Mental
Health
-
Exam
2
Three
feet
-
ANSWER-The
amount
of
personal
space
most
people
need
Nursing
communication
-
ANSWER-Patient
centered
to
establish
trust
and
build
relationship
Blocking
-
ANSWER-Loses
train
of
thought;
stops
speaking
because
of
an
unconscious
block.
Example:
Then
my
father...
what
was
I
saying?
Circumstantiality
-
ANSWER-Cannot
be
selective,
describes
in
abundant
detail.
Example:
My
head
hurts,
my
nose
has
been
leaking,
my
hair
just
won't
stay
in
place,
I
have
this
cramping
in
my
joints...
Echolalia
-
ANSWER-Repeats
the
last
word
over
and
over.
Example:
"Please
wait
here"
is
responded
to
with
"here...
here...
here"
Loose
Association
-
ANSWER-Speaks
constantly,
shifting
between
loosely
related
topics.
Example:
Martha
married
Jim,
who
is
a
good
cook.
I
can
cook.
Cows
are
something
we
can
cook.
I
wonder
why
a
cow
moos."
Flight
of
Ideas
-
ANSWER-Shifts
rapidly
between
unrelated
topics.
Example:
"My
cat
is
grey.
The
food
here
is
good.
My
hair
needs
a
perm"
Neologism
-
ANSWER-Coins
new
words
and
definitions.
Example:
"Hiptomites
are
real
powerful
people"
in
reference
to
a
husky
mental
health
technician
on
the
unit.
Verbigeration
-
ANSWER-Repeats
words,
phrases
and
sentences,
several
times.
Example:
Nurse
"It's
time
to
take
your
pill."
Client
"Take
your
pill,
take
your
pill,
take
your
pill"
Therapeutic
Communication
-
ANSWER-Interaction
between
the
nurse
and
the
client
with
a
specific
goal
-
learn
about
the
client
and
his/her
problem. Verbal
Communication
Techniques
-
ANSWER-Clarification
(validation),
Reflection
(parroting),
Restating
(focusing),
Using
a
general
lead
(giving
information),
Using
silence,
Exploring
alternatives
(offering
of
one's
self),
Reinforcing
reality
Nonverbal
Communication
Techniques
-
ANSWER-Intermittent
eye
contact,
Congruent
facial
expression,
Arms
and
legs
uncrossed,
Respecting
personal
space
(two
to
four
feet),
Use
of
touch
(be
selective
about
touching)
Active
Listening
-
ANSWER-Allows
client
to
express
thoughts
and
feelings
without
being
judged
or
criticized.
Sit
at
least
3
feet
from
client,
maintain
eye
contact,
keep
a
relaxed,
open
posture.
Facing
the
client
shows
a
willingness
to
listen.
It
is
necessary
to
reach
an
understanding
of
the
client's
point
of
view.
Non-therapeutic
Communication
-
ANSWER-Closed
body
language,
closed-ended
questions
(yes
or
no),
Interjecting
personal
opinions
and
values,
Minimizing
client's
feelings,
Cliches,
Condescending
attitude,
Criticism
Blocks
to
Therapeutic
Communication
-
ANSWER-Arguing/disapproving
(giving
advice),
False
reassurance
(using
the
word
"why"),
Closed
ended
questions,
Changing
the
subject,
Agreeing/approving,
Minimizing/belittling,
Focusing
on
the
nurse,
Stereotype
statements
Therapeutic
Relationship
-
ANSWER-Collaboration
with
the
mental
health
team
with
the
goal
of
assisting
the
client
to
adapt
and
function
in
society
Acceptance
or
Unconditional
Positive
Regard
-
ANSWER-Views
the
client
as
a
person
worthy
of
dignity
and
respect,
not
judged
or
labeled
by
the
nurse's
standards
Empathy
-
ANSWER-The
ability
to
hear
what
another
person
is
saying,
to
have
temporary
access
to
their
feelings,
and
to
perceive
a
situation
from
their
perspective.
Explanations
-
ANSWER-Must
be
given
at
the
client's
level
of
understanding Mutual
Trust
-
ANSWER-Can
be
easily
broken.
Trust
comes
slowly,
and
with
no
guarantee
until
it
is
proven.
Be
consistent,
and
follow
through
with
things
Limit
Setting
-
ANSWER-Helps
client
with
self-control
and
management
of
behaviors
Reassurance
-
ANSWER-Constantly
needed
to
develop
a
sense
of
emotional
security
within
the
environment
Genuineness
-
ANSWER-Realness.
An
attribute
of
concern
that
fosters
an
honest
and
caring
foundation
of
trust
Self-Awareness
-
ANSWER-The
honest
desire
to
evaluate
one's
own
behavior
and
a
desire
to
make
changes
Orientation
-
ANSWER-Getting
to
know
the
client,
defining
purpose,
setting
rules
and
boundaries
Working
Stage
-
ANSWER-Outcomes
and
interventions
planned,
goals
are
developed,
appropriate
coping
skills
are
taught.
Client
priorities
are
set
Termination
-
ANSWER-Allows
client
to
depend
on
his/her
own
strengths,
while
developing
improved
adaptive
skills.
Nurse
encourages
client
independence
in
relating
to
others
Professional
Boundaries
-
ANSWER-Centered
on
helpfulness,
Set
clear
boundaries,
Do
not
let
this
relationship
fulfill
a
personal
need
(nurse),
No
favoritism,
Relationship
cannot
extend
beyond
termination
or
become
social,
Avoid
former
clients
(if
possible)
outside
the
mental
health
setting
Professional
Boundary
Violations
-
ANSWER-Unnecessary
personal
disclosures
by
the
nurse,
Secrecy,
Sexual
misconduct,
Over-helping,
Controlling,
Role
reversal
in
the
nurse/client
relationship,
Flirtation,
Giving
specialized
individual
attention
to
any
one
client
