Essentials Of Psychiatric Mental Health Nursing

Front 1

Pre-existing conditions affecting Interpersonal Communication

Back 1

1. Values, attitudes, and beliefs
2. Culture or religion
3. Social status
4. Gender
5. Age or developmental level
6. Environment of setting

Front 2

Active Listening Acronym
S
O
L
E
R

Back 2

Sit squarely facing the client
Open posture
Lean forward to client
Eye contact
Relax

Front 3

Feedback: should be Descriptive not Evaluative

Back 3

Descriptive: an objective observation ("Jane was upset today when you called her fatty")
Evaluative: makes judgments ("You were rude and inconsiderate to Jane today")

Front 4

Therapeutic Relationship

Back 4

An interaction between two people (usually a care giver and a care receiver) in which input from both participants contribute to a climate of healing, growth promotion, and / or illness prevention.

Front 5

Therapeutic Use of Self
-Travelbee 1971

Back 5

"The ability to use one's personality consciously and in full awareness in an attempt to establish relatedness and to structure nursing interventions"
-The instrument for delivery of that care
-Internal value system
-Nurse must possess self-awareness, self-understanding, about self

Front 6

Conditions Essential to Developing a Therapeutic Relationship

Back 6

1. Rapport - special feelings on the part of both (acceptance, trust)
2. Trust - one must feel confident in the other person's presence
3. Respect - to believe in the dignity and worth of an individual regardless of his behavior
4. Genuineness - The nurse's ability to be open, honest, and "real"
5. Empathy - the nurse UNDERSTANDS what the client feels
vs. Sympathy - the nurse SHARES what the client feels

Front 7

Psych Nursing Process is Implemented with Therapeutic Interpersonal Relationships

4 Phases are....

Back 7

1. Preinteraction - preparing for the first encounter
2. Orientation - become acquainted, formulate a contract
3. Working phase - promote change
4. Termination - evaluate goal attainment and ensure closure

Front 8

Transference

Back 8

During the working phase...when the CLIENT unconscioulsy attributes (transfers) to the nurse, feelings and behavioral predispositions formed toward a person from his past

Front 9

Countertransference

Back 9

During the working phase...
The NURSE'S behavioral and emotional response to the client