test 1 Flashcards
revolving door concept
a cycle of frequent psychiatric hospitalizations and discharges
professional boundaries
NCBSN, we should set boundaries with client to ensure a safe and trust worthy relationship
sigmund freud
father of psychoanalysis, all human behavior is caused and can be explained, psychosexual development
empathy
ability to understand and share another persona feelings (im on your side of help)
sympathy
feeling of concern for someone who is experiencing something difficult (pity)
therapeutic nurse client relationships goals
-Establish a working relationship
-Identify patients most important concerns: assess
patient’s perceptions
-Assess the client’s perception of the problem as it
unfolds
-Facilitate the client’s expression of emotions
-Teach the client/family necessary self-care skills
-Recognize the clients needs
phases of therapeutic relationship
-pre-interaction: explore own feelings, fantasies, and fears, analyze own professional strengths and limits, gather data about patient, plan first meeting
-orientation: why patient sought help, establish trust, communication, acceptance, contract, goals with patient
-working: start doing goals, overcome resistance behaviors
-termination: reality of separation, renew progress, explore feelings of anger
roles of nurse
-teacher: methods of coping skills, solving problems, medications, self care, community and family resources
-caregiver: physical nursing care
advocate: acting on clients behalf when they cannot do so (privacy and dignity)
-parent-surrogate: childlike behavior set clear and firm limits
therapeutic communication (appropraite responses)
Accepting, broad openings, exploring, general leads, making observations, presenting reality, reflecting, and restating
non therapeutic communication
Advising, challenging, defending, disagreeing, disapproving, reassuring, rejecting, requesting an explanation- using why?
nonverbal communication (facial expressin, dos and donts)
eye contact, no fidgeting, posture
delusions and delusional thinking
A belief or altered reality that is persistently held despite evidence or agreement to the contrary, generally in reference to a mental disorder and a false belief that is resistant to change, even when there is evidence that it is not true
carpers four patterns of knowing
Four patterns:
-Empirical (derived from nursing science)
-Personal (from life experience)
-Ethical (from moral nursing knowledge)
-Aesthetic (from art of nursing)
types of treatment settings
inpateint, outpatient, community based, residential
roles of nurse in community-based setting vs. inpatient settings
community based:
LOCALLY REFERRED TO AS
PROGRAM FOR ASSERTIVE COMMUNITY
TREATMENT (PACT) AND INTENSIVE
COMMUNITY TREATMENT (ICT), OR
COLLECTIVELY KNOWN AS PACT/ICT
* ONE OF THE MOST EFFECTIVE
APPROACHES (SEE BOX 4.5)
* PROBLEM-SOLVING ORIENTATION
* NO PROBLEM IS TOO SMALL.
* FREQUENT, INTENSE SERVICES; 24
HOURS A DAY
inpatient:
TYPICALLY BEGINS IN THE ED
* RAPID ASSESSMENT, STABILIZATION OF
SYMPTOMS, DISCHARGE PLANNING
* CLIENT-CENTERED
MULTIDISCIPLINARY APPROACH TO
BRIEF STAY
* IDENTIFY LONG-TERM ISSUES FOR
OUTPATIENT THERAPY