week 2

Question 1

Review of systems

Answer 1

physical related
PSYCH no head to toe but do a MSE

Question 2

what does the nurse look for in a psychosocial assessment

Answer 2

stressors that make the mental illness worse, financial, family etc

Question 3

self-awareness assessment

Answer 3

we do this ourselves so that were aware of our own personal biases

Question 4

validating assessment

Answer 4

make sure what the pt is saying is what the chart says

basically ask the pt what brought them in and match it to the chart

Question 5

Mental status examination

Answer 5

mostly observational
can help to see if the pt is improving

Question 6

steps of nursing process

Answer 6

1. assessment
2. nursing diagnosis
3. outcome identification
4. Planning
5. implementation
6. evaluation
7. documentation

Question 7

what would be an example of outcome identification

Answer 7

pt will identify 3 triggers by the end of shift

pt will not harm self

Question 8

what does SMART goals stand for

Answer 8

Specific
Measurable
Achievable
Realistic
Timely

Question 9

what is milieu therapy

Answer 9

reducing stimuli

make a safe and therapeutic environment

Question 10

factors that affect communication

Answer 10

personal factors
environmental factors
relationship factors

Question 11

what are examples of environmental factors that can affect communication

Answer 11

too loud
no phone
lack of privacy

Question 12

relationship factors

Answer 12

speaking differently to providers compared to friends

Question 13

verbal communication

Answer 13

straight forward or distorted communication.

we lieeeee

Question 14

nonverbal communication

Answer 14

most of what we say is through body

body gestures
tone and pitch
cues

Question 15

examples of cues

Answer 15

someone looks disheveled

Adam Sandler

Question 16

incongruent

Answer 16

actions and words do not match

double bind or mixed message

Question 17

congruent

Answer 17

actions and words match

Question 18

therapeutic communication

Answer 18

helps us to allow the pt to feel safe

always goal directed

Question 19

therapeutic technique: therapeutic silence

Answer 19

provides meaningful moments of reflection for both participants

a listening response not the absence of communcation and allows the pt to break the silence

Question 20

therapeutic technique: Active listening

Answer 20

listening attentively
make eye contact
lean forward
providing feedback
seeing if there’s any incongruent messages

Question 21

therapeutic techniques: clarifying techniques

Answer 21

help to ensure that your interpretation of the message is what the pt meant to say

Question 22

examples of clarifying techniques

Answer 22

paraphrasing
restating
reflecting
making observations
exploring
what if
miracle question

Question 23

example of reflecting

Answer 23

well what do you think

do not give advice

Question 24

example of making observations

Answer 24

I noticed you took a shower today

I noticed you applied for that job

Question 25

example of exploring

Answer 25

tell me more

Question 26

what if and miracle questions

Answer 26

help pts with problem solving and coping skills

Question 27

do not ask closed ended questions yes, no

Answer 27

instead ask how was your sleep allows the pt to share more information.

Question 28

never give advice

Answer 28

encourage them to make their own decisions and let them list the pros and cons

Question 29

do not give false reassurance "everything will be alright"

Answer 29

instead say what specifically are you worried about what do you think could go wrong *clarification*

Question 30

never ask why questions

Answer 30

Therapeutic: give broad openings "tell me reasons that led up to you not taking your medication

Question 31

never minimize feelings I know what you mean

Answer 31

therapeutic: empathize you must me feeling upset

Question 32

never make valued judgements

Answer 32

Therapeutic: make observation I noticed you still smoke

Question 33

do not ask excessive questions

Answer 33

therapeutic: clarifiying tell me about you eating habits since you've been depressed

Question 34

do not disapprove I disagree with that

Answer 34

therapeutic: exploring that's an interesting point of view, hoe did you get to that conclusion

Question 35

never give approval/agreeing I'm proud of you for applying for that job

Answer 35

pt becomes to be dependent on other, pt needs to do things for themselves I notice that you applied for that job

Question 36

do not change the subject

Answer 36

therapeutic: validating and exploring this sounds serious have you thought of harming yourself

Question 37

only use yes or no if it is in regards to safety have you thought of harming yourself

Answer 37

this is the only time its okay

Question 38

therapeutic relationships

Answer 38

the basis of all psychiatric nursing treatment approaches

Question 39

4 core concepts of nurse-patient relationship

Answer 39

1. dignity and respect 2. information sharing 3. patient/family participation 4. pt feels heard and understood

Question 40

therapeutic relationship goals

Answer 40

1. facilitating 2. assisting (ADLS) 3. helping (cope skills) 4. promoting (self care and independence)

Question 41

therapeutic relationships

Answer 41

focused on the pt enhances the growth on the pt

Question 42

social relationships

Answer 42

dependent on eachother friend helps you get a job somewhere support each other BOTH needs of both people matter

Question 43

boundaries

Answer 43

pts needs are separated from the nurses needs sharing food, buying them a gift, sharing headphones (blurred boundary becomes more social).

Question 44

warning signs that a blurred boundary is there

Answer 44

over helping controlling narcissism

Question 45

transference

Answer 45

the process where a person unconsciously and inappropriately transfers behavior onto another person **pt to staff member**

Question 46

countertransference

Answer 46

staff onto pt

Question 47

define stress response

Answer 47

survival mechanism by which the body and mind become immediately ready to meet a threat

Question 48

symptoms of PTSD

Answer 48

T traumatic event R re-experiencing trauma A avoidance U unable to function M month long symptoms A arousal increased

Question 49

risk factors of PTSD

Answer 49

1. age of traumatic event 2. female 3. history of psychiatric illness 4. lower education level

Question 50

comorbidities of PTSD

Answer 50

1. CVD 2. increased susceptibility to infections 3. dementia 4. depressive disorder 5. anxiety disorders 6. substance related 7. increased risk of suicide

Question 51

how long does it take acute stress disorder symptoms to resolve

Answer 51

symptoms resolve within 1 month

Question 52

how much time does it need to be in order to be deemed ptsd

Answer 52

longer than a month