions of the mind: CONSCIOUS

A

happy memories

38
Q

3 divisions of the mind: SUBCONSCIOUS

A

retrievable memories

39
Q

3 divisions of the mind: UNCONSCIOUS

A

“true emotions”, “slip of the tongue”/ Freudian slip

40
Q

3 components of the mind:

A

id, ego, superego

41
Q

ID

A

pleasure seeker, needs instant gratification

42
Q

SUPEREGO

A

moral conscience, guilt

43
Q

EGO

A

reality; balances pleasure and moral conscience

44
Q

examples of psychological conditions that may result when ID overpowers the mind

A

antisocial, borderline disorder

45
Q

examples of psychological conditions that may result when SUPEREGO overpowers the mind

A

anorexia nervosa, OCD

46
Q

ego defense mechanisms are done conscious or unconscious?

A

mostly unconscious

47
Q

Ego defense mechanism: failure to admit the reality of a situation

A

denial

48
Q

diabetic person eating chocolate candy

A

denial

49
Q

man pouts like a 4 year old if he is not the center of gf’s attention

A

regression

50
Q

regression is common in patients with

A

schizophrenia and dementia

51
Q

nursing student becoming a critical nurse because it is the specialty of an instructor she admires

A

identification

52
Q

it is copying the person or imitating the person you like

A

identification

53
Q

copying the attitude, beliefs, and values of a person you dislike

A

introjection

54
Q

person who dislikes gun becomes an avid hunter, just like bff

A

introjection

55
Q

thinkers are doers

A

projection

56
Q

projection is common in patients with

A

paranoid client

57
Q

unconscious blaming of others. ex, unfaithful husband suspects wife of infidelity

A

projection

58
Q

ventilation of intense feelings towards persons less threatening

ex. kicking a cat, mad at bos -> mad at wife,

A

displacement

59
Q

plastic to people

A

reaction formation

60
Q

reaction formation is common in patient’s with

A

bipolar disorder: depression and manic episodes

61
Q

making up for or negate unacceptable behavior.

ex. a cheating husband brings wife a bouquet of roses to remove guilt

A

undoing

62
Q

undoing is common in conditions with

A

OCD

63
Q

conscious forgetting

A

suppression

64
Q

unconscious forgetting

A

repression

65
Q

unconscious forgetting with disintegration of personality, consciousness, memory, identity, and emotion

A

dissociation

66
Q

conditions common in dissociation:

A

DID, dissociative fugue

67
Q

different identity in diff environments

A

dissociative fugue

68
Q

unjusitifiable excuse
ex. man beats wife because she does not listen

A

rationalization

69
Q

rationalization is common in:

A

alcoholism and antisocial

70
Q

acknowledging fact without emotions.

A

intellectualization

71
Q

intellectualization is common in patients with

A

anxiety

72
Q

replacing unattainable goals into attainable ones.

ex. cant bear child => opens up daycare center

A

substitution

73
Q

overachieve in another area to compensate for failure

ex. low self-esteem => works double shift to make the supervisor like her

A

compensation

74
Q

rechanneling unacceptable impulses into good ones.

ex. wants to be a killer => works in morgue. victim of rape => lawyer

A

sublimation

75
Q

categorize ppl as good or bad.
common in borderline disorder

ex. people without mustache is female.

A

splitting

76
Q

misinterpretation of external stimulus

ex. belt = snake

A

illusion

77
Q

misinterpretation of sensory stimulus

A

hallucination

78
Q

visual hallucination

A

psychedelics

79
Q

tactile hallucination

A

formication

80
Q

olfactory hallucination

A

phantosmia

81
Q

gustatory hallucination

A

spontaneous dysgeusia

82
Q

auditory hallucination

A

command auditory

83
Q

a type of hallucination common in alcohol withdrawal

A

tactile / formication

84
Q

a type of hallucination common in marijuana use

A

visual / psychedelics

85
Q

a type of hallucination common in PTSD

A

olfactory / phantosmia

86
Q

a type of hallucination common in seizures

A

gustatory / spontaneous dysgeusia

87
Q

a type of hallucination common in schizophrenia

A

auditory / command auditory

88
Q

mixing of senses

A

synesthesia

89
Q

the disturbances in perception

A

illusion, hallucinations, synesthesia

Pyschiatric Nursing (1 decks)

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