Behavior
The nurse identifies the patient is exhibiting this defense mechanism when they refuse to acknowledge unacceptable personal characteristics and transfers feelings, thoughts, or traits onto another person.
What is projection?
This is a priority nursing action during the orientation phase.
What is establishing rapport and developing goals? Rapport implies feelings on the part of both the nurse and the patient based on respect, acceptance, a sense of trust, and a nonjudgmental attitude.
This would be an indication for admission to a psychiatric ward.
What is a danger to self, to others, or gravely disabled?
This is the time frame that a patient must be assessed by a provider after being placed in restraints.
What is one hour?
Using this word is the premise of assertive communication.
What is I?
"I understand you are angry..."
This defense mechanism is described as "keeping unacceptable thoughts, feelings, or actions from conscious awareness"
What is repression?
Repression is a defense mechanism that functions by keeping disturbing thoughts from becoming conscious. This means that the person using this mechanism is effectively forgetting or blocking out these thoughts, feelings, or actions so that they are not aware of them on a conscious level.
This is the purpose of the working phase.
The patient gains insight and incorporates new behaviors. They may try new problem-solving skills and work toward using these skills after discharge.
The nurse can forcibly administer medications under these circumstances.
What is 'when a patient is an imminent danger to themselves or others.'
In the context of psychiatric mental health care, the administration of medications and patient rights concerning them can be quite complex. HCPs have the authority to administer medications to manage risk and stabilize dangerous situations.
True or false. HCW are required to report suspicions of child abuse even if evidence does not exist.
Staff should be rotated in mental health, true or false?
Generally false, consistent interactions are important in mental health. One exception could be when working with personality disorders.
The nurse uses this initial approach when approaching a patient who is extremely angry.
What is speaking slowly and calmly?
This is the best approach to promote communication with a patient with a recent abuse history.
What is using a direct and honest approach?
This will convey trust and promote communication especially for withdrawn patients after an assault.
This creates a reasonable apprehension of imminent harmful or offensive contact.
What is assault?
What type of statement can the nurse make when a patient starts to yell?
What is "I can see/tell that you are upset"
This shows a desire/interest to help while listening to the patient, and can potentially defuse anger.
When should the patient be placed in restraints?
When all other methods have failed and the patient is self-harm, or harming others.
These are the goals of recovery as it applied to mental illness.
What is 'the goal of recovery is the ability to live a self-directed life, reach full potential, and improved health and wellness."
The nurse says "I notice that you are smiling as you talk about physically fighting with your spouse" is an example of this communication technique.
What is making observations?
The nurse notes that the patient smiles when talking about physical violence. This technique encourages patients to compare personal perceptions with that of the nurse.
True or false. Patients admitted involuntarily have the right to informed consent.
True. Patients retain the right to informed consent even if involuntarily admitted.
What is knowing your exits, positioning in the room, avoid dangling clothing, and set limits if behavior escalates.
This describes a situational crisis.
What is an unexpected situation but part of regular life such as an illness or financial loss?
True or False: The nurse would attempt to apply behavioral restraints by his/herself.
False. For the nurse's safety and patient safety, a team approach is used. Usually, one staff member tends to each limb and there is a group leader.
This is how to approach an angry patient.
What is attempting verbal deescalation?
True or false. The patient involuntarily admitted has no rights and must take medication.
This statement is false and overly simplistic. Forced medication is not an absolute rule for involuntarily admitted patients but depends on specific assessments of risk and legal considerations.
This is a critical task when forming the relationship.
What is setting limits? This includes the nurse's role, personal space, what is acceptable, and other parameters.
After a patient experiences a situational crisis, what is the nurse's concern?
If there is any psychotic thinking.