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What is Mental Health
Psychosocial theories
Treatment Settings and Therapeutic Programs
Therapeutic Relationships
Therapeutic Communication
100
Difficult to define No single, universal definition Many components influenced by factors Dynamic, ever-changing state Influencing factors: Individual (personal) Interpersonal (relationship) Social/cultural (environmental
What is mental health
100
Five life stages: infancy, childhood, juvenile, preadolescence, adolescence (see Table 3.4) Three developmental cognitive modes Prototaxic (infancy, childhood) Parataxic (early childhood) Syntaxic (school-aged children; more predominant in preadolescence) Significance of interpersonal relationships
Who is Harry Stack Sullivan
100
Rapid assessment, stabilization of symptoms, discharge planning
What is Inpatient hospital treatment
100
One of the most important skills a nurse can develop Crucial to success of interventions with clients requiring psychiatric care
What is Therapeutic Relationship
100
Exchange of information Verbal Content: literal words spoken Context: environment, circumstances, situation in which communication occurs Nonverbal Process: all messages used to give meaning, context to message Congruent or incongruent message
What is Communication
200
General criteria for diagnosis: Dissatisfaction with characteristics, abilities, accomplishments Ineffective or unsatisfying relationships Dissatisfaction with one’s place in the world Ineffective coping with life events Lack of personal growth
What is mental illness
200
Therapeutic nurse–patient relationship Four phases: orientation, identification, exploitation, resolution (see Table 3.5) Nurse’s roles to meet patient’s needs: stranger, resource person, teacher, leader, surrogate, counselor Four levels of anxiety: mild, moderate, severe, panic
What is Hideguard Peplau
200
Vary in structure, level of supervision, services provided Group homes Supervised apartments Board, care homes Adult foster care Crisis resolution/respite care
What is Residential settings
200
Trust. Genuine interest . Empathy, Acceptance, Positive regard
What are the components of therapuetic relationships
200
Interpersonal interactions; focus on patient’s needs Need for privacy Encompasses goals that facilitate the nursing process
What is therapurtic communication
300
Taxonomy of American Psychiatric Association Purposes: Standardize nomenclature, language Identify defining characteristics or symptoms Assist in identifying underlying causes Allows the practitioner to identify all factors that relate to a patient’s condition: Major psychiatric disorders Medical conditions Psychosocial and environmental problems
What is the DSM
300
Focus on immediate thought processing Use by most existential therapists
What is Cognitive therapy
300
Group-living situation Residents make transition from group home to residence where they fulfill own responsibilities and function without onsite supervision
What is the Evolving consumer household
300
Use of aspects of personality, experience, values, feelings, intelligence, needs, coping skills, perceptions to establish relationships beneficial to clients Concept developed by H. Peplau
What is Therapeutic Use of Self
300
Establish therapeutic relationship Identify patient’s most important concerns; assess patient’s perceptions Facilitate patient’s expression of emotions Teach patient, family necessary self-care skills Recognize patient’s needs; implement interventions to address patient’s needs Guide patient toward acceptable solutions
What is the goals of communication
400
Ancient times Sickness as displeasure of gods; punishment for sins; viewed as demonic or divine Aristotle and imbalances of the four humors (blood, water, yellow and black bile); balance restoration via bloodletting, starving, and purging Early Christians’ view as possession by demons
What is historical perspectives
400
Emphasis on self-awareness Identification of thoughts, feelings in the here and now
What is Gestalt therapy
400
Peer support Bridging staff
What is Transitional care
400
tool to learn about oneself 4 quadrants: open/public self; blind/unaware self; hidden/private self; unknown Goal: move qualities from quadrants 2, 3, 4 into quadrant 1
What is Johari Window
400
Five types: functional/professional; social–polite; friendship–warmth; love–intimacy; sexual–arousal Comforting and supportive; also possible invasion of intimate and personal space
What is touch
500
effect due to deinstitutionalization
What is the Resolving door
500
Focus on person’s behavior and how that behavior keeps a person from achieving life goals
What is Reality therapy (William Glasser)
500
Is the following statement true or false? Board and care homes are an example of a partial hospitalization program.
False Rationale: A board and care home is an example of a residential treatment setting. A day treatment program is an example of a partial hospitalization program.
500
Ways of observing, understanding client interactions Four patterns (Carper, 1978; see Table 5.1) Empirical (derived from nursing science) Personal (from life experiences) Ethical (from moral nursing knowledge) Aesthetic (from art of nursing)
What is Patterns of Knowing
500
Need for concrete, not abstract, messages Techniques (see Table 6.1) Exploring, focusing, restating, reflecting promotes discussion of feelings or concerns in more depth Other techniques useful in focusing or clarifying what is being said Feedback via making an observation or presenting reality
What is Verbal Communication Skills