Therapy Communication Flashcards
The process of understanding
one’s own beliefs, thoughts,
motivations, biases, and limitations
and recognizing how they affect
others
Self awareness
Interpretation
EFFECTIVE of INEFFECTIVE
EFFECTIVE
Advice
EFFECTIVE of INEFFECTIVE
INEFFECTIVE
Observation
EFFECTIVE of INEFFECTIVE
EFFECTIVE
Agreement
EFFECTIVE of INEFFECTIVE
INEFFECTIVE
Silence
EFFECTIVE of INEFFECTIVE
EFFECTIVE
Challenges
EFFECTIVE of INEFFECTIVE
INEFFECTIVE
Validation
EFFECTIVE of INEFFECTIVE
EFFECTIVE
Reassurance
EFFECTIVE of INEFFECTIVE
INEFFECTIVE
Confrontation (non-
judgmental)
EFFECTIVE of INEFFECTIVE
EFFECTIVE
Disapproval
EFFECTIVE of INEFFECTIVE
INEFFECTIVE
Open ended statements
EFFECTIVE of INEFFECTIVE
EFFECTIVE
Body Language
EFFECTIVE of INEFFECTIVE
Both
Inconsistent with
professional role
Self-Discloser
What re 4 Considerations for Effective
Communication and Relationships
Rapport
Empathy
Boundaries
Self Discloser
Channeling unwanted or unacceptable urges into an admissible or productive outlet. For example, a woman who recently went through a breakup may channel her emotions into a home improvement project.
sublimation
An individual refuses to recognize or acknowledge objective facts or experiences
Denial
Transferring one’s emotional burden or emotional reaction from one entity to another.
Displacement
Consciously choosing to block ideas or impulses that are undesirable.
Suppression
Un(sub)consciously blocking out unwanted thoughts, memories, feelings, and impulses from conscious awareness
Repression
Using reasoning and logic to avoid uncomfortable emotions or stressful events.
intellectualization
Causes people to act in an immature or childish way, or revert to an earlier stage of development.
Wetting the bed
Regression
replacing an initial impulse with the opposite impulse.
Someone who teases or insults a romantic interest they like
Reaction formation
making up seemingly logical reasons to justify feelings or actions that are difficult or unacceptable.
Family relationships
A child might rationalize their parents’ absence from after-school events by saying they are busy with work
Rationalization
Causes people to attribute their own negative feelings, thoughts, or behaviors to someone else
ullying
Someone who bullies another person for being anxious or insecure may be doing so to avoid acknowledging that they have the same tendencies.
Projection
Nurse- Patient Relationship Process
Development of the relationship
Orientation Phase
Nurse- Patient Relationship Process
Develop Trust and security
Orientation Phase
Nurse- Patient Relationship Process
Identify issues
Working Phase
Nurse- Patient Relationship Process
Strategies to resolve issues (coping)
Working Phase
Nurse- Patient Relationship Process
Issues are resolved
Resolution Phase
Nurse- Patient Relationship Process
Termination of relationship
Resolution Phase
The unconscious redirection of feelings and attitudes from one person to another, often
based on past experiences or relationships.
Amber rape victim do not want male caregivers
Transference
Nurse/Clinician emotional reactions and responses to the client, which may be
influenced by the nurse’s/clinician’s own past
experiences and unresolved issues.
Caregiver get emotional seeing an HIV pt die due a love one who passed away from hiv
Countertransference
Which exam is the most important with mental health pt
MSE Mental Status exam
An internal process of perception, memory
and judgment through which an
understanding of self in the world is
developed
Cognition
Reframe an individual’s automatic thought
pattern that have developed over time,
and which interfere with the individual’s
ability to function optimally.
Help pt think more positive belief towards events
Cognitive Interventions:
Which therapy is about reframing the pt beliefs towards an event.
CBT
CBT
Put the following in order
a. Explore the evidence that supports who
refutes the belief about the event
b. Examine the real implications if the belief is true
c. Identify the underlying belief
d. Identify alternative explanations for the
event
c., a., d., b,
Which therapy is focused on thinking about the positive in life instead of the problem.
Solution - Focused Brief Therapy (SFBT)
De-emphasis on of the patient’s problems or symptoms an emphasis on what is functional
and healthful
Solution - Focused Brief Therapy (SFBT)
Cognitive interventions (CBT and SFBT)
in ? care settings are
useful and cost effective
community/primary
? - SFBT (Goal settings,
discharge planning), CBT (Journaling)
Inpatient
Patient education ( ?)
implemented in any setting
sleep hygiene, relaxation techniques, goal setting
Goal settings, discharge planning
SFBT
Journaling
CBT
Group interventions are a key nursing strategy and mental health ? and ?.
promotion, recovery
Complex topics
Small groups
Specific activity focus (smoking cessation, meditation)
Large groups
two or more people who develop
interactive relationships and share at least
one common goal or issue
Group
Verbal and nonverbal
interactions that occur in the group
Group dynamics
Development and
culmination of the session-to-session
interactions of the members that move the
group toward its goals
Group process
12 step
Self Help
medication, discharge planning
Psychoeducation
chores, team building
Task
daily goals group
Decision Making
coping skills, symptom
management, anger
Supportive Therapy
adapted for an age group, i.e.
reminiscence)
Age- Related
a variety of treatments that aim to help a person identify and change troubling emotions, thoughts, and behaviors.
Psychotherapy
Difficulty putting feelings into
words
Preschool
Concrete thinkers
Preschool
Ability to use abstract
ideas
SCHOOL AGE
Competitive games
SCHOOL AGE
Egocentric, complex
social world
ADOLESCENT
Promote control
ADOLESCENT
Atmosphere of respect, non-distracting
environment, pacing, interview to mirror the
patient’s ability to move through the assessment
Older Adult
Assessment may be complex because of
comorbid medical problems and treatment
Older Adult
