Relationship
This is the most important task prior to forming a therapeutic relationship.
What is clarification of personal attitudes, beliefs, and values?
The statement "You look sad today" is an example of this technique.
What is making observations?
Verbalizing observations about a patient's behavior or appearance encourages the patient to develop awareness of how they are perceived by others and promotes exploration of issues that may be problematic.
This ethical principle arises from the viewpoint that people are autonomous moral agents whose right to determine their own destinies should always be respected.
What is autonomy?
This view presumes that individuals are capable of making informed, uncoerced choices about their medical care. In instances when patients are not capable of making their own choices, a representative will give consent.
This is an act that results in genuine fear and apprehension that they will be touched without consent.
What is assault?
Examples could be verbal threats-"I will give you a sedative if you don't stop interrupting nursing report"
It could also include verbal aggression such as screaming at a patient.
Decreased norepinephrine levels are associated with this disorder.
What is major depression?
This the is expected outcome of the working phase.
What is promoting the patient's insight and use of new behaviors?
This technique encourages the patient to organize their thoughts and put them into words and allows the patient time to think about the significance of the events, thoughts, and feelings.
What is silence?
In the event that a patient is "suit prone," this is the appropriate nursing action to take.
What is maintaining a professional, positive relationship and avoid becoming defensive or withdrawn?
A nurse administered medication without consent. This is an example of ____.
What is battery?
Battery is the nonconsensual touching of another person. These charges can result when a treatment is administered against their wishes and outside of an emergency situation. Examples could also include hitting, shoving, or pushing a patient or performing an invasive procedure without proper technique, such as inserting a medical device that causes injury or pain.
This statement is true regarding the distress experienced.
What is the person experiences little distress?
People with psychoses exhibit minimal distress (emotional tone if flat, bland or inappropriate); they are unaware that their behavior is maladaptive; they are unaware they have a psychological problem; and they are exhibiting a flight from reality into a less stressful world or one in which they are attempting to adapt.
This concept refers to the nurse's ability to be open, honest, and "real" in interactions with patients.
What is genuineness?
Many patients will have the ability to detect when others are artificial. When the nurse does not bring genuineness and respect to the relationship, a reality basis for trust cannot be established.
Asking "What would you like to talk about" is an example of this.
What is giving broad openings?
This directs the focus on the interaction and emphasize the importance of the patient's role in the communication process.
This is when the patient can refuse treatment.
What is when the nurse must protect the patient from harming themselves or others?
In the case of forced medication, the patient must exhibit behavior that is dangerous to self or others; the medications must have a reasonable chance of providing help; and the patient must be judged as incompetent to evaluate the benefits of the treatment.
Until 1996 patient confidentiality was not protected by federal law. This privacy rule pertains to data that is called protected health information, such as names, telephone numbers, and any other unique identifying characteristic.
What is HIPAA-Health Insurance Portability and Accountability Act?
This part of the nervous system plays a major role during stressful situations.
What is the sympathetic nervous system?
When a patient experiences transference toward the nurse, such as an overwhelming feeling of affection, this approach should be taken.
What is clarification of the meaning of the nurse-patient relationship?
This can occur when the nurse is overvalued, and the patient forms unrealistic expectations of the nurse.
What is giving false reassurance?
These are the general criteria for involuntary commitment.
What is the person is an imminent danger to themself (suicidal); danger to others (physically aggressive, violent, or homicidal); and unable to take care of basic personal needs (gravely disabled)?
Examples of grave disability could include the acutely manic patient, the patient with delusions that impair their ability to remain at home, or the decompensated patient with schizophrenia or depression who has not bathed or will not eat.
This type of civil law protects the private and property rights of individuals and businesses. It may be unintentional or intentional.
What is a tort?
An example of an intentional tort is battery, touching of another person without that person's consent.
A patient with a brief period of psychosis becomes agitated and occasionally jumps up and hits the door jam to his room. The nurse should ensure this.
What is ensure adequate space between the nurse and patient?
(least restrictive while protecting your safety)
These are the goals of the termination phase.
What are evaluating goals and ensuring therapeutic closure?
The main task involves bringing a therapeutic conclusion to the relationship. This occurs when progress has been made toward mutually set goals and a plan for continuing care or for assistance during stressful life experiences is established. Feelings about termination of the relationship are recognized and explored.
Significant distress or disability in social, occupational, or other important activities may cause this.
What is a mental disorder?
Mental illness is characterized by a maladaptive response to stressors and interferes with the individual's social, occupational, and/or physical functioning.
Providers may share information about the hospitalized patient on a mental health ward if this condition is met.
What is if the patient has given consent or is a minor?
After restraints are placed, the medical provider must conduct an evaluation, in person, within this time frame.
What is one hour?
Nurses may apply restraints but the provider must come see the patient within one hour.
This is the individual who obtains informed consent, and these are the conditions that must be met when obtaining informed consent from an adult patient.
Who is the provider?
The patient must be presented with written information about the treatment and given time to consider the benefits and risks. The patient's cognition is not impaired to the extent that would interfere with decision making (if so they would need a legal representative to make the decision, unless the situation was an emergency, then the physician could proceed with the procedure).