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Exam (elaborations)

NUR2459 Mental Health Exam

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NUR2459 Mental Health Exam ....

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  • May 23, 2024
  • 14
  • 2023/2024
  • Exam (elaborations)
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  • NUR2459 Mental Health
  • NUR2459 Mental Health
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NUR2459 Mental Health Exam 2024-2025 "Termination Phase" of the Nurse-Client Relationship - ANSWER Summarizing the goals and objectives achieved, discussing ways to incorporate new coping strategies, reviewing situations that occurred and exchanging memories "Working Phase" of the Nurse-Patient Relationship - ANSWER Maintaining the relationship, gathering data, promoting problem solving skills and self-esteem, facilitate discharge, overcome resistance, evaluate problems and goals Cognitive Behavioral Therapy (CBT) - ANSWER Theory behind this therapy: Everyone has schemata-unique assumptions about self, others, and the world around them What is a therapeutic milieu or milieu therapy? - ANSWER A health environment, combined with a healthy social structure within a inpatient or outpatient setting supporting and treating those with mental illness Difference between a social relationship and the nurse-client relationship - ANSWER Focus on the patient's problems and concerns encouraging them to find their own situations, not "being a friend" or meeting the needs of the nurse Examples of Non-Therapeutic Communication techniques - ANSWER Reassuring, giving advice, giving approval, disapproving, changing the subject What is "Exploring"- a therapeutic communication technique? - ANSWER "Tell me more about that" "Would you describe it more fully?" What are examples of therapeutic communication techniques? - ANSWER Paraphrasing, summarizing, clarifying, exploring, silence, touch What is "False Reassurance"- a non-therapeutic communication technique? - ANSWER "Don't worry everything will be alright", "You'll be fine". "There's nothing to worry about" What is minimizing feelings- (a non-therapeutic communication technique - ANSWER Patient: "I wish I were dead. "Nurse: 'I know what you mean." What is affect? - ANSWER Client's emotional display of mood being experienced What are levels of consciousness? - ANSWER Alert, Lethargic, Stuporous What is "flight of ideas"? - ANSWER Rapid changes from one thought to another related thought What is perseveration? - ANSWER Repeating the same words in response to different questions What is judgement? - ANSWER Ability to evaluate choices and make appropriate decisions What is autonomy? - ANSWER Respecting the rights of others to make their own decisions (Big choices: Do you want CPR? Surgery?. Little choices: What would you like to take your medicine with?) =CHOICE/SELF DETERMINATION What are the reasons to use seclusion? - ANSWER Being a harm to self or others, decreasing sensory overload, patient request What is a violation of the patient's rights? - ANSWER Forcing client to eat, wash, or dress self What is "Duty to Warn"? - ANSWER Informing medical staff about a client's threat to harm a specific individual

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