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Psychiatric/Mental Health Nursing - ... Psychiatric Mental Health Nursing Compre
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patient developing an emotional attitude towards the nurse (patient views
nurse as being similar to an imporant person in his/her life)
Choose matching term
1 Transference 2 Denial
3 Accepting 4 Trust
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Self-awareness first and important task that a psychiatric nurse should develop
patient developing an emotional attitude towards the nurse
Transference (patient views nurse as being similar to an imporant person in
his/her life)
the healthcare provider's emotional reaction to the client (patient
Countertransference
reminds the nurse of someone in his/her life)
Coping Mechanism conscious efforts to indicate/reflect how we adapt to problems
Defense Mechanism efforts performed unconsciously but are not really healthy
most essential component of a NPR, develops if the nurse is
Trust
consistent with what he says and does.
, spirit of harmony, cooperation, conveying a positive willingness
Rapport
to deal with patient.
providing respect by calling out names (not by diagnosis, room
Unconditional positive regard numbers), listening attentively to concerns, nonjudgmental,
warm, spending time, listen actively with their concerns
on the behavior, not on the patient. Conveying that the behavior
Setting limits is not acceptable, we tell them what behavior is considered to be
acceptable (alternative). Should be done consistently.
Pre-orientation / pre-interaction Phase of the NPR where there is no interaction with the patient
phase yet. The major task is Self-awareness.
Phase of the NPR where for the first few days, the nurse must be
able to establish some activities (schedules, sessions, goal to
Orientation / interaction-
accomplish, problems to be resolved, when is the start and end
orientation phase
session). The Major task is to establish a mutually agreed contract
with the patient.
longest yet most productive phase of NPR. Nurse assists the
Working phase patient in identifying and resolving problems. The major task is
the patient being able to identify and resolve his/her problems.
Phase of the NPR that is acknowledged in the orientation phase.
Assist the client to review what was learned
Moving towards independence. Major task is to implement by
focusing on future-oriented topics, gradually reduce interaction
Termination phase
time, make necessary referrals if not able to overcome feelings
of separation, allow verbalization of feelings with separation
(lost). Patient is able to have learnings and apply to future
relationships.
Sigmund Freud Theorist of Psychosexual Personality Disorder
Therapeutic Communication: Listening not only w/ ears but the
whole body
Active Listening
Establish eye contact, incline body a little bit forward,safe
distance (3-6ft)
Therapeutic communication: Presenting fact as it is in external
Presenting Reality
reality.
Therapeutic silence Therapeutic Communication: Allow client to process feelings,
Therapeutic Communication: Citing discrepancy in patient's
Supportive confrontation behavior (usually used in alcoholic clients to promote
acceptance)
Therapeutic communication: Making yourself available for the
client. The Nurse/Self is the primary tool.
Offering self
"Let me sit here with you for 5 minutes."
Giving feedback/facilitate self- Therapeutic communication: share something to the patient
disclosure
Therapeutic communication: calling the patient using name;
Giving recognition
Acknowledging accomplishment; Can serve as a reward
Therapeutic communication: Work with the patient and not for
Collaborating the patient (Primary reason: working together); Achieve a
common goal