Behaviors
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?
The nurse sits with a patient who is crying. This is an example of what therapeutic approach.
What is Offering self?
This would be an indication for admission to a psychiatric ward.
What is a danger to self or others, or gravely disabled?
This should be identified when creating a plan for a patient with feelings of hopelessness.
What is addressing the root causes, i.e. identifying the stressors which led to the patient's feelings of hopelessness?
Understanding the specific stressors or triggers is foundational for several reasons. One, it identifies the specific circumstances that led to the patient's current state; it allows tailored interventions, and provides empowerment through understanding. Often simply understanding the why behind their feelings can help patients feel less overwhelmed and more empowered to tackle their issues alongside their providers.
Which action would not improve collaboration in an interdisciplinary team?
1. Agreeing instantly
2. I statements
3. Listening
4. Conflict negotiation
What is agreeing instantly?
Effective teamwork is not just about agreement, its about building a robust process of dialogue, evaluation, and consensus-building.
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.
Telling a patient they should do something could be an example of this nontherapeutic response.
What is offering advice?
"You should see your friend's point of view before your own" would be an example of offering advice.
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.
A patient states that they are stressed about deciding between college and secular work post high school. This would be the best approach by the nurse to assist this patient.
What is assisting the patient with problem-solving strategies?
The nurse can assist the patient, if needed, in applying problem-solving strategies.
This is the primary source of information when assessing the psychiatric mental health patient.
What is the patient?
The primary source should always be the patient themselves, whenever possible. This is because the patient can provide the most direct, personal insights. Self-reported information is crucial in psychiatric assessments as it allows clinicians to understand the patient's internal world, which is essential for accurate diagnosis and effective treatment planning.
The nurse uses this initial approach when approaching a patient who is extremely angry.
What is speaking slowly and calmly?
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.
An individual who purposefully acts in a way that results in damage or harm to someone else commits this.
An intentional tort could include assault, battery, false imprisonment, and intentional infliction of emotional distress. Unlike negligence, where harm results from a breach of duty of care or failure to act as a reasonable person would under similar circumstances, intentional torts involve deliberate actions aimed at causing harm or certain outcomes.
Place the following in sequence from least restrictive to most restrictive:
Seclusion
Monitoring bracelet on patient's ankle
Posey restraint
Monitoring bracelet, seclusion, posey restraint
It is estimated that approximately this percentage of school-age children are impacted by mental disorders.
What is 20%?
This statistic translates to approximately 8-12 million children and adolescents who may be experiencing issues such as anxiety, depression, ADHD, or other psychiatric conditions during their critical development years.
This is the term for when the general population cannot understand the motivation behind one's behavior.
What is incomprehensibility?
When the nurse asks the patient to talk about an issue or theme is an example of this therapeutic communication technique.
What is exploring?
This creates a reasonable apprehension of imminent harmful or offensive contact.
What is assault?
This level of law determines if a patient can be held at a psychiatric facility.
What is state law?
This symptom could result from chronic stress.
What is infection?
These are the goals of recovery as it applied to mental illness.
The patient states "My mother spanked me often"
The nurse states "Your mother was a harsh disciplinarian"
This is an example of which therapeutic communication technique.
What is restating?
Restating involves repeating the main idea of what the patient has said. It is used to communicate that the patient's statement has been heard and understood.
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.
The nurse's response should be guided by which basic assumption of milieu therapy.
What is 'every interaction is an opportunity for a therapeutic intervention"
Each individual evaluates their own personal significance of an event or occurrence. This could result in physical or psychological stress.