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Peplau four stage of nurse pt relationship 1) orientation - begin a strangers
- ✔✔A) client- seeks or is brought in for help
B) nurse- response to client, explains parameter of relationship, gather
data, listen to areas of concern, lays groundwork for termination
2) Identification - ✔✔A) client - response to help offered by nurse, identify
with the nurse and maybe dependent, active complaint
B)nurse - structures relationship to focus on client.
3)Exploitation - working - ✔✔A) client - more independent and accessing
services and working in partnership to interpret behavior; begins to try out
the new behaviors.
B) nurse- support client and explores feelings and problems at clients pace,
deals with resistance, encourage risk-taking and facilitate achievement of
goals.
SIGCAPS (diagnose depression) - ✔✔sleeping, interest, guilt,
concentration, appetite, psychomotor, suicide
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,4) Resolution - termination - ✔✔A) client - engages the new problem-
solving skills and coping behaviors, will self positively and plans for the
future may decompensate when anticipate separation
B) nurse - reviews goals and accomplishments; share own feelings and
assist client to express feelings about relationship and separation.
Therapeutic use of self - ✔✔Use of self application of nurses own
personality characteristics within the inter-action to facilitate healing
Countertransference - ✔✔Nurse response to client with feelings from own
earlier conflicts. nurse must increase self-awareness and access to assist
in dealing with client more effectively
Transference - ✔✔Client experiences emotional reaction toward nurse
based on unconscious feelings that originated in past relationships. Nursing
response is to confront distortion of reality gently in order to facilitate client
self awareness.
Pharmacokinetics - ✔✔What the body does to drug includes absorption,
distribution, metabolism, and elimination
Pharmacodynamics - ✔✔What the drug does to the body (desired effect an
adverse side effects.)-Site of action (target organ/systems) including
receptors, ion channels, enzymes, and carrier proteins.
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, Tarasoff - ✔✔If therapist is reasonably certain that a client is going to harm
someone, must breach confidentiality and inform potential victim.
Denver development screen - ✔✔A test for screening cognitive and
behavioral problems in preschoolers
Seleye' stress theory - ✔✔1)Alarm-fight or flight, sympathetic nervous
system is activated 2)resistance-parasympathetic nervous system returns
many body systems to normal, body remains on red alert.
3) exhaustion- if stressor continues beyond body's capacity, organism
exhaust resources and becomes susceptible to disease and death
Heroin - ✔✔CNS suppressant
GABA ( gamma Aminobutric acid) - ✔✔Regulates anxiety, calming effect.
It's principal role is reducing neuronal excitability through the nervous
system, responsible for Asperger- problems with socialization and
communication, repetitive behavior. ANXIOLTICS (benzodiazepine) aim to
increase GABA function
Midazolam - ✔✔Sedative- controlled substance
Rohypnol - ✔✔Sedative, insomnia, pre-anesthetic, not approved in the
USA
Bupropion - ✔✔Antidepressant, for smoke cesation
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