The ability to form patient-centered relationships is fundamental and essential to
effective nursing care
-Crucial to the formation of patient-centered therapeutic relationships
Factors affecting communication
Personal factors:
Psychiatric disorders- depression can slow the thinking which slows communication
-anxiety can cause a lack of concentration
-Mania causes in ability to focus for any length of time
Language barriers
Cultural differences
Cognitive factors
Environmental Factors: background noise, lack of privacy, uncomfortable
accommodations
Types of communication
Verbal- the spoken word
Nonverbal- Tone of voice
-emphasis on certain words
-pace of speech
-body posture
-eye contact
-hand gestures
,-fidgeting
How long does an order for seclusion last
Orders are good for 24 hours
under 18 2 hours at a time
over 18 4 hours at a time
Nurse can isolate pt if they are feeling threatened
When is a nurse able to decline floating to an inpatient psych unit?
If they feel uncomfortable, threatened or in harms way.
Resilience as compared to recovery
recovery is the act or process of regaining or repossession of something lost
resilience is the mental ability to recover quickly from depression, illness, or misfortune
What is false imprisonment?
When a person is confined in a limited area or within an institution.
Medications that result in chemical restraint may also fit in this category of tort.
A charge may be filed after a person is restrained or secluded.
Intentional torts?
1. Assault
1. Battery
1. False Imprisonment
1. Invasion of Privacy
Unintentional torts?
MUST HAVE
1. Duty
2. Breach of duty
3. Cause in the face and proximate cause
, 4. Damages
unintentional acts against another person that cause injury or harm .
Autism typically diagnosed?
First 3 years of life
Typically appears during early childhood
Autism testing
1. Developmental delay, uneven development or loss of acquired skills.
2. Communication- verbal and non-verbal, sensory, social and behavior skills of a child
3. The parent-child relationship- bonding, anxiety tension, and fit of the temperaments
4. Physical and emotional signs of possible abuse. Be aware that children with
behavioral and developmental problems are at risk of abuse.
5. Comorbid intellectual disability has been screened
6. Assessment of need for treatment for community programs supporting services for
parents and children.
Parent education
Counseling
After-school programs
Which are examples of therapeutic communication techniques?
Silence
Accepting
Giving recognition
Offering self
Giving broad openings
Placing the events in time or sequence making observations
Encouraging description of perception
Encouraging comparison
Restating
Therapeutic Techniques
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