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Nursing Practice 5 > Psychiatric Nursing > Flashcards

Psychiatric Nursing Flashcards

Refresher Course

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1
Q

Goal of nurse-client relationship

A

Positive behavioral change

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2
Q

when does therapeutic relationsip begin?

A

Orientation phase

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3
Q

The only tool available for the nurse?

A

Self

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4
Q

therapeutic behaviors: with sincerity and honety

A

Genuineness

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5
Q

therapeutic behaviors: ability to identify client’s feelings

A

Concreteness

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6
Q

therapeutic behaviors: consideration of px as unique being

A

Respect

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7
Q

Elements of Therapeutic relationship

“TRUST”

A

Trust
Rapport
Unconditional positive regard
Set limit
Therapeutic use of selfq

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8
Q

When is trust established?

A

Sharing

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9
Q

No contact, secondary source of informations are used and practice of self awareness is done

A

Pre-interaction phase

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10
Q

Orientation phase

A

Establish trust
Assessment of client
Establish mutual agreement
Inform about termination

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11
Q

Longest phase, Achieve goals and resolve problems

A

Working phase

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12
Q

Termination phase

A

Moving towards independence

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13
Q

What to observe in termination phase?

A

Observe for regressive behaviors

and repeat reassess, remodify

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14
Q

dynamic process of exchanging information

A

Therapeutic comm

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15
Q

factors that inhibits communication process

A

barriers: Noise, environment

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16
Q

let me sit here with you for 5 mins

A

Offering self

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17
Q

“ah huh, yes, and?”

A

Active listening

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18
Q

“You said its the best, can you describe her?”

A

Exploring

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19
Q

“Where would you like to begin?”

A

Broad openings

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20
Q

I noticed you combed your hair?

A

Making observations

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21
Q

to know illusion and hallucination

A

Encouraging description of Perception

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22
Q

with stimuli

A

Illusions

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23
Q

Without stimuli and senses are affected

A

Hallucinations

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24
Q

Most dangerous hallucination

A

Auditory and hearing as it can command

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25
Q

“What are these voices telling you?”

A

Encouraging description of perception

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26
Q

“I know that voices are real, but there are no voices here”

A

Presenting reality

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27
Q

Do you mean….

A

Seeking clarification

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28
Q

“will I leave my wife?”

“Will it help you? If you leave your wife?”

A

Reflecting

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29
Q

“I am down”

“Are you depressed?”

A

Restating

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30
Q

Tell me more

A

General leads

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31
Q

Let us look at it more closely

A

Focusing

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32
Q

Physical distance between nurse and client

A

3-6 feet or 1 arm and a half

proxemics

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33
Q

body movements like gestures, facial expression

A

Kinetics

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34
Q

intimate physical contact that needs CONSENT

conveys empathy

A

touch

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35
Q

non verbal comm, touch is contraindicated with?

A

Rape clients, aggressive clients

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36
Q

Conveys listening, interest and encourages the pt to talk

A

Silence

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37
Q

how the message is delivered

voice quality

A

Paralanguage

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38
Q

Non thera

A

Giving advice
Talking about self
Telling the client what is WRONG

False reasssurance
Asking “why”

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39
Q

Non thera comm that loses the trust of the pt

A

False reasssurance

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40
Q

Exception of the word why

A

Suicidal patients

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41
Q

from pleasure and irrational

A

ID

42
Q

Conscience and ideal

A

SUPEREGO

43
Q

reality based, sanity

A

EGO

44
Q

High in anti social PD

A

ID

45
Q

High in OCPD

A

Superego

46
Q

unconsciously forgetting

ex. person with traumatic childhood or abuse

A

Repression

47
Q

Suppression

A

Consciously forgetting

ex. utang, scores sa exam

48
Q

Reasoning out or making excuses

A

Rationalization

49
Q

Plastic

ex. Bipolar Disorder

A

Reaction formation

50
Q

Blaming others

A

Projection

51
Q

Blaming self or exact replica whole self change

A

Introjection

52
Q

Identification

A

Idolization

Certain features only

53
Q

weak on one aspect but strong on another aspect

ex. weak in sports but excellent in academci

A

Compensation

54
Q

Unacceptance of the truth

A

Denial

55
Q

Channeling anxiety

ex. binato baso, smoking, drinking,

A

Displacement

56
Q

going back to previous developmental stages

ex. Thumb sucking

A

Regression

57
Q

Hugas kamay, relieves guilt feelings

ex. giving flowers after fight

A

Undoing

58
Q

Anxiety to physical symptom

A

Conversion

59
Q

Reasoning but detaild without emotions

A

Intellectualization

60
Q

Unavailable to available

ex. LRD pinagpalit sa malapit

A

Substitution

61
Q

Unacceptable to acceptable

ugalign manapok, nagboxing

A

Sublimation

62
Q

Maturational/Developmental

A

Predictable or expected

63
Q

Unpredictable crisis

A

Situational

64
Q

Acts of God (calamities)

A

Adventitious or Social

65
Q

Unacceptance of the truth (shock or disbelief)

A

Denial

66
Q

Project or introject displacement

A

Anger

67
Q

Making unrealistic offers

A

Bargaining

68
Q

most dangerous stage

A

Depression - SAFETY

69
Q

Moving forward

A

Acceptance

70
Q

Disturbances in appearance: repeated purposeless behavior caused by neurotransmitter imbalance

A

Automatism

71
Q

Disturbances in appearance: Slowed movements (depression)

A

Psychomotor retardation

72
Q

Disturbances in appearance: maintenance of an awkward posture

A

Catatonia

73
Q

Disturbances in appearance: same with catatonia but maintained posture when move

A

Waxy flexibility

74
Q

Disturbances in appearance: Purposeless imitation

A

Echopraxia

75
Q

Disturbances in communication: Mute

A

Mutism

76
Q

Disturbances in communication: always say no (form of regression)

A

Negativism

77
Q

Disturbances in communication: beating around the bush (with answer)

A

Circumstantiality

78
Q

Disturbances in communication: beating around the bush but with answer

A

Tangentiality

79
Q

Disturbances in communication: flowery words

A

Stilted language

80
Q

Disturbances in communication: slightly related with no meanign

A

Flight of ideas

81
Q

Disturbances in communication: not related no meaning

STATEMENTS

A

Loose association

82
Q

Disturbances in communication: one topic only

A

Perseveration

83
Q

Disturbances in communication: parrot like imitation

A

Echolalia

84
Q

Disturbances in communication: stereotyped words last sylabble

A

Palilalia

85
Q

Disturbances in communication: repetition of the same word over and over again

A

Verbigeration

86
Q

Disturbances in communication: talks shit

A

Coprolalia

87
Q

Disturbances in communication: creation og new words

A

Neologism

88
Q

Disturbances in communication: sudden cessation of thought (mental block)

A

Blocking

89
Q

Disturbances in communication: mixture of unrelated WORDS

A

Word salad

90
Q

Disturbances in communication: rhyming of words

A

Clang association

91
Q

Disturbances in Perception: stilted false belief

A

Delusions

92
Q

Disturbances in Perception: believe in magic

A

Magical thinking

93
Q

Disturbances in Perception: Extreme suspiciousness

A

Paranoia

94
Q

Disturbances in Perception: Obsession in religious ideas

A

Religiosity

95
Q

Disturbances in Perception: irrational fear

A

Phobia

96
Q

Disturbances in Perception: repetitive thoughts

A

Obsession

97
Q

Disturbances in Perception: repetitive actions

A

Compulsions

98
Q

Disturbances in Perception: idea with intense desire

A

Pre occupation

99
Q

Disturbances in Perception: others knows

A

Thought broadcasting

100
Q

Disturbances in Perception: Talk of the town, main character

A

Delusion of reference

Grandeur: Self only

Nursing Practice 5 (3 decks)

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