Week 2 - recovery

Question 1

What is clinical recovery?

Answer 1

getting rid of symptoms
restoring social functioning
getting back to normal

Question 2

What is personal recovery?

Answer 2

deeply personal
unique process
changing :
- attitudes
- values
- feelings
-goals
-skills
- roles
living a satisfying, hopeful and contributing life even within limitations

Question 3

What are the 7 guiding principles of recovery?

Answer 3

1. coming to terms with the mental illness
2. restore hope - HCP need to help with this
3. Not linear- takes time
4. Focus on person’s needs, goals, interests and strengths
5. clinicians/individuals work together - make recovery plan
6. Recovery is holistic approach
7. Family might enhance recovery

Question 4

What are the 5 aspects of recovery oriented practice?

Answer 4

1. not always a cure - path not a destination
2. meaning, purpose, hope, fulfilling dreams
3. person’s lived experience = active role for power and control
4. Understanding people’s stories, experiences, hopes, and dreams
5. is a CRNM competency

Question 5

What part of recovery oriented practice helps people restore their self-dignity and self-determination?

Answer 5

person taking an active role to regain their power and control

Question 6

In a recovery model, how can nurses help patients?

Answer 6

provide person-centered care by involving them in making decisions about their care

Question 7

what is the goal of traditional approach vs recovery approach?

Answer 7

traditional - compliance, return to normal

recovery- choice and transformation

Question 8

What are the 5 dimensions of recovery?

Answer 8

1. clinical recovery
2. existential recovery
3. Functional recovery
4. Physical recovery - side effects/metabolic syndrome
5. Social recovery

Question 9

What is clinical recovery?

Answer 9

symptom reduction
psychotropic medication
medical care
talking and behavoural therapies

Question 10

What is Existential recovery?

Answer 10

agency + self-efficacy
empowerment
spirituality
hope

Question 11

What is functional recovery

Answer 11

employment
housing
education
(social work)

Question 12

What is physical recovery?

Answer 12

physical health
diet
exercise
substance abuse

Question 13

Social recovery

Answer 13

community integration
social support
social activity
sense of belonging
citizenship

Question 14

What is mental health promotion?

Answer 14

-enhancing people’s and communities’ capacity to take control over their lives and improve their mental health

Question 15

what tools are used to support and facilitate recovery (recovery plans)?

Answer 15

• pursuing dreams and goals
• wellness plan
• managing ups and downs
• managing crisis
• plan for after crisis
• WRAP- wellness recovery action plan

Question 16

What is a relational practice?

Answer 16

Inquiry

therapeutic relationship btwn nurse- client and healthcare providers

use relational skills
- listening
- questioning
- empathy
- mutuality
- reciprocity
- self-observation
- reflection
- sensitive to emotional contexts

Question 17

What are the components of the therapeutic relationship?

Answer 17

1. respect- dignity and rights
2. empathy - understand and validate
3. Trust - act in client’s best interest
4. Power - imbalances
5. Professional intimacy- therapeutic closeness d/t personal information shared

Question 18

What are the 3 phases of therapeutic relationship?

Answer 18

Orientation phase
Working phase
Termination phase

Question 19

What is the orientation phase of therapeutic relationships?

Answer 19

• • establishing rapport
• confidentiality/boundaries
• getting to know the client
• first meeting
• address concerns and comforts
• worst behaviours sometimes shown here
• miss apt, withdraw, act in challenging ways
• focus on trying to learn their background and perspectives
  -*transference and countertransference issues become apparent
  -problems identified
• goals established
  *plan for termination phase here

Question 20

What is the working phase of therapeutic relationships?

Answer 20

-goals are worked on and there’s feedback from the nurse
- repeated psychotic episodes
- suicide attempts
- anorexia and gain all the weight back
- relapse from substance abuse disorder
- nurses remain hopeful for them that change will happen at the right time/with learned coping skills
-*careful about counter transference (they remind you of someone with a mental illness and you feel over protective)
- client might do transference - nurse be aware not do counter transference

Question 21

What is the termination phase of therapeutic relationships?

Answer 21

• when the patient is discharged
• allows client to depend on their own strengths
• relationship ends
• feelings of rejection
• withdraw to protect themselves
  -we remain hopeful
• summarize new coping skills
• it’s ok to talk about feelings of sadness at the end of a relationship

Question 22

What are some strategies for challenging behaviours?

Answer 22

1. find an interest they have
2. silence
3. encourage conversationa bout the feelings
4. make thoughtful observations
5. show respect and move slowly
6. leave it and come back when ready

Question 23

What types of question are important in therapeutic communication?

Answer 23

-Open ended questions
-Closed ended comments
-NO WHY QUESTIONS

Question 23

What are the 3 guiding principles of therapeutic communication ?

Answer 23

1. Individuality - seeing the person beyond their mental illness
2. providing support - support, hope, concern. safe & comfortable. genuine
3. Being present/accessible : invest time in the client

Question 24

what is an example of offering self?

Answer 24

“I’ll stay with you a while”

Question 25

What is an example of exploring?

Answer 25

“Tell me what happened before today”
-helps client to feel free to talk and examine issues

Question 26

What is an example of confrontation?

Answer 26

• challenge them in a respectful way
  “you told me you stopped doing drugs but i see you are hight today”

Question 27

What are some examples of nontherapeutic blocks?

Answer 27

• giving advice - “should” (give information like “you could …”
• false reassurance
• why questions
• excessive questioning
• give approval or disapproval
• belittle or minimize feelings
• rejecting
• defending
• making value judgements