therapeutic communication

Question 1

definition of mental health

Answer 1

A state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully and is able to make a contribution to her or his community

Question 2

what factors impact recovery from mental health disorders?

Answer 2

1. stigma
2. adherence
3. access
4. hope

Question 3

what is the leading cause of death in people with schizophrenia?

Answer 3

cardiovascular disease

Question 4

what is the leading cause of disability

Answer 4

depression

Question 5

what percent of Americans have psychiatric diorders

Answer 5

46%

Question 6

what is the assessment for mental health patients

Answer 6

1. establish reports
2. obtain understanding of current problem
3. review physical status, obtain baseline VS
4. assess risk factors
5. perform MSE
6. identify mutual goals for treatment
7. formulate a plan of care

Question 7

what is Hildegard Peplau’s Theory of Interpersonal Relations

Answer 7

• made by henry stack
  -to further the personal development of pt

Question 8

4 components of the nurse-patient relationship

Answer 8

2 people
Profesional expertise
client needs

Question 9

Phases of the Nurse-Patient Relationship

Answer 9

Pre-orientation phase
Orientation phase
Working Phase
Resolution Phase- relationship comes to an end

Question 10

A patient threatens to kill himself, his wife, and their children if the wife follows through with divorce proceedings. During the pre-orientation phase of the nurse-patient relationship, which interaction should the nurse employ?

1. Acknowledging the patient’s actions and encouraging alternative behaviors
2. Establishing rapport and developing treatment goals
3. Providing community resources in aggression management
4. Exploring personal thoughts and feelings that may adversely impact the provision of care

Answer 10

4. Exploring personal thoughts and feelings that may adversely impact the provision of care

Question 11

what is Transference

Answer 11

when pt transfers feelings to the nurse formed towards a person from the past

Question 12

Countertransference

Answer 12

the nurse behavioral and emotional response to the patient

Question 13

Therapeutic Communication Skills

Answer 13

Broad Opening
Observing
Paraphrasing
Use of silence
Exploring
Verbalizing the implied

Question 14

Blocks to Therapeutic Communication

Answer 14

Social responding vs therapeutic response
Giving advice
Challenging
Judging
Devaluing
False Reassurances
why questions

Question 15

Signs of Escalation (Early)

Answer 15

Changes in mood
Increased movement (pacing, rocking)
Eye movements (scanning, watchful)
Disorganized behavior

Question 16

Signs of Escalation (Imminent Danger)

Answer 16

Face
Lips tighten
Eyebrows lower
Chin drops
Stare at target
Body
Clenched fists
Rapid breathing
Body movement may stop