Podcast
Questions and Answers
A nurse is caring for a client with a history of anxiety. Which communication technique would be MOST effective in initiating a therapeutic dialogue?
A nurse is caring for a client with a history of anxiety. Which communication technique would be MOST effective in initiating a therapeutic dialogue?
- Summarizing the client's feelings to show understanding.
- Using closed-ended questions to gather specific details quickly.
- Employing open-ended questions to encourage the client to express their feelings. (correct)
- Providing reassurance that everything will be alright.
When prioritizing care for a client exhibiting both suicidal ideation and symptoms of severe depression, which action should the nurse take FIRST?
When prioritizing care for a client exhibiting both suicidal ideation and symptoms of severe depression, which action should the nurse take FIRST?
- Exploring the client's past coping mechanisms.
- Administering antidepressant medication as prescribed.
- Developing a long-term therapeutic relationship.
- Assessing the client's immediate risk for self-harm. (correct)
A client is being discharged after treatment for a substance use disorder. Which aspect of discharge planning is MOST important for the nurse to address to prevent relapse?
A client is being discharged after treatment for a substance use disorder. Which aspect of discharge planning is MOST important for the nurse to address to prevent relapse?
- Scheduling follow-up appointments with a therapist but not discussing other resources.
- Providing information on relapse warning signs and coping strategies. (correct)
- Reviewing the client's family history of addiction.
- Ensuring the client understands the details of their past substance use.
A nurse is conducting a psychosocial assessment on a new client. Which component of the assessment provides the MOST relevant information about the client's current mental state?
A nurse is conducting a psychosocial assessment on a new client. Which component of the assessment provides the MOST relevant information about the client's current mental state?
A client with dementia is agitated and confused. Which nursing intervention is MOST appropriate when using validation therapy?
A client with dementia is agitated and confused. Which nursing intervention is MOST appropriate when using validation therapy?
A client with obsessive-compulsive disorder (OCD) engages in compulsive hand-washing rituals. Which therapeutic technique aims to reduce this behavior by preventing the individual from performing the ritual?
A client with obsessive-compulsive disorder (OCD) engages in compulsive hand-washing rituals. Which therapeutic technique aims to reduce this behavior by preventing the individual from performing the ritual?
A nurse is working with a client diagnosed with dementia who is expressing feelings of anxiety and agitation. Which therapeutic approach focuses on acknowledging and respecting the client's feelings, rather than challenging their perceptions of reality?
A nurse is working with a client diagnosed with dementia who is expressing feelings of anxiety and agitation. Which therapeutic approach focuses on acknowledging and respecting the client's feelings, rather than challenging their perceptions of reality?
During a therapy session, a client begins to express strong feelings of anger towards the nurse, stating that the nurse reminds them of a strict and uncaring parent. What is this phenomenon known as?
During a therapy session, a client begins to express strong feelings of anger towards the nurse, stating that the nurse reminds them of a strict and uncaring parent. What is this phenomenon known as?
A client is participating in virtual reality exposure therapy (VRET) to overcome a fear of heights. Which aspect of this therapy is most crucial for its effectiveness?
A client is participating in virtual reality exposure therapy (VRET) to overcome a fear of heights. Which aspect of this therapy is most crucial for its effectiveness?
A patient is undergoing assertiveness training. Which of the following represents a successful outcome of this therapy?
A patient is undergoing assertiveness training. Which of the following represents a successful outcome of this therapy?
A nurse is in the orientation phase of a therapeutic relationship with a new client. Which of the following actions is most important for the nurse to take during this phase?
A nurse is in the orientation phase of a therapeutic relationship with a new client. Which of the following actions is most important for the nurse to take during this phase?
A client who has experienced a traumatic event is participating in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Which of the following is a primary goal of this therapy?
A client who has experienced a traumatic event is participating in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Which of the following is a primary goal of this therapy?
A therapist is using the SOLER technique while interacting with a client. Which of the following best describes the 'L' component of this technique?
A therapist is using the SOLER technique while interacting with a client. Which of the following best describes the 'L' component of this technique?
Flashcards
Client-Centered Care
Client-Centered Care
Care that actively involves the client in their treatment plan and goals.
Open-ended Questions
Open-ended Questions
Questions that encourage detailed responses and open up discussion.
Clarification
Clarification
The process of clarifying information to ensure a mutual understanding.
Mental Status Exam (MSE)
Mental Status Exam (MSE)
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Discharge Planning
Discharge Planning
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Priority Restructuring
Priority Restructuring
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Journal Keeping
Journal Keeping
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Assertiveness Training
Assertiveness Training
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Thought Monitoring
Thought Monitoring
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Operant Conditioning
Operant Conditioning
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Systematic Desensitization
Systematic Desensitization
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Aversion Therapy
Aversion Therapy
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Flooding
Flooding
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Study Notes
Therapeutic Relationship
- Client-centered care involves active client participation in treatment plans and goals
- Nurse's role includes empathetic listening, fostering a supportive environment, and a holistic approach
- Therapeutic communication techniques include open-ended questions to encourage discussion
- Clarification ensures understanding
- Closed-ended questions are for specific information
- Summarizing confirms information
Assessment & Recognizing Cues
- Assessment steps involve recognizing cues by identifying symptoms and patterns
- Determine what is concerning, and assess additional needed information
- Prioritizing problems involves clustering and analyzing information
- Determine risk, including safety, self-harm, and harm to others
- Client history assessment is important
- Consider physiological ability to participate
- Note co-occurring conditions such as demographics, history, coping ability, and cultural/spiritual beliefs
- Psychosocial assessment uses a Mental Status Exam (MSE)
Nursing Process
- Address risk for violence, suicide, and aggression
- Consider work, education, and family history
- Note dementia care and use validation therapy
- Planning and implementation involve generating solutions through prioritizing nursing care
- Adjust to condition changes and collaborate with a team
- Goals and outcomes should be client-focused, facilitated by the nurse, and prioritize safety
- Discharge planning starts at diagnosis and involves interdisciplinary communication
- Implementation requires client and family teaching
- Educate on conditions, medications, relapse warning signs, and follow-ups
- Evaluate outcomes and review the effectiveness of the care plan
- Revise as needed to ensure appropriateness
Treatments & Therapies
Cognitive Therapy Techniques
- Priority restructuring focuses on priorities
- Journal keeping allows for expressing stressful thoughts
- Assertiveness training teaches how to express emotions non-aggressively
- Thought monitoring involves identifying negative thoughts
Behavioral Therapy Techniques
- Modeling improves social skills
- Operant conditioning uses reward-based behavior reinforcement
- Systematic desensitization uses exposure therapy
- Aversion therapy uses unpleasant stimuli to deter behaviors
Other Psychological Techniques
- Flooding treats phobias and PTSD through direct exposure
- Response prevention prevents compulsive behaviors (OCD)
- Thought stopping stops intrusive thoughts
- TF-CBT (Trauma-Focused Cognitive Behavioral Therapy) is used for PTSD and abuse survivors
- Validation therapy respects emotions in dementia care and schizophrenia
- VRET (Virtual Reality Exposure Therapy) addresses anxiety-provoking situations like PTSD and phobias
Phases of the Nurse-Client Relationship
- Orientation Phase: Establish trust, set boundaries
- Identification Phase: Identify unmet client needs
- Exploitation Phase: Collaborate on goals
- Resolution Phase: Evaluate progress, set new goals
Professionalism & Communication Strategies
- Qualities that build trust include honesty, transparency, respect, and understanding
- Barriers to trust are gender, education, language, culture, and socioeconomic status
- Maintaining professional boundaries means avoiding boundary blurring and staying professional and therapeutic
- Transference refers to the client shifting feelings onto the nurse
- Countertransference refers to the nurse shifting feelings onto the client
Nonverbal Communication Strategies
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S.O.L.E.R. Technique:
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S - Sit squarely to client
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O – Open posture
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L - Lean forward
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E – Eye contact
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R - Relax
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Adjust for comfort, as direct sitting may be confrontational for some clients
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Recognizing nonverbal cues from clients includes affect: frowning, grimacing, lip-licking, biting
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Note appearance: Disheveled, inappropriate clothing
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Monitor autonomic signs: Sweating, flushed face, dilated pupils
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Observe body language: Rocking, clenched hands
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Note eye contact: Squinting, minimal blinking
Wellness & Health Promotion
- Primary prevention means preventing mental illness before symptoms arise
- Secondary prevention involves early detection, screening, and education
- Tertiary prevention supports well-being and quality of life
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