Quiz 2 Flashcards
What is the nursing process in mental health?
assessment
nursing diagnosis
outcome
planning
implementation
evaluation
What is done during the assessment in the nursing process?
collect data
What are different types of assessments for mental health?
review of systems
lab data
spiritual/religious assessment
cultural assessment
mental status exam
psychosocial assessment
validating assesment
What type of assessment is not done in mental health?
head to toe assessments
What is a mental status evaluation?
nurse will observe mental status improvements
During the nursing process, what is done during the outcome portion?
setting goals that are SMART
What does SMART stand for?
specific
measurable
achievable
realistic
timely
During the nursing process, how is implementation done?
through:
coordinating care
teaching
milieu therapy
therapeutic relationship
What is done after the evaluation stage in the nursing process?
documentation
What is the difference between a congruent and an incongruent message?
congruent: actions and words match
incongruent: actions and words don’t match
What is therapeutic communication?
professional
goal-directed
scientifically based
allows pt to feel safe and secure
What is therapeutic silence?
encourages pt to open up by allowing them to break the silence
What is active listening?
observing nonverbal behaviors
listening/understanding verbal message
providing feedback
What are clarifying techniques?
paraphrasing
restating
reflecting
making observations
exploring
“what if”
“miracle question”
What is reflecting?
bringing conversation back to pt
ex: “what do yout think”
What is exploring?
describe, tell me more…
What is “what if” and “miracle question”?
helps with problem solving and coping skills
“what if you could go back?”
Will a nurse ever ask close ended questions?
no
exception: “have you thought of harming yourself?
Describe cultural competence
different communication styles
use of eye contact depends
different perceptions of touch
cultural filters
What are the 4 core concepts of a nurse-patient relationship?
dignity and respect
information sharing
pt/family participation
pt feels heard and understood
What is the difference between social and therapeutic relationships?
social: friends giving advice
therapeutic: straight forward and concrete
What are boundary warning signals?
over helping (doing what pt can do for themselves)
controlling (asserting authority)
narcissim (needing to help weak to feel helpful)
Define transference
person unconsciously transfers patterns and emotional reactions toward another person
Define countertransference
nurse displaces emotions related to people in past onto the pt
What are the phases of the nurse-patient relationship?
preorientation
orientation
working
termination
What happens during the preorientation phase of the nurse-patient relationship?
becoming familiar with environment
What happens during the orientation phase of the nurse-patient relationship?
meet pt
build rapport/trust
set goals
terminations begins
What happens during the working phase of the nurse-patient relationship?
gather data
evaluate problems and goals
What happens during the termination phase of the nurse-patient relationship?
review goals and accomplishments
What does the clinical interview consist of?
prepare for interview
introduce self
initiate interview
What are the goals of the clinical interview?
to feel safe
to feel understood
identify problems
discuss healthy ways to cope
Define stress response
survival mechanism by which the body and mind become immediately ready to meet a threat
What are the symptoms of PTSD?
TRAUMA
Traumatic event
Reexperiencing trauma
Avoidance
Unable to function
Month long symptoms
Arousal increase (hypervigilant, startle response)
What are the risk factors of PTSD?
age of traumatic event (younger age=higher risk)
female
Hx of psych illness
lower education level
What are comorbidities of PTSD?
cardiovascular diseases
increase susceptibility to infections
dementia
depressive disorders
anxiety disorders
substance-related
increased risk of suicide
How soon will symptoms resolve in acute stress disorder?
within 1 month
What are nursing interventions for PTSD?
- stay with pt
- help pt recognize avoidance behaviors
- family psychoeducation
- teach coping skills
- ensure sleep
- stress reduction techniques
What are interdisciplinary treatments of PTSD?
cognitive therapy
prolonged exposure therapy
eye movement desensitization and reprocessing
antidepressants
What is compassion fatigue in regard to nursing?
indirect traumatization from work
