Basics mix mash
The psychiatric environment
What is milieu?
John got into a huge fight with a friend but then called him and acted like nothing happened the next day.
What is denial?
The nurse states, "Tell me more about that situation."
What is exploring?
Cliches and trite expressions;
the nurse states, "Keep your chin up" and "Hang in there. It's for your own good"
What are stereotypical comments?
This assessment focuses on the patient's current state in terms of thoughts, feelings, and behaviors
What is the mental status examination (MSE)?
The most important skill for the psychiatric nurse
What is therapeutic communication?
Conscious or unconscious attempts to make or prove that one's feelings or behaviors are justifiable
What is rationalization?
This gives the client the opportunity to collect and organize thoughts
What is using silence?
Telling the client what to do or how to behave;
the nurse states, "I think you should . . ."
What is giving advice?
Fixed, false beliefs
What are delusions?
The psychiatric nursing model using the therapeutic nurse-patient relationship, psychopharmacology, and environment management
What is psychotherapeutic management?
Unconsciously or consciously attributing one's own repressed thoughts to someone else
What is projection?
"I understand that the voices seem real to you, but I do not hear any voices"
What is presenting reality?
Indicates to the client that there is no cause for anxiety;
the nurse states, "Don't worry everything will be alright"
What is giving false reassurance?
False sensory perceptions not associated with real external stimuli; might involve any of the five senses
What are hallucinations?
The priority intervention for a suicidal patient
What is negotiating a no-harm contract?
Conscious exclusion from awareness anxiety-producing feelings, ideas, and situations
What is suppression?
"I'll stay with you a while"
What is offering self?
To tell the client the meaning of his or her experience;
The nurse states to the client, "What you really mean is . . ." or "Unconsciously you're saying . . ."
What is interpreting?
Patients in groups experience relief that they are not alone and unique but that others experience similar problems, feelings, and concerns
What is universality?
This psychiatric therapy model focuses on thinking and behaving rather than expressing feelings
What is Cognitive-Behavioral Therapy?
Consciously or unconsciously using only logical explanations without feelings or an affective component
What is intellectualization?
Reviewing main points and conclusions;
"Let's see, so far you have said . . ."
What is summarizing?
Pushing for answers to issues that client does not want to discuss;
the nurse states, "Tell me how your grandfather abused you as a child"
What is probing?
A verbatim record of an encounter with a patient that assesses communication skills, identifies patient themes, and evaluates to effectiveness of nursing interventions
What is process recording or interpersonal process recording (IPR)?