Conditions Essential to Development of a Therapeutic Relationship
Conditions Essential to Development of a Therapeutic Relationship Rapport- by getting acquainted and establishing rapport is the primary task in relationship development, and is accomplished by discussing non-health related topics. It promotes acceptance, warmth, friendliness, common interest, trust, and nonjudgmental attitude. Trust- As an initial development task, it makes development of the relationship easier. It […]
Relationship Development and Therapeutic Communication
Relationship Development and Therapeutic Communication The nurse–patient relationship is the foundation on which psychiatric nursing is established. The therapeutic interpersonal relationship is the process by which nurses provide care for patients in need of psychosocial intervention. Therapeutic use of self is the instrument for delivery of care to patients in need of psychosocial intervention. Therapeutic […]
Precautions C N S stimulants
Precautions C N S stimulants Use caution in children with psychoses; clients with Tourette’s disorder, anorexia, or insomnia; elderly, debilitated, or asthenic clients; and clients with a history of suicidal or homicidal tendencies; prolonged use may result in tolerance and physical or psychological dependence. Dexmethylphenidate and methylphenidate Effects of concomitant use Hypertensive crisis may occur […]
Psychostimulants
Psychostimulants ADHD (Attention Deficit-Hyperactivity Disorder) Indications Attention deficit/hyperactivity disorder (A D H D) in children and adults Medications are also used to treat narcolepsy and exogenous obesity Medication action The C N S stimulants increase levels of norepinephrine, dopamine, and serotonin in the C N S. Their effectiveness in the treatment of ADHD is thought […]
Sedative-Hypnotics
Sedative-Hypnotics Indications Short-term management of various anxiety states and treatment of insomnia; selected agents are used as anticonvulsants, as preoperative sedatives, and to reduce anxiety associated with alcohol withdrawal. Action: Depression of the C N S Exception: Ramelteon’s sleep-promoting properties are the result of agonist activity on selective melatonin receptors. Contraindications Contraindicated in known hypersensitivity, […]
Nontherapeutic Communication
Nontherapeutic Communication Example Rationale Reassuring -Indicting there is not cause for anxiety. “Everything will be all right.” “I wouldn’t worry about that!” 1. Attempts to dispel the anxiety of the patient by implying there is not sufficient reason for it devalues the patient’s judgment, and communicated the nurse’s lack of understanding and empathy. 2. […]
Therapeutic Communication Techniques (Recommended to use when interacting with a patient)
Interpersonal Techniques Therapeutic Communication Techniques (Recommended to use when interacting with a patient) Examples Rationale Silence -Absence of verbal communication 1. Interested, expectant silences often encourage the patient to verbalize. 2. Silence allows the patient an opportunity to take the initiative in communication that, which is most pressing. 3. Silence reduces the pace of the […]
Nursing Liability & Types of Lawsuits
Nursing Liability Negligence- failure to exercise the care toward others that a reasonable or prudent person would do in the circumstances, or taking action that such a reasonable person would not. Failure to exercise the care toward others that a reasonable or prudent person would do in the circumstances. Malpractice- an act or continuing conduct […]
Hospitalization
Hospitalization Voluntary admissions Involuntary commitments- where the client is in imminent danger to themselves or other, or unable to perform ADL (activities of daily living) Emergency commitments (Mostly because they are a danger to themselves/others) A mentally ill person in need of treatment (Typically longer and meant for clients who have been affected severely by […]
Legal Issues in Psychiatric/Mental Health Nursing
Legal Issues in Psychiatric/Mental Health Nursing Confidentiality and right to privacy Health Insurance Portability and Accountability Act (H I P A A) Individuals have the rights to access their medical records, to have corrections made to their medical records, and to decide with whom their medical information may be shared If information is released in […]