1. Mental Health
Answer
the state of mental well-being in which one can cope with the demands of daily life; includes
interpersonal, social/cultural and individual factors
3. Interpersonal factors r/t mental health
Answer
relationship, effective communication, ability to help others, intimacy
4. Social/Cultural factors r/t mental health
Answer
environmental factors, sense of com- munity, access to adequate resources, intolerance of
violence, support of diversity among people
5. Mental Illness
Answer
a disorder that affects a person's mood, behavior, and thinking (depression, schizophrenia,
anxiety)
6. Duty to Warn (Tarasoff Case)
Answer
mental health clinicians have a duty to warn identifiable third parties of threats made by the
clients, even if these threats were discussed during therapy sessions otherwise protected by
privilege
7. Criteria for Duty to Warn
,Answer
1. Is the client dangerous to others? 2 Is the danger the result of serious mental illness?
3. Is the danger serious?
4. Are the means to carry out the threat available?
5. Is the danger targeted at identifiable victims?
6. Is the victim accessible?
8. Therapeutic Communication
Answer
an interpersonal interaction between the nurse and the client during which the nurse focuses on
the client's specific needs to promote an effective exchange of information
9. Main goal of therapeutic communication
Answer
To establish trusting nurse-client relationship
10. Congruent message
conveyed when content and process agree (ex
Answer
"I know I haven't been myself. I need help". ; sad facial expression and genuine sincere voice
tone)
11. Incongruent message
content and process disagree - when what the speaker says and what he or she does do not agree
(ex
Answer
"I'm here to get help", but has a rigid posture, clenched fists, agitated)
12. Concrete message
Answer
, words are explicit and need no interpretation; clear, direct, and easy to understand
13. Abstract message
Answer
unclear patterns of words that often contain figures of speech that are difficult to interpret;
requires listener to interpret what speaker is asking
14. Therapeutic Communication Responses
Answer
1. Exploring
15. Exploring
Answer
"Tell me more about that." ; "Would you describe it more fully?"
16. Focusing
Answer
"This point seems worth looking at more closely. Perhaps you and I can discuss it together." ;
"Of all concerns you've mentioned, which is most troublesome?"
17. Restating
Client
Answer
"I can't sleep. I stay awake all night." Nurse
"You have difficulty sleeping."
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