Podcast
Questions and Answers
Which principle of care planning involves ensuring that interventions are supported by current research?
Which principle of care planning involves ensuring that interventions are supported by current research?
- Realistic
- Individualized
- Evidence based (correct)
- Safe
Tailoring interventions to meet a patient’s specific cultural, ethical, and personal needs is an example of what type of nursing intervention?
Tailoring interventions to meet a patient’s specific cultural, ethical, and personal needs is an example of what type of nursing intervention?
- Individualized (correct)
- Patient-centered
- Feasible
- Holistic
What is the primary focus when nursing interventions are described as 'safe'?
What is the primary focus when nursing interventions are described as 'safe'?
- Minimizing risks and assessing for contraindications or potential side effects (correct)
- Considering the availability of resources, time, and support
- Addressing the physical, emotional, psychological, and social aspects of well-being
- Engaging the patient in the planning process while considering their preferences
When a nurse considers available resources, time, and support when planning an intervention, they are ensuring the intervention is:
When a nurse considers available resources, time, and support when planning an intervention, they are ensuring the intervention is:
Which aspect involves incorporating the patient's values and preferences into the care plan?
Which aspect involves incorporating the patient's values and preferences into the care plan?
What type of information is a patient's description of their reason for seeking treatment considered in a psychiatric nursing assessment?
What type of information is a patient's description of their reason for seeking treatment considered in a psychiatric nursing assessment?
Which aspect of a patient’s history is crucial for assessing potential harm to others?
Which aspect of a patient’s history is crucial for assessing potential harm to others?
What does ‘insight’ refer to within the context of a psychiatric assessment?
What does ‘insight’ refer to within the context of a psychiatric assessment?
Which of the following is considered part of a patient’s psychiatric history?
Which of the following is considered part of a patient’s psychiatric history?
During an assessment, which of these would be categorized under subjective data related to thought content and perception?
During an assessment, which of these would be categorized under subjective data related to thought content and perception?
Which of the following would be categorized as social history?
Which of the following would be categorized as social history?
What does a 'judgment' assessment evaluate, in the context of a psychiatric assessment?
What does a 'judgment' assessment evaluate, in the context of a psychiatric assessment?
In a patient assessment, which area helps determine a potential risk of harm to the patient?
In a patient assessment, which area helps determine a potential risk of harm to the patient?
Which factor suggests a need to simplify medical explanations during patient communication?
Which factor suggests a need to simplify medical explanations during patient communication?
How should a healthcare provider adjust communication when dealing with an introverted patient?
How should a healthcare provider adjust communication when dealing with an introverted patient?
Why is it important to consider a patient's health condition when communicating?
Why is it important to consider a patient's health condition when communicating?
Which of the following best describes 'group' in the context of therapeutic settings?
Which of the following best describes 'group' in the context of therapeutic settings?
How should a healthcare provider modify their communication style for an older adult when compared to a younger adult?
How should a healthcare provider modify their communication style for an older adult when compared to a younger adult?
Why is providing the opportunity for patients to give feedback important?
Why is providing the opportunity for patients to give feedback important?
What does a healthcare worker need to be aware of when communicating with patients regarding gender?
What does a healthcare worker need to be aware of when communicating with patients regarding gender?
What is the benefit of healthcare workers understanding a patient's previous interactions with the healthcare system?
What is the benefit of healthcare workers understanding a patient's previous interactions with the healthcare system?
What is the primary goal of therapeutic communication?
What is the primary goal of therapeutic communication?
Which therapeutic technique involves fully concentrating on the speaker and understanding the message behind their words?
Which therapeutic technique involves fully concentrating on the speaker and understanding the message behind their words?
A nurse says to a patient, 'It sounds like you're feeling really overwhelmed; That must be difficult.' Which technique is she demonstrating?
A nurse says to a patient, 'It sounds like you're feeling really overwhelmed; That must be difficult.' Which technique is she demonstrating?
What is the purpose of using open-ended questions in therapeutic communication?
What is the purpose of using open-ended questions in therapeutic communication?
What is the main goal of clarification as a therapeutic communication technique?
What is the main goal of clarification as a therapeutic communication technique?
Which technique involves mirroring back what the patient has said to help them explore their thoughts and feelings further?
Which technique involves mirroring back what the patient has said to help them explore their thoughts and feelings further?
Why is silence sometimes a beneficial technique in therapeutic communication?
Why is silence sometimes a beneficial technique in therapeutic communication?
A nurse is assisting a patient to prepare for the end of a relationship. According to the content, what action is the nurse taking?
A nurse is assisting a patient to prepare for the end of a relationship. According to the content, what action is the nurse taking?
What is a primary benefit of therapeutic groups?
What is a primary benefit of therapeutic groups?
Which of the following is a potential disadvantage of group therapy?
Which of the following is a potential disadvantage of group therapy?
Which of Yalom's curative factors involves the sharing of optimism and improvements?
Which of Yalom's curative factors involves the sharing of optimism and improvements?
In group therapy, what does 'universality' refer to?
In group therapy, what does 'universality' refer to?
What does 'corrective recapitulation of the primary family group' mean in the context of group therapy?
What does 'corrective recapitulation of the primary family group' mean in the context of group therapy?
Which of the following best exemplifies 'development of socializing techniques' in therapeutic groups?
Which of the following best exemplifies 'development of socializing techniques' in therapeutic groups?
Which of these is an example of a therapeutic group with a shared purpose?
Which of these is an example of a therapeutic group with a shared purpose?
How does 'altruism' function as a curative factor in group therapy?
How does 'altruism' function as a curative factor in group therapy?
In a family system with rigid boundaries, what is most likely to occur?
In a family system with rigid boundaries, what is most likely to occur?
Which characteristic is most indicative of a 'diffuse' or 'enmeshed' family boundary?
Which characteristic is most indicative of a 'diffuse' or 'enmeshed' family boundary?
What is the primary purpose of 'distracting' within dysfunctional family communication?
What is the primary purpose of 'distracting' within dysfunctional family communication?
In family dynamics, what does 'triangulation' involve?
In family dynamics, what does 'triangulation' involve?
What does 'differentiation' in the context of family systems refer to?
What does 'differentiation' in the context of family systems refer to?
What is a potential drawback of family therapy when high risk situations exist?
What is a potential drawback of family therapy when high risk situations exist?
What is the function of 'placating' in a dysfunctional family dynamic?
What is the function of 'placating' in a dysfunctional family dynamic?
In family therapy, what is the role of the 'identified patient'?
In family therapy, what is the role of the 'identified patient'?
Flashcards
Subjective information
Subjective information
Information gathered directly from the patient about their thoughts, feelings, and experiences.
History of Present Illness (HPI)
History of Present Illness (HPI)
A detailed account of the patient's current mental health concerns, including their symptoms, onset, and impact on their life.
Insight
Insight
The patient's own understanding and awareness of their mental health condition.
Judgment
Judgment
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Psychiatric history
Psychiatric history
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Substance use history
Substance use history
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Social history
Social history
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Evidence-based care
Evidence-based care
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Individualized care
Individualized care
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Safe interventions
Safe interventions
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Feasible care
Feasible care
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Holistic care
Holistic care
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Therapeutic Communication
Therapeutic Communication
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Active Listening
Active Listening
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Empathy
Empathy
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Open-Ended Questions
Open-Ended Questions
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Clarification
Clarification
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Reflection
Reflection
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Silence
Silence
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End of Relationship
End of Relationship
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Age and communication styles
Age and communication styles
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Gender and communication
Gender and communication
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Education and communication
Education and communication
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Personality and communication
Personality and communication
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Past experiences and communication
Past experiences and communication
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Health status and communication
Health status and communication
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What is a group?
What is a group?
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Interdependence within a group
Interdependence within a group
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Therapeutic group
Therapeutic group
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Group therapy
Group therapy
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Shared purpose
Shared purpose
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Advantages of group therapy
Advantages of group therapy
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Disadvantages of group therapy
Disadvantages of group therapy
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Cohesiveness
Cohesiveness
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Yalom's Curative Factors
Yalom's Curative Factors
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Instillation of hope
Instillation of hope
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Rigid family structure
Rigid family structure
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Groupthink mentality
Groupthink mentality
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Manipulating behaviors
Manipulating behaviors
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Identified patient
Identified patient
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Family therapy concepts
Family therapy concepts
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Differentiation
Differentiation
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Rigid boundaries
Rigid boundaries
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Triangulation
Triangulation
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Study Notes
Psychiatric Nursing Care - Assessment
- Subjective Information: What the patient states
- History of Present Illness (HPI): Reason for seeking treatment
- Voluntary or involuntary
- Thought content and perception
- Suicide risk assessment
- Homicidal risk assessment
- Suicidal/homicidal ideations
- Hallucinations, delusions, illusions
- Obsessions, ruminations
- Insight: Understanding of one's own condition
- Judgment: Problem-solving ability
- Psychiatric History
- Age of symptom onset
- Age when treatment sought
- Medical history
- Psychiatric hospitalization history
- Suicide attempt or self-harm history
- Homicidal ideation history
- Legal history
- Trauma history
- Substance use history
- Caffeine
- Nicotine
- Controlled substances
- Illicit substances
- Social history
- Developmental information
- Relationship history
- Children
- Education
- Occupation
- Current living situation
- Support systems
- Medical history
- History of Present Illness (HPI): Reason for seeking treatment
Psychiatric Nursing Care - Assessment (continued)
- Objective Information: What is observed or assessed.
- Vital signs
- Physical assessment
- Diagnostic tests
- Labs
- Scans
- Results of screening tools
- Mental Status Exam (MSE)
Psychiatric Nursing Care- Diagnosis
- Analyze assessment data to identify diagnoses, problems, and areas of care.
- Diagnostic statement components:
- Problem/potential problem
- Probable cause (due to)
- Supporting data (signs and symptoms)
Psychiatric Nursing Care- Outcomes Identification
- Outcome criteria for maximal patient health.
- Outcomes reflect a change (measurable, positive, directional, and specific).
Psychiatric Nursing Care - Planning
- Strategies to achieve expected outcomes.
- Principles for planning:
- Safe
- Compatible
- Realistic
- Individualized
- Evidence-based
- Nursing interventions
- Supported by current research and best practices
- Tailored to patient needs
- Safe
- Feasible
- Holistic
- Collaborative
- Patient-centered
Psychiatric Nursing Care - Evaluation
- Specificity
- Measurability
- Achievability
- Timeliness
- Documentation
- Patient engagement
- Comparison against standards
Therapeutic Relationships
- Nurse-Patient relationship (Patient-Centered Care)
- Dignity and respect
- Information sharing
- Patient/family participation
- Collaboration in policy and program development.
- Therapeutic use of self
- Conscious use of personality, experiences, and insights as a therapeutic tool.
- Emphasizing self-awareness, interpersonal skills for client growth and healing.
- Enhancing effectiveness of treatment
- Facilitating positive client outcomes.
- Concepts of therapeutic use of self:
- Self-awareness
- Authenticity
- Empathy
- Boundary setting
Therapeutic Communication
- Purposeful interaction between provider/client
- Techniques:
- Active listening
- Empathy
- Open-ended questions
- Clarification
- Reflection
- Silence
Family Interventions
- Family structure
- Nuclear family
- Single-parent family
- Unmarried biological/adoptive family
- Blended/stepfamily
- Cohabitating family
- Extended family
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