N5546 Unit 1 Exam
4 phases of therapeutic development - ANS-pre-interaction: for gathering pt info and evaluating
personal beliefs
orientation to build trust and a plan
working to assess goals
termination to end with a therapeutic conclusion
5th amendment - ANS-right to remain silent
protection against self-incrimination
6th amendment - ANS-right to confront and cross-examine witnesses
right to a speedy trial
accepting - ANS-conveys an attitude of reception and regard
'yes i understand what you said.' eye contact; nodding
adherence - ANS-faithful attachment
process of sticking with a course of treatment
advantages of split treatment - ANS-client has more time with providers
provider vacations can be staggered to avoid sense of abandonment
enhanced professional support for providers
wider range of interventions or education for client
cost-effective
affect - ANS-observation of client's feelings (similar to today's weather)
Agreeing or disagreeing - ANS-Indicating accord with or opposition to the client's ideas or
opinions; implies that the nurse has the right to pass judgment on whether the client's ideas or
opinions are "right" or "wrong". Agreement prevents the client from later modifying his or her
point of view without admitting error. Disagreement implies inaccuracy, provoking the need for
defensiveness on the part of the client
"that's right/wrong...I agree/disagree"
*Better to say: Let's discuss what you feel is unfair about the new community rules"
Approving or disapproving - ANS-Sanctioning or denouncing the client's ideas or behavior;
implies that the nurse has the right to pass judgment on whether the client's ideas or behaviors
are "good" or "bad", and that the client is expected to please the nurse. The nurse's acceptance
of the client is then seen as conditional depending on the client's behavior.
, "That's good. I'm glad that you..."
That's bad. I'd rather you wouldn't...
*Better to say: Let's talk about how your behavior invoked anger in the other clients at dinner.
Attempting to translate words into feelings - ANS-When feelings are expressed indirectly, the
nurse tries to "desymbolize" what has been said and to find clues to the underlying true feelings.
Cl: "I'm way out in the ocean."
NP: You must be feeling very lonely right now.
autonomy - ANS-person act intentionally after being given sufficient info and time to understand
benefits, risks, and costs of reasonable options.
belittling feelings expressed - ANS-When the nurse misjudges the degree of the client's
discomfort, a lack of empathy and understanding may be conveyed. The nurse may tell the
client to "perk up" or "snap out of it." This causes the client to feel insignificant or unimportant.
When one is experiencing discomfort, it is no relief to hear that others are or have been in
similar situations.
Cl: I have nothing to live for. I wish I were dead."
NP: Everybody gets down in the dumps at times. I feel that way myself sometimes"
**Better: You must be very upset. Tell me what you are feeling right now
Beneficence - ANS-to do good
Blocking - ANS-temporarily inhibiting thinking
centering or grounding - ANS-awareness of one's own thinking and recognizing one's own
motivations
compliance - ANS-an act of following instruction
concordance - ANS-process of developing a mutally agreed-upon treatment plan. Involves
aspects of choice, self-determination and empowerment
confidentiality - ANS--the act of holding information in confidence, not to be released to
unauthorized individuals
-a subpoena can force a psychiatrist to breach confidentiality
countertransference - ANS-Circumstances in which a psychoanalyst develops personal feelings
about a client because of perceived similarity of the client to significant people in the therapist's
life.
4 phases of therapeutic development - ANS-pre-interaction: for gathering pt info and evaluating
personal beliefs
orientation to build trust and a plan
working to assess goals
termination to end with a therapeutic conclusion
5th amendment - ANS-right to remain silent
protection against self-incrimination
6th amendment - ANS-right to confront and cross-examine witnesses
right to a speedy trial
accepting - ANS-conveys an attitude of reception and regard
'yes i understand what you said.' eye contact; nodding
adherence - ANS-faithful attachment
process of sticking with a course of treatment
advantages of split treatment - ANS-client has more time with providers
provider vacations can be staggered to avoid sense of abandonment
enhanced professional support for providers
wider range of interventions or education for client
cost-effective
affect - ANS-observation of client's feelings (similar to today's weather)
Agreeing or disagreeing - ANS-Indicating accord with or opposition to the client's ideas or
opinions; implies that the nurse has the right to pass judgment on whether the client's ideas or
opinions are "right" or "wrong". Agreement prevents the client from later modifying his or her
point of view without admitting error. Disagreement implies inaccuracy, provoking the need for
defensiveness on the part of the client
"that's right/wrong...I agree/disagree"
*Better to say: Let's discuss what you feel is unfair about the new community rules"
Approving or disapproving - ANS-Sanctioning or denouncing the client's ideas or behavior;
implies that the nurse has the right to pass judgment on whether the client's ideas or behaviors
are "good" or "bad", and that the client is expected to please the nurse. The nurse's acceptance
of the client is then seen as conditional depending on the client's behavior.
, "That's good. I'm glad that you..."
That's bad. I'd rather you wouldn't...
*Better to say: Let's talk about how your behavior invoked anger in the other clients at dinner.
Attempting to translate words into feelings - ANS-When feelings are expressed indirectly, the
nurse tries to "desymbolize" what has been said and to find clues to the underlying true feelings.
Cl: "I'm way out in the ocean."
NP: You must be feeling very lonely right now.
autonomy - ANS-person act intentionally after being given sufficient info and time to understand
benefits, risks, and costs of reasonable options.
belittling feelings expressed - ANS-When the nurse misjudges the degree of the client's
discomfort, a lack of empathy and understanding may be conveyed. The nurse may tell the
client to "perk up" or "snap out of it." This causes the client to feel insignificant or unimportant.
When one is experiencing discomfort, it is no relief to hear that others are or have been in
similar situations.
Cl: I have nothing to live for. I wish I were dead."
NP: Everybody gets down in the dumps at times. I feel that way myself sometimes"
**Better: You must be very upset. Tell me what you are feeling right now
Beneficence - ANS-to do good
Blocking - ANS-temporarily inhibiting thinking
centering or grounding - ANS-awareness of one's own thinking and recognizing one's own
motivations
compliance - ANS-an act of following instruction
concordance - ANS-process of developing a mutally agreed-upon treatment plan. Involves
aspects of choice, self-determination and empowerment
confidentiality - ANS--the act of holding information in confidence, not to be released to
unauthorized individuals
-a subpoena can force a psychiatrist to breach confidentiality
countertransference - ANS-Circumstances in which a psychoanalyst develops personal feelings
about a client because of perceived similarity of the client to significant people in the therapist's
life.
