UNIT 2- Therapeutic communication

Question 1

Our psychiatric nursing assessment includes?

Answer 1

1. Estabishing report
2. cheif complaint- in patients words
3. physcial status- baseline vs
4. Risk factors- suicide, self harm and HI– should be done quickly
5. mental status
6. psychosocial status
7. goals for treatment
8. plan of care- priortize immediate conditon and needs
9. document data

Question 2

what laboratory data is important to gather during or psych assessment?

Answer 2

1. Thyroid
2. Liver enzymes
3. BUN
4. electolytes
5. Ammonia Nh3
6. Toxicology

Question 3

Mental status exam (MSE)

Answer 3

1. Physical behavior
2. Nonverbal communication
3. Appearance
4. speech patterns
5. Mood and affect
6. Thought content
7. perceptions
8. cogntive ability
9. Insight and judgment

This is is our most objective tool for getting informaiton

Question 4

Our psychosocial assessment should include

Answer 4

1. Previous hospitalization
2. educational backgroud
3. occupational background
4. social patterns
5. sexual patterns
6. interests & abilities
7. substance use and abuse
8. Coping ability
9. Spiritual assessment
10. Cultural assessment

Question 5

Therapeutic communciation should

Answer 5

1. Be of honest intent
2. demonstrate respect and genuineness
3. Display empathy and compassion
4. professional
5. goal-directed
6. evidence-based
7. Meet the need of the patient

Question 6

What are factors that affect communicaiton?

Answer 6

1. personal factors- emotional, social, cognitive
2. Environmental factors- physical, psyciental determinants
3. Relationship factors- symettrical complementary

Question 7

Effective clinical communication skills include?

Answer 7

1. Use of silence
2. Active listening
3. Clarifying techniques
   
   • Parahphrasing
   • restating
   • reflection of feelings
   • exploring
   • projective questions- what-if?
   • Presupposition question-miracle question

Question 8

non-therapuetic communication includes

Answer 8

1. asking excessive questions
2. giving approval or disapproval
3. being dismissive
4. advising
5. asking “why” quesitons

Question 9

What are the phases of peplau’s phases of nurse patient relationship?

Answer 9

1. Preorientation phase
2. Orientation phase
3. Working phase
4. termination phase

Question 10

What should we know about the preorientation phase?

Answer 10

1. Review any background information available on the patient
2. learn safety protocols
3. Address fears with established staff

Question 11

What should we know about the orientation phase?

Answer 11

1. Establishing rapport
2. Setting the parameters of the relationship
3. Address confidentiality
4. termination

Question 12

What should we know about the working phase?

Answer 12

1. mainintaing the relationship
2. gather further data
3. promote problem solving skills, self- esteem, and use of language
4. Facilitate postive behavior change
5. overcome resistance behaviors
6. Evaluate-problems, goals and redefine if needed
7. promote practice & expression of alt adaptive behavors

Question 13

What should we know about the termination phase

Answer 13

1. Summarizing: goals and objectives achieved in the relationship
2. Discussing: Ways for the patient to incorporate into daily life any new coping stagies learned during the time spent with the nurse
3. Reviewing: Situations that occured during the time spent together
4. Exhanging: Memories, which can help validate the experience for both nurse and patient faciltate closure of that relationship
5. THis can be important to patients because in this phase they can learn are important to the staff caring for them

Question 14

What hinders patient communication?

Answer 14

unavailiablity & inconsistency