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NURS 3514 - Mental Health > Week 2 > Flashcards

Week 2 Flashcards

1
Q

several factors influenced a shift in mental health care, closing of asylums, and a vision of community-based care. which was most significant in this shift?

A
  • intro of anti-psychotic meds
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2
Q

what is self-stigma

A
  • negative thoughts of yourself bc of association w a stereotype
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3
Q

what is Hildegard Peplau’s contribution to mental health care

A
  • took students to asylum, focused on communication

- created the theory of nurse-pt relationship, therapeutic relationship

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4
Q

what is the mission of the Manitoba Department of Mental Health, Wellness, and Recovery ?

A
  • to provide access to mental health & addictions supports and treatment that improve life outcomes for Manitobans in their journey thru recovery & healing
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5
Q

describe the concept of recovery

A
  • is a process, a way of life, an attitude, way of approaching the day’s challenges
  • not a linear process
  • at times the course is erratic, falter, then need to slide back, regroup, and start again
  • the need to meet the challenge of disability & to re-establish new & valued sense of integrity and purpose within and beyond the limitations of disability
  • aspiration is to live, work, love in a community in which one makes a difference
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6
Q

describe attributes of recovery (4)

A
  • experience isolation, hopelessness, and suffering
  • discovery of the inner self & intrinsic value of life motivated by hope
  • comes from the individual in an incremental manner according to one’s sense of self
  • perseverance, resilience, fighting spirit q
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7
Q

what are some guiding principles of recovery (6)

A
  • coming to terms w mental illness
  • restoration of hope (clinicians initial emphasis on hope & optimism influences recovery)
  • not linear, takes time
  • consider individual’s needs, goals, interests, strengths
  • clinicians & individuals work collaboratively to develop a recovery mngmt plan
  • involves holistic approach
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8
Q

how does family involvement impact recovery

A
  • may enhance recovery –> v imp, source of support
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9
Q

describe the process of recovery

A
  • changes from illness taking over the person –> illness part of life but not taking over
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10
Q

what is considered w recovery oriented practice?

A
  • how to inspire hope, empowerment, resilience?
  • how to work in partnership?
  • how to promote empowerment?
  • resources needed to support recovery & full range of services? options?
  • consideration of social determinants of health to support holistic approach
  • hear people’s stories and lived experiences
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11
Q

what are the 3 themes of recovery-focused practice in mental health

A
  • hope
  • person-centered care
  • consider “service users’ opinions on the experience of care”
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12
Q

what is a tool used to support/facilitate recovery

A
  • recovery plans (aka WRAP - Wellness Recovery Action Plan)
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13
Q

what are various components of recovery plans (5)

A
  • plan for pursuing dreams & goals
  • wellness plan
  • plan managing ups and downs (what helps, triggers, etc.)
  • plan for managing crisis (signs of, how to prevent)
  • plan for after a crisis
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14
Q

use of a wellness planner was shown to increase (4)

A
  • client’s sense of empowerment
  • client’s perceived QOL
  • client’s satisfaction w mental health care services
  • client’s perception of continuity of care
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15
Q

what are some factors that hinder recovery (7)

A
  • no support
  • isolation
  • stigma
  • bias of healthcare providers
  • no access to resources
  • discrimination
  • no money for funding for programs
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16
Q

describe the importance of therapeutic communication in mental health care

A
  • in mental health care, nursing intervention primarily takes place thru nurse-pt interaction = communication & development of nurse-pt relationships essential
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17
Q

what is therapeutic communication

A
  • an interpersonal exchange, verbal & nonverbal, where someone is helped to overcome stress, anxiety, fear, or distressing emotional experiences
  • expresses support, hope, provides info & feedback and corrects distortions
  • conscious intention of helping
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18
Q

what are 5 components of a therapeutic relationship

A
  • respect
  • empathy
  • trust
  • power
  • professional intimacy
19
Q

describe the respect component of a therapeutic relationship

A
  • responsibility to understand & respect the dignity and rights of the pts
20
Q

describe the empathy component of a therapeutic relationship

A
  • the expression of understanding, validating, and resonating w the meaning that the health care experience holds for the client
21
Q

describe the trust component of a therapeutic relationship

A
  • necessitates the nurse to act in the client’s best interest
22
Q

describe the power component of a therapeutic relationship

A
  • there is an imbalance of power favoring the nurse
23
Q

describe the professional intimacy component of a therapeutic relationship

A
  • client discloses personal info, therapeutic closeness
24
Q

describe self-disclosure in mental health care

A
  • can be challenging
  • can share general info (fav sports team, etc.)
  • should not share personal info (where live) or traumatic personal experiences (takes away from pt’s experience, may cause pt to feel need to support nurse)
25
Q

what are the 3 phases of a therapeutic relationship

A
  • orientation phase
  • working phase
  • resolution phase

(see text pp. 88-90 for more info)

26
Q

describe the orientation phase of a therpeutic relationship (5)

A
  • first meeting
  • involves getting to know the pt
  • ensure confidentiality
  • set boundaries
  • establish trust
27
Q

describe the working phase of a therapeutic relationship (3)

A
  • involves identifying & working on problems
  • outcomes & interventions planned
  • goals developed
28
Q

describe the resolution phase of a therapeutic relationship (2)

A
  • allows the client to depend on his or her own strengths –> become independent
  • relationship ends
29
Q

what are powerful tools for therapeutic communication (4)

A
  • individuality
  • providing support
  • being present/accessible
  • reflect & validate feelings

(see table 10-2 on text for more therapeutic communication techniques)

30
Q

describe individuality r/t communication

A
  • see clients as individual people beyond their mental illness
  • demonstrate respect
31
Q

describe providing support r/t communication (3)

A
  • convey support, hope, concern
  • help clients feel safe & comfortable
  • be genuine
32
Q

what is an imp consideration r/t listening

A
  • looking like your listening is not enough
33
Q

describe validating r/t communication (2)

A
  • identify, acknowledge, and normalize the feeling expressed
  • involves clarifying the nurse’s understanding of the situation
34
Q

why is it important to use validating in therapeutic communication

A
  • validating a person’s experience and feelings helps them to feel that their emotions are not wrong
  • helps facilitate connection
35
Q

what are some examples of validating statements (4)

A
  • “you’re feelin rlly sad rn”
  • “it makes sense that you’re angry”
  • “being afraid in these situations is not uncommon”
  • i can hear how much distress this incident has caused you”
36
Q

describe the 5 steps to a problem-solving approach

A
  1. define the problem
  2. analyze the nature of the problem or conflict (how do you view this? what resources do you have?)
  3. consider alternatives and their consequences (brainstorming)
  4. weigh the advantages & disadvantages of each alternative (to guide, so the pt can learn the problem-solving process)
  5. take action on the decision (client’s course of action)
36
Q

describe the 5 steps to a problem-solving approach

A
  1. define the problem
  2. analyze the nature of the problem or conflict (how do you view this? what resources do you have?)
  3. consider alternatives and their consequences (brainstorming)
  4. weigh the advantages & disadvantages of each alternative (to guide, so the pt can learn the problem-solving process)
  5. take action on the decision (client’s course of action)
37
Q

define communication difficulties (2)

A
  • inability to communicate effectively

- disturbances in perceptions, processing, and/or expression

38
Q

communication is influenced by? (5)

A
  • moods, feelings, attitudes
  • context of the interpersonal relationship
  • sensory distortion
  • selective inattention
  • language and cultural differences
39
Q

what is reflective practice? (2)

A
  • ongoing process throughout your career

- involves developing self-awareness & thinking about your perceptions

40
Q

what is involved in reflective practice (4)

A
  • self examination –> knowing the self
  • feedback from others
  • thinking about beliefs, bias, limits
  • consider how your beliefs, experiences, and culture influence your perception of the world?
41
Q

what facilitates recovery (3)

A
  • mental health nurses & reflective practice
  • think about your own perceptions
  • understanding recovery as a process
42
Q

describe the therapeutic use of self (2)

A
  • you are the means, the vehicle for helping & creating a safe enviro to assist clients to overcome their difficulties
  • everyone uses their personality and ways of being in a different manner in the helping process

NURS 3514 - Mental Health (11 decks)

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