NR548 Exam 2

According to Peplau's Theory of Interpersonal Relations, establishing early rapport allows the role of the nurse to evolve from stranger to: - resource person, teacher, leader, surrogate, technical expert, and counselor Active Listening - involves preparing to be fully attentive to the interaction -note verbal and non-verbal cues • including what is said and how it is said -indicate attentiveness through their feedback and body language Advanced communication skills - critical listening critical questioning critical thinking Body of the Interview - -30-40 minutes -Chief Complaint Established • additional Q's asked to elicit info r/t the complaint -ask about HPI, family hx, social/developmental hx, medical hx, psychiatric ROS -basis for dx and tx formulation Client Considerations: mute or catatonic clients - use of observation techniques will help in formulating a potential diagnosis. Closing the Interview - -5-10 minutes, final phase Should include 2 components: discussion of your assessment using patient education techniques & negotiated agreement about tx or f/u plans -wrap-up statement and inquiry about missing info that may be of value -Patient education regarding working dx & recommended plan of tx • education about meds if recommended -Homework may be assigned • especially in CBT -Return visit agreed upon Common precipitants of psychiatric syndromes - -arguments with friends or relatives -rejection or abandonment -death or major illness of loved ones -anniversary of a negative event, such as a death or divorce -major medical illness or age-related deterioration in functioning -stressful events at work or school -mental health clinician going on vacation -medication noncompliance -substance abuse