Therapeutic Communication/Growth and Development
Name 3 therapeutic communication blocks.
The use of the word "Why"
Offering advise
Belittling the patient or their concerns.
What is reaction-formation?
Process of behaving opposite of the client's actual feelings.
Ex. A homosexual male engaging in several heterosexual relationships.
If the injury doesn't match the story of how the injury occurred, you should suspect what and do what?
Abuse and hotline the incident.
Name the 5 stages of Kubler-Ross stages of grief.
What is Denial, Anger, Bargaining, Depression, Acceptance
Patients with anorexia nervosa are usually underweight, normal weight or overweight?
Underweight....15% or more underweight for their height.
Describe a therapeutic relationship. What is its purpose?
It is goal-directed with well-defined boundaries and designed to meet the needs of the patient. It is not for social purposes.
What is compensation?
What is the process of overcoming a weakness by focusing on a more desirable behavior.
How can a parent prevent substance abuse among their teenager?
Teach them the pressures to anticipate and how to effectively cope with their emotions.
What therapeutic interventions should we do for a patient that has unresolved grief?
We should be supportive. Engage in active listening and provide emotional support. We do NOT force the patient to do anything or tell the patient it is time to move on.
How do patients with anorexia see themselves?
What is the term for this?
Grossly obese. Distorted body image.
What stage of Erikson's psychosocial theory would an older adult be in during their working years?
Generativity vs. Stagnation
What is displacement?
What is when a client transfers emotions from one situation to another.
Ex. Stressed at work...come home and take it out on your husband
What are the symptoms of alcohol withdrawal?
Tachycardia, tremors, confusion.
What complications can occur if you do not express your grief after a loss?
What are the negative health consequences of purging in bulimia?
Dental enamel erosion, electrolyte imbalances, esophageal tears/damage, unhealthy relationship with food
What stage of Erikson's psychosocial developmental theory is focused on forming relationships based on commitment?
Intimacy vs. isolation
What is undoing?
The client tries to make amends for something he/she has done.
What medication is used to help prevent alcohol consumption in a recovering alcoholic that will make the patient very ill if they consume alcohol?
Antabuse (disulfiram)
What is a DPOA?
Durable power of attorney. Someone that is appointed by you to make decisions for you if you become unable to make your own decisions.
You notice that a patient being treated for an eating disorder frequently visits the restroom after eating, what should you do as the nurse?
Tell the patient you must accompany him/her to the restroom.
What does it mean to empathize with a patient?
To understand their situation from their point of view. (To imagine yourself in their shoes).
What is identification?
What is the process of attributing the characteristics of an admired person to oneself.
What is the best way to help young children work through abuse since they may not have the abilities to talk about it?
What is play therapy.
What is the difference between hospice and palliative care?
Hospice= focused on comfort and quality of life when there is 6 months or less. Curative care is stopped.
Palliative care= focused on comfort and quality of life after a chronic condition has been diagnosed. Curative care can be continued. You do not have to be at end of life for this service.
What labs would be monitored to detect nutritional deficiencies?
Albumin, CBC (looks for anemia)