It's not me
fixed in denial stage; chronic or prolonged grieving lasting 6 months or longer.
What is maladaptive grief?
""Can you tell me more about...."
What is effective or therapeutic communication?
Symptoms of frequent urination, headache, insomnia
(hint level of anxiety)
What is severe anxiety?
when a client confides in nurse intent to inflict serious harm to another person (threatens to kill)
What is duty to warn?
Medication a nurse administers prior to ECT to decrease secretions.
What is Atropine Sulfate?
One of five stages of Grief (Kubler-Ross); first one
What is Denial?
"I"messages versus "you" messages.
What is assertive communication?
A defense mechanism where individual (adult) wants to be taken care of or resorts to immature behavior.
What is Regression?
Supporting the patients right to refuse medication or treatment
What is ethical concept of autonomy?
Treatment for feeling severely depressed without relief from other alternatives (meds/therapy)?
What is ECT?
Blaming others or attributing to others feelings not acceptable (defense mechanism)
What is Projection?
Why? Why? Why?
What is non-therapeutic communication?
client loses touch with reality and may be unable to speak; a level of anxiety
What is panic level of anxiety?
rights from restraint or seclusion; right to individualized treatment plan and right to refuse medication, right to receive visitors, telephone calls, and mail
What is Patient self-determination act?
ECT Contraindications or places client at higher risk for adverse events
What is cardiovascular disorders, stroke, or increased intracranial pressure?
side effect of Halperiodol causing muscle spasms of neck, tremors, and figeting (dystonia)
What is EPS?
Best response for verbally abusive language.
What is a low calm voice?
Increase in rate of speech, restlessness, heart rate, respirations, and muscle tension
(hint level of anxiety)
What is Moderate Anxiety?
environment is safe and therapeutic, staff are emphatic and caring; self-governance
What is therapeutic milieu or community?
Nurse holds accountability to make sure this document is on the chart prior to ECT?
What is informed consent?
call for assistance first; stand to side of client; limit dangling necklaces and earrings; low, calm voice
What is de-escalation/safety?
I exercise, get 7 to 8 hours of sleep and use relaxation techniques (hint a type of coping)
What is adaptive coping?
dysfunctional when client is unable to resume regular activities of day to day life after loss (happens with grief)
What is prolonged grieving?
According to the law, all individuals have the right to decide whether to accept or reject treatment.
What is Informed Consent?
A common side effect of ECT
What is Temporary memory loss?