Relationship development
This is the most essential task for a nurse prior to forming a therapeutic relationship.
What is clarification of one's attitudes and beliefs?
Knowing and understanding oneself enhances the ability to form satisfactory interpersonal relationships. Self-awareness requires that an individual recognize and accept what they value and learn to accept the uniqueness and differences of others. This concept is important in everyday life and in the nursing profession in general, but it is essential in psychiatric nursing.
This is the term for when a nurse transfers feelings (often unconsciously) about past experiences to the patient.
What is countertransference?
The nurse could overidentify with the patient's experiences, seeing themselves in the patient and blurring boundaries.
"You appear sad today" is this type of technique.
What is making observations?
Verbalizing observations about a patient's behavior or appearance encourages the patient to develop awareness of how they are perceived by others.
This is a systematic, dynamic process by which the RN, through interaction with the patient, family, groups, etc collects and analyzes data. This may include information from the following dimensions: Physical, psychological, sociocultural, spiritual, cognitive, and lifestyle.
What is assessment?
Assessment involves the collecting and analyzing of data.
These are the interventions for anticipated life transitions.
What are reassurance, guidance, and referred to services that can provide assistance?
This essential condition to the therapeutic relationship must be earned. It is demonstrated through nursing interventions that convey a sense of warmth and caring.
What is trust?
This is the ability to see beyond outward behavior and understand the situation from the patient's point of view. With this, the nurse can accurately perceive and comprehend the meaning and relevance of the patient's thoughts and feelings.
This differs from sympathy, when the nurse "shares" what the patient is feeling and takes on the other person's needs and problems as if they were your own and becoming emotionally involved to the point of losing your objectivity. To empathize rather than sympathize, you must show feelings but not get caught up in feelings or overly identify with the patient's concerns.
Patient states " I can't study. My mind keeps wandering.
Nurse: You have trouble concentrating.
Name this technique.
What is restating?
Repeating the main idea of what the patient has said lets the patient know whether an expressed statement has been understood and gives them the chance to continue or clarify.
This is the correct way to prioritize nursing diagnoses.
What is by life-threatening potential?
This type of crisis situation occurs when an individual suffers severe impairment, incompetence, or inability to assume personal responsibility.
What is a psychiatric emergency?
This is what the nurse should do when a patient exhibits transference (when a patient unconsciously displaces or transfers to the nursing feelings formed toward a person from their past).
What is helping the patient clarify the meaning of the relationship?
The nurse may assist the patient in developing more awareness of various influences on their behavior and communication and to develop more adaptive relationship skills.
A patient was called fatso at lunch.
The nurse states "You feel angry and embarrassed by what happened at lunch today" is an example of what kind of response?
What is an empathetic response?
"What could you do differently if you are faced with this situation in the future" is an example of this therapeutic communication technique.
What is formulating a plan of action?
True or false. A nursing diagnosis includes a medical diagnosis.
False. A nursing diagnosis is a clinical judgment concerning a human response to health conditions and provides the basis for nursing interventions to achieve appropriate outcomes.
In a crisis, if a resolution does not occur, tension mounts beyond a further threshold or its burden increases over time to a break point and major disorganization occurs.
What is phase four?
The development of a crisis follows a predictable course. Caplan outlined four phases through which individuals progress in response to a precipitating stressor and that culminate in the state of acute crisis.
Phase 1: The individual is exposed to a stressor.
Phase 2: Anxiety increases if previous problem-solving strategies do not relieve the stressor.
Phase 3: All possible resources are called on to resolve the problem.
Phase 4: If the resolution does not occur in the previous phases, Caplan states that the tension mounts beyond a further threshold or its burden increases over time to a breaking point.
This occurs during the orientation phase.
What is establishing rapport, setting goals, exploring feelings of both the patient and nurse?
These are the four phases of relationship development.
What are preinteraction, orientation, working, and termination phases?
"Yes, I see, go on."
What is a general lead?
Offers the patient encouragement to continue with minimal input from the nurse.
Asking the patient to state their name, date, address, etc is an assessment of this patient.
What is orientation?
These types of behaviors indicate a potential for violence.
What are rigid posturing, clenched fists, loud voice?
This occurs during the working phase.
What is accomplishing tasks such as promoting patient insight and perception of reality, and overcoming resistance behaviors and incorporating new behaviors?
State a warning sign that indicates that professional boundaries may be in jeopardy.
What are favoring one patient's care over another, keeping secrets, changing dress style for working with a particular patient, spending free time with a patient, sharing personal information, continuing contact or communication after discharge, or swapping assignments to care for a particular patient?
"What would you like to talk about" or "is there anything you want to discuss" are examples of this.
What is giving broad openings?
Allow the patient to direct the focus of the interaction and emphasizes their role.
This should be done prior to implementing any intervention.
What is assessment?
Anger is a normal emotion that is typically experienced as an almost automatic inner response to negative stimuli such as emotional pain, frustration, and fear. Aggression is a behavioral response to anger intended to inflict pain or injury on others.