therapeutic communication Flashcards
definition of mental health
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
what factors impact recovery from mental health disorders?
- stigma
- adherence
- access
- hope
what is the leading cause of death in people with schizophrenia?
cardiovascular disease
what is the leading cause of disability
depression
what percent of Americans have psychiatric diorders
46%
what is the assessment for mental health patients
- establish reports
- obtain understanding of current problem
- review physical status, obtain baseline VS
- assess risk factors
- perform MSE
- identify mutual goals for treatment
- formulate a plan of care
what is Hildegard Peplau’s Theory of Interpersonal Relations
- made by henry stack
-to further the personal development of pt
4 components of the nurse-patient relationship
2 people
Profesional expertise
client needs
Phases of the Nurse-Patient Relationship
Pre-orientation phase
Orientation phase
Working Phase
Resolution Phase- relationship comes to an end
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?
- Acknowledging the patient’s actions and encouraging alternative behaviors
- Establishing rapport and developing treatment goals
- Providing community resources in aggression management
- Exploring personal thoughts and feelings that may adversely impact the provision of care
- Exploring personal thoughts and feelings that may adversely impact the provision of care
what is Transference
when pt transfers feelings to the nurse formed towards a person from the past
Countertransference
the nurse behavioral and emotional response to the patient
Therapeutic Communication Skills
Broad Opening
Observing
Paraphrasing
Use of silence
Exploring
Verbalizing the implied
Blocks to Therapeutic Communication
Social responding vs therapeutic response
Giving advice
Challenging
Judging
Devaluing
False Reassurances
why questions
Signs of Escalation (Early)
Changes in mood
Increased movement (pacing, rocking)
Eye movements (scanning, watchful)
Disorganized behavior
