Psychiatric Nursing Flashcards by Renren Dominguez

Goal of nurse-client relationship

Positive behavioral change

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when does therapeutic relationsip begin?

Orientation phase

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The only tool available for the nurse?

Self

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therapeutic behaviors: with sincerity and honety

Genuineness

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therapeutic behaviors: ability to identify client’s feelings

Concreteness

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therapeutic behaviors: consideration of px as unique being

Respect

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Elements of Therapeutic relationship

“TRUST”

Trust
Rapport
Unconditional positive regard
Set limit
Therapeutic use of selfq

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When is trust established?

Sharing

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

Pre-interaction phase

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Orientation phase

Establish trust
Assessment of client
Establish mutual agreement
Inform about termination

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Longest phase, Achieve goals and resolve problems

Working phase

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Termination phase

Moving towards independence

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What to observe in termination phase?

Observe for regressive behaviors

and repeat reassess, remodify

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dynamic process of exchanging information

Therapeutic comm

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factors that inhibits communication process

barriers: Noise, environment

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let me sit here with you for 5 mins

Offering self

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“ah huh, yes, and?”

Active listening

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

Exploring

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“Where would you like to begin?”

Broad openings

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I noticed you combed your hair?

Making observations

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to know illusion and hallucination

Encouraging description of Perception

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with stimuli

Illusions

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Without stimuli and senses are affected

Hallucinations

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Most dangerous hallucination

Auditory and hearing as it can command

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"What are these voices telling you?"

Encouraging description of perception

"I know that voices are real, but there are no voices here"

Presenting reality

Do you mean....

Seeking clarification

"will I leave my wife?" "Will it help you? If you leave your wife?"

Reflecting

"I am down" "Are you depressed?"

Restating

Tell me more

General leads

Let us look at it more closely

Focusing

Physical distance between nurse and client

3-6 feet or 1 arm and a half proxemics

body movements like gestures, facial expression

Kinetics

intimate physical contact that needs CONSENT conveys empathy

touch

non verbal comm, touch is contraindicated with?

Rape clients, aggressive clients

Conveys listening, interest and encourages the pt to talk

Silence

how the message is delivered voice quality

Paralanguage

Non thera

Giving advice Talking about self Telling the client what is WRONG False reasssurance Asking "why"

Non thera comm that loses the trust of the pt

False reasssurance

Exception of the word why

Suicidal patients

from pleasure and irrational

Conscience and ideal

SUPEREGO

reality based, sanity

EGO

High in anti social PD

High in OCPD

Superego

unconsciously forgetting ex. person with traumatic childhood or abuse

Repression

Suppression

Consciously forgetting ex. utang, scores sa exam

Reasoning out or making excuses

Rationalization

Plastic ex. Bipolar Disorder

Reaction formation

Blaming others

Projection

Blaming self or exact replica whole self change

Introjection

Identification

Idolization Certain features only

weak on one aspect but strong on another aspect ex. weak in sports but excellent in academci

Compensation

Unacceptance of the truth

Denial

Channeling anxiety ex. binato baso, smoking, drinking,

Displacement

going back to previous developmental stages ex. Thumb sucking

Regression

Hugas kamay, relieves guilt feelings ex. giving flowers after fight

Undoing

Anxiety to physical symptom

Conversion

Reasoning but detaild without emotions

Intellectualization

Unavailable to available ex. LRD pinagpalit sa malapit

Substitution

Unacceptable to acceptable ugalign manapok, nagboxing

Sublimation

Maturational/Developmental

Predictable or expected

Unpredictable crisis

Situational

Acts of God (calamities)

Adventitious or Social

Unacceptance of the truth (shock or disbelief)

Denial

Project or introject displacement

Anger

Making unrealistic offers

Bargaining

most dangerous stage

Depression - SAFETY

Moving forward

Acceptance

Disturbances in appearance: repeated purposeless behavior caused by neurotransmitter imbalance

Automatism

Disturbances in appearance: Slowed movements (depression)

Psychomotor retardation

Disturbances in appearance: maintenance of an awkward posture

Catatonia

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

Waxy flexibility

Disturbances in appearance: Purposeless imitation

Echopraxia

Disturbances in communication: Mute

Mutism

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

Negativism

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

Circumstantiality

Disturbances in communication: beating around the bush but with answer

Tangentiality

Disturbances in communication: flowery words

Stilted language

Disturbances in communication: slightly related with no meanign

Flight of ideas

Disturbances in communication: not related no meaning STATEMENTS

Loose association

Disturbances in communication: one topic only

Perseveration

Disturbances in communication: parrot like imitation

Echolalia

Disturbances in communication: stereotyped words last sylabble

Palilalia

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

Verbigeration

Disturbances in communication: talks shit

Coprolalia

Disturbances in communication: creation og new words

Neologism

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

Blocking

Disturbances in communication: mixture of unrelated WORDS

Word salad

Disturbances in communication: rhyming of words

Clang association

Disturbances in Perception: stilted false belief

Delusions

Disturbances in Perception: believe in magic

Magical thinking

Disturbances in Perception: Extreme suspiciousness

Paranoia

Disturbances in Perception: Obsession in religious ideas

Religiosity

Disturbances in Perception: irrational fear

Phobia

Disturbances in Perception: repetitive thoughts

Obsession

Disturbances in Perception: repetitive actions

Compulsions

Disturbances in Perception: idea with intense desire

Pre occupation

Disturbances in Perception: others knows

Thought broadcasting

Disturbances in Perception: Talk of the town, main character

Delusion of reference Grandeur: Self only

Psychiatric Nursing Flashcards

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