THERAPEUTIC COMMUNICATION
Questions are ones that keep the conversation going; ones that cannot be answered by one word
This is always a last resort
What are restraints or seclusion?
A way to pick the most important aspects of the conversation to help strengthen the discrepancy of the ambivalence in which they find themselves.
What is summarizing?
Blank raised side rails to prevent a patient from exiting the bed is considered a restraint
What are 4 side rails?
The involuntary confinement of a patient alone in a room or area from the patient is physically prevented from leaving
What is seclusion?
Statements that we use to highlight their competence and accentuate the positive
Their strengths and effort, must be genuine.
What are affirmations?
What are restraints and seclusion?
Reminds the person that it is their choice to decide what to do
What is emphasizing autonomy?
After blank hours, a physician or other licensed person responsible for the patient's care must personally assess the patient.
What are 24 hours?
Impulsive behavior and unsafe choices usually accompanied by high energy.
What is mania?
Shifting the attention form something that the patient/client seems unwilling to discuss at this time.
What is changing the focus?
True or False
Orders for restraint or seclusion can be written as an as needed or as a standing order
What is False?
The following is an example of:
So, this is what you've said so far....
What is summarizing?
When applying bilateral wrist restraints, the nurse should be able to fit this between the patient's wrist and the restraints
What are two fingers?
Perceiving non threatening people or objects as harmful
What is psychosis/paranoia?
Provides a different meaning or perspective allowing the client to take a new way of looking at something that is more consistent with the behavior change or change talk
What is reframing?
What are 24 hours?
The following is an example of:
Pt: I can party without getting wasted better than my friends.
RN: You can drink more without feeling the effects including the warning signs that most people use to know when to stop drinking.
What is reframing?
Depending on policies and procedures, you must assess the patient in restraint at regular and frequent intervals such as every blank to blank minutes for physical needs when restraints are initiate
What are 15 to 30 minutes?
Distortions of reality with the potential to result in anger if challenged
What are delusions?
Requires careful attentiveness
What is reflections?
True or False
Restraints or seclusion must be discontinued as soon as sager and quieter behavior begins.
What is true?
A reframe prefaced with a reflection that sides with the sustain talk. You agree with part of what the patient/client has said but you emphasize a different aspect of the conversation.
What is agreeing with a twist?
The following is documented during Blank_
Patient behavior, mental status, condition of extremities, circulation and sensation
Extremity ROM, VS and skin care provided
What is restraint checks?
Manipulative behavior and sometimes willingness to harm self and others to achieve goal
What is a personality disorder?