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PSM
5,6,8
| Question | Answer |
|---|---|
| Definition and scope of psychiatric mental health nursing | focus on emotional, cognitive, behavioral, and physiological function and emphasis on interpersonal relationships and therputic use of self |
| core principles of pyschiatric nursing practice | recovery oriented care trauma informed care evidence based practice |
| recovery oriented | manging forever (substance abuse) managing to maintain normal funstion |
| trauma informed care | talking to person in your care why there triggered and understand them due to trauma element from past/depression and anxiety |
| Evidence based practice | mainly with medication and therputic measures (SSRI'S) nursing practice - evidence and reaserch |
| hollistic mental health care | approuch that considers the whole person |
| ethical and legal foundations | autonomy and informed consent benifence and nonmalefice confidetiality and duty to warn |
| navigation autonomy | rights' can do or cant do if damaging to slef or other dangerous autonomy |
| confidentiallity | may not be able to keep if dangerous |
| consent | not if need to restrain or involentary commited |
| duty to warm | identifiable personal |
| definition of the thereputic nurse client relationship | profesional and goal oriented time limited and structured |
| thereputic relationships | client needs only focused on goals , getting better and recovery |
| time limited | once patient leaves facilty cant call you up and talk to you co-dependent and relationsip=liabilty |
| trust = | no promises, best intrist at heart |
| saftey is | number one concern in mental health physiology against self/ other |
| must have | boundries |
| trust consitiutes | honestly, reliabilty and maint confidentiality |
| attentive listing | show intrist |
| empathy is | see from eyes of pt |
| acceptence and psotive regard | treat all patients with like weither like or dislike - equal importance and care |
| no judsgment | unconditinal postive regard |
| self awareness of | bias, concerns and fears |
| importance of the therapiutic relationship | foundation for trust and engdgement essential for accurate asesment promotes saftey and treatment adherance |
| comparance with non theraputic relationships | social relationshios intamite relationships |
| peplaus | meeting, clarifying roles/ trust/ goals |
| working phase | feeling and coping intervention |
| termination | reviiewing progress and reinforcing gauns, adressing ending relastionship |
| theraputice role | teacher caregiver advocate parent surragte - result of txt of care |
| core components of theraputic relationships | trust genuine intrist empathy acceptance and postive regard self awareness &theraputic use of self |
| trust | consisitancy in behavior honestly and behavior ' |
| genusine intrist | attentive listing nurse presence |
| empathy | understanding client perspective distinctin between empathy and sympathy |
| acceptence and postive regard | nonjugemental stance respect for dignaty |
| self awareness and therputice use of self | recognotion of personal bias purposeful self disclosure |
| phases of the nurse client relationships PEPLAU | Orientation phase working ohase termination phase |
| orientation phas | introduction and rold clarification establisment of trust and boundries |
| wokring phase | identification of problems exploration of lfeelings and behaviors development of coping strategies |
| termination phase | review of goals and progress addresing sepreation and loss |
| therapeutic roles and professional boundries | theraputic roles of the nurse prefessional boundries transference and coutertransference |
| theraputic roles of the nurse | teahcer caregiver advocate parent surragte |
| professional boundries | boundries violations, over disclsure |
| transference and countertransference | transferance - client sees nrise as somone else counter transference nurse - client as someone else |
| therputic communication goals: | establish report facilitate emotional expression promote insight and problem solving |
| role of communication in nursing process is | helping client meet goal establish report of client promote there insight and prolem solving |
| verbal communication is | content of spoken messages use of clear , concrete language |
| nonverbal communication | facial expressions posture and body laguage eye contact and vocal cues |
| conguent vs incongruent | mathces vs doesnt match |
| theraputic technics | empathy active listeing relfection and retating clarification and focusing silence and exploring |
| ambiguity is | unlear communication |
| non theraputic communication | sypathy givng advice false reasurance minimizing feelings dont ask why or argue or question client exxesivly |
| proxemics and distance zones | intamite 0=18 in personal 18-36 in social and public - group conversation 4-12 ft /12-25 |
| maintain | 6ft away |
| theraptic use of touch | functional professional client consent and cultral consideration |
| deffiniton of psychosocial asemsment | apperance behavior/psychomotor speach mood affect thouhgt proccess thougth content perception ,cognition ,memory , insight,judgemtn ,reliabilty |
| purpose of psychocial assm | identification of need and risk establish baseline |
| baseline | 1st sees someone/normally |
| factors infuelncing assesment | cleint participation cultral health status attitude and approuch percetion of circumstances |
| apperince and bahvior - collect data by | mental status window |
| apperine and behavior | grooming .pychomotor retardation mood / affect thought and process flight of ideas, delusions , perceptual disturbances cognition and insight, haulutionations, orientation, insight |
Created by:
mmishue