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Mental Health-Exam 1 > Therapetic communication > Flashcards

Therapetic communication Flashcards

0
Q

What’s the 1st encounter w/ the pt where the nurse explores their own self-perceptions & get to know the pt. Through their chart, progress notes, etc. before actually meeting them?

A

The pre-interaction phase of therapeutic nurse-pt. relationship

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1
Q

What is the successful adaptation to stressors from internal/external environment, evident by thoughts, feelings, & behaviors that are age-appropriate & congruent w/ local cultural norms?

A

Mental Health

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3
Q

What is it called when the pt. unconsciously transfers their behavioral/emotional response to the nurse bc the nurse reminds the pt. of someone from their past & triggers bad feelings or anger?

A

Transference

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4
Q

What is the gestural component of the spoken word?

A

Paralanguage

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5
Q

What does the attentive listening acronym SOLER stand for?

A 
Sit squarely facing the pt.
Observe an open posture
Lean forward toward the pt. 
Establish eye contact
Relax
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6
Q

What does SOAPIE stand for?

A 
Subjective data "said"
Objective data "observed"
Assessment
Plan
Intervention
Evaluation
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7
Q

What is a disability severe enough to warrant hospitalization, continued treatment, or monitoring & may involve loss of contact w/ reality & non-psychotic disorders that cause significant impairment in function & emotional distress?

A

Mental Illness

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8
Q

What is it called when the nurse’s behavioral/emotional response transfers to the pt. bc the nurse thinks of someone from their past?

A

Countertransference

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10
Q

What are the 5 boundaries to a nurse-pt. relationship?

A

Material- a fence
Social- how expected to act bc of culture
Personal- how close people will allow them in their bubble or reveal info
Professional-limit/outline expectations for appropriateness
Paralanguage

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11
Q

What is it when problem solving occurs & the nurse tries to promote pt. change?

A

Working phase of therapeutic nurse-pt. relaltionship

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15
Q

What is it when the nurse & pt. become acquainted, establish trust & formulate contract for intervention?

A

The orientation (introduction) phase of therapeutic nurse-pt. relationship

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17
Q

What is it when therapeutic closure occurs when the pt. is either discharged/transferred, their goal is reached or the student or nurse leaves for the day?

A

Termination phase of therapeutic nurse-pt. relationship

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18
Q

The pt. says “The doctor hasn’t spoken with me since I’ve been here.” What is the best response to the pt.?
A. He must be busy with other pt’s
B. You’re not the only pt. on this floor he has a lot of people to attend to
C. Is there anything I can do to help you?
D. I can see why that’s frustrating, how can I help you until he comes?

A

D. I can see why that’s frustrating, how can I help you until he comes?

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19
Q

The pt. says “I don’t need to be here. I’m not sick. You guys are sickos.” What is the best response by the nurse?
A. You’re not sick?
B. How are we sickos?
C. Obviously you’re sick if you’re in here
D. Is there something else you would like to know as to why you’re here?

A

A. You’re not sick?

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20
Q

The pt. says “My husband thinks I should quit my job, that it’s causing me too much stress. What do you think?” What is the best response by the nurse?
A. Why does your husband think it is causing too much stress?
B. Do you think you should quit?
C. What are the benefits of quitting your job?
D. Does that make you upset?

A

C. What are the benefits of quitting your job?

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21
Q

The pt. says, “Promise me you won’t say anything, but I’ve stashed all of my meds under my mattress.” What is the best response to the pt?
A. You’re secret is safe with me
B. I can’t promise that what you tell me is something I can keep b/t us.
C. How about you tell me more & then I’ll promise
D. Well you didn’t give me time to make that promise

A

B. I can’t promise that what you tell me is something I can keep b/t us.

22
Q

The pt says “I have no reason to live. I’m better off dead.” What is the best response by the nurse?
A. Are you suicidal?
B. Everyone has a reason to live.
C. Why do you feel better off dead?
D. How can I stop you from feeling this way?

A

A. Are you suicidal

23
Q

The pt. says “They keep pushing me to go to the AA meetings, but I don’t have a drinking problem.” What’s the best response by the nurse?
A. Tell me about the events that led to your hospitalization?
B. If you’re not an alcoholic then why are you in here?
C. What makes you think you’re not an alcoholic?
D. Do you like the AA meetings?

A

A. Tell me about the events that led to your hospitalization?

24
Q

The pt. says “I don’t feel like talking about my problem, it won’t help.” Whats the best response to the pt?
A. What did you eat for breakfast this morning then?
B. Why won’t you talk to me about your problems?
C. Come on just talk about it, I’m sure you’ll feel better afterwards
D. What benefits do you see from not talking about your problems?

A

D. What benefits do you see form not talking about your problems?

25
Q

The pt. says “Don’t you hear it too? It’s the voice of the devil. I’ve done something very bad.” Whats the best response by the nurse?
A. What voices?
B. What do your children think when they see you react like this?
C. I don’t hear any voices, what are the voices telling you?
D. Let’s go to the quiet room, maybe you won’t hear them there

A

C. I don’t hear any voices, what are the voices telling you?

26
Q

The pt. says “You’re the only nurse here who really cares about the pts.” Whats the best response by the nurse?
A. Tell me more about how you feel about being here.
B. Aww, thank you.
C. The other nurses are just miserable
D. What makes you say that? The other nurses aren’t treating you right?

A

A. Tell me more about how you feel about being here.

27
Q

Th pt. says “Has anyone ever jumped out of this window? Did they survive?” What is the best response to the pt?
A. Yes, someone has tried & their dead because of it.
B. Are you really thinking about jumping?
C. Are you feeling suicidal?
D. What makes you ask that>

A

C. Are you feeling suicidal?

28
Q

The pt. says “Everyone hates me.” What is the best response to the pt?
A. It must be upsetting to feel that everyone hates you.
B. You’re just exaggerating someone has to love you
C. Why do you feel unloved?
D. Do you want to talk about it?

A

A. It must b upsetting to feel that everyone hates you

29
Q

The pt. says “Why am I here?” What is the best response by the nurse?
A. Why do you think you’re here?
B. Would you like to read your chart?
C. How about we ask your doctor that question?
D. Tell me some of the reasons you think you’re here.

A

D. Tell me some of the reasons you think you’re here.

30
Q

The pt. says “You won’t have to worry about me much longer.” What is the best response to the pt?
A. What is that supposed to mean?
B. I won’t have to worry about you much longer?
C. Can you explain?
D. It sounds like you want to die.

A

B. I won’t have to worry about you much longer?

31
Q

The pt. says “I am a person of myself.” What is the best response by the nurse?
A. Well good for you
B. So does that mean you feel better?
C. Can you tell me what that means?
D. I’m not sure I understand. What do you mean?

A

D. I’m not sure I understand. What do you mean?

Mental Health-Exam 1 (7 decks)

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