Therapeutic Relationships
Occurs when the patient unconsciously and inappropriately displaces onto the nurse feelings and behaviors related to significant figures in the patient’s past
Transferance
Assumes the nurse knows best and the patient can't think for oneself. Inhibits problem solving and fosters dependency.
Giving advice
Serious and irreversible side effects which involve involuntary tonic muscle spasms involving tongue, fingers, toes, neck, trunk, or pelvis.
What is tardive dyskinesia?
The duty to act to benefit or promote the health and well-being of others (e.g., spending extra time to help calm an anxious patient).
Beneficence
Attitudes and behaviors that are culturally defined and considered normal, typical, or average within a given group
Cultural norms
A method of learning that occurs through rewards and punishment for voluntary behavior.
Operant Conditioning
Meets anywhere from three to five times each week for sessions lasting around 3 hours.
IOP
Establishing intimate bonds of love and friendship
Intimacy versus isolation
The nurse maximizes communication skills, understanding of human behaviors, and personal strengths to enhance the patient’s growth
Therapeutic Relationship
Disturbs the message flow and serves as a barrier to interaction.
Environmental noise
Level in brain affects mood
Attention and arousal
Stimulates sympathetic branch of autonomic nervous system for “fight or flight” in response to stress
Norepinephrine
Assess client for safety and physical needs, client behavior, food and fluid(s) offered, toileted, vital signs, prior precipitating events, alternative actions taken and any medication administered.
What documentation is required by protocol for seclusion and/or restraints?
Family is the starting point of identity
Eastern beliefs
Gaining some basic control of self and environment (e.g., toilet training, exploration)
Autonomy versus shame and doubt
Provides emergency services, community/home-based services, and outpatient services across the lifespan
Community mental health
Implicated in etiology of emotional disorders and interventions include pharmacological administration/treatments.
What are neurotransmitters? Serotonin, Dopamine, Norepinephrine, acetylcholine (GABA & Glutamate)
During this phase the patient may begin to express thoughts and feelings, identify problems, and discuss realistic goals.
Orientation Phase
Patient: “I don’t know… he always has some excuse for not coming over or keeping our appointments.”
Nurse: “You think he no longer wants to see you?”
Restating
Common side effects include nausea, restlessness or jitteriness, sleep disturbances, and sexual dysfunction.
Selective serotonin reuptake inhibitors
A legal term that means the patient has been provided with basic information regarding risks and benefits, and alternatives to treatment.
Informed Consent
Disease is caused by a lack of personal, interpersonal, environmental, or spiritual harmony; thoughts and words can shape reality; evil spirits exists.
Indigenous Culture
Used for people who experience anxiety due to fears, phobias, or traumatic memories.
Exposure therapies
Occurs before any problem manifests and seeks to reduce the incidence or rate of new cases.
Primary prevention
What psychotropic medicine can be used for anxiety and is not habit-forming?
Buspirone
Consists of a nurse who has skills and expertise and a patient who wants to feel better, find solutions to problems, explore different methods to improve quality of life, or find an advocate.
Professional Nurse-Patient Relationship
“Isn’t that unusual?”
“Really?”
“That’s hard to believe.
What is voicing doubt
Neurotransmitter blockage can cause EPS, gynecomastia (men), galactorrhea, and amenorrhea in women.
Dopamine
Willful or intentional acts that violate another person’s rights or property. Examples include assault, battery, and false imprisonment.
Intentional Tort
Sensitivity to individual differences in life experiences: sexual orientation, spirituality, ethnicity & cultural background
What is culturally competent care?
People have a need for intimate relationships, love, affection, and will seek to overcome feelings of loneliness and alienation. Maslow stresses the importance of having a family and a home and being part of identifiable groups.
Love and belonging needs
Refers to surroundings and physical environment. In a therapeutic context, it refers to the overall environment and interactions within that environment
Therapeutic Milieu
Occurs when patients apply in writing for admission to the facility. The person should understand the need for treatment and be willing to be admitted.
Voluntary admission
Genuiness, Empathy and Positive Regard
What are factors that Promote patient growth
“I wouldn’t worry about that.”
“Everything will be all right.”
“You will do just fine, you’ll see.”
False Reassurance
The ratio of the lethal dose to the effective dose.
Therapeutic Index
Assessing and predicting the patient’s danger of violence toward another
• Identifying the specific persons being threatened
• Taking appropriate action to protect the identified victims
Duty to Protect
Name two at risk populations
Immigrants, Refugees
Includse security; protection; freedom from fear, anxiety, and chaos; and the need for law, order, and limits.
Safety needs
Name three national patient safety goals
Use at least two identifiers when providing care, treatment, or services.
Use medicines safely
Prevent infection
Identify patient safety risks
Name three rights of a psychiatric patient
• The right to be free from excessive or unnecessary medication
• The right to privacy and dignity
• The right to the least restrictive environment
• The right to an attorney, clergy, and private care providers
• The right to not be subjected to lobotomies, electroconvulsive treatments, and other treatments without fully informed consent