Psychiatric Nursing Flashcards
(89 cards)
The most important element in Nurse-Patient Relationship
Acceptance
Purpose of Acceptance / Nurse-Patient Relationship
to help the client develop new and effective coping mechanisms
Elements of a contract:
1) time, duration, and venue of sessions
2) termination and criteria for termination
3) nurse and patient’s responsibilities
4) participants
what are the 4 phases of the Nurse-Patient Relationship (POWT)
Pre-orientation
Orientation
Working
Termination
The phase of the Nurse-Patient Relationship wherein the nurse’s responsibility is to read the patient’s chart.
Pre-orientation
the goal in pre-orientation is:
Self-awareness (introspection)
the problem in pre-orientation is:
reluctance of the nurse
why do we need self-awareness
to maintain professionalism when dealing with patients
nurse’s responsibility in the orientation phase
Formulate nursing diagnosis
goal in the orientation phase
establish trust and build rapport
a problem that the nurse may encounter in the orientation phase
resistance of the patient
How to build trust and rapport with patients?
involve the client in planning. make sure that your words and actions are congruent.
the longest phase in the nurse-patient relationship?
working
nurse’s responsibility in the working phase:
promote the client’s insight
goal in the working phase:
RN: explore, Pt: verbalize
problem in the working phase:
emotional attachment
what is transference
patient redirects feelings to nurses
what is countertransference
the nurse redirects feelings to the patient
how to prevent emotional attachment?
remind the patient about the contract, redirect the feelings of the client, encourage verbalization
nurse’s responsibility during the termination phase:
determine the client’s feelings about the end of the relationship
goal during the termination phase:
evaluate the effectiveness of the interventions
problem during the termination phase
separation anxiety
is separation anxiety normal?
yes
how do we prevent separation anxiety during the termination phase?
constantly remind the patient about the contract
