Term
| Overlapping phases of the Therapeutic Relationship |
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Definition
* Pre-interaction
* Orientation
* Working
* Termination |
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Term
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Definition
All about the nurse!
"What is going on with me?"
Let go of all the junk of the day and focus on my patients. |
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Term
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Definition
May last a few minutes or substantially longer
Establish trust with the patient
Define the parameters of the relationship
Talk about the inevitability of termination |
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Term
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Definition
Most therapeutic work is carried out in this phase.
Maintain the relationship
Gather further data
Help to promote problem-solving skills, self-esteem and use of language.
Evaluate problems and goals
Practice and express alternative adaptive behaviors |
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Definition
Difficult and critical phase
Evaluate: process
Synthesize: has patient worked through what we have talked about and put it into practice? |
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Definition
| Client displaces onto the therapist/nurse attitudes and feelings that the client originally experienced in other relationships. |
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Definition
| Therapist/nurse displaces onto the client attitudes or feelings from his past. |
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Term
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Definition
| A nurse who is comfortable with herself, aware of her strengths/limitations and is able to show interest in her client. Nothing dishonest or artificial to the nurse's behavior. |
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Definition
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Definition
| When words and actions do NOT match |
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Definition
Characterized by appreciation of the client as a unique, worthwhile human being regardless of his/her behavior, background or lifestyle.
Respect and a nonjudgemental attitude |
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Definition
| We are continually offering assistance in alleviating emotional pain or problems. We are NOT here to tell someone what to do. |
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Term
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Definition
Borrow's client's feelings
Maintains self-identity
Objective
Accurate perception of true feelings
Understanding |
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Definition
Takes on client's feelings
Loses self-identity
Subjective
Inaccurate perception of true feelings
Condolence, pity |
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Definition
Symptom relief
Improved social functioning
Greater sense of identity
Accomplished client's goals
An impasse in therapy |
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Term
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Definition
| Up to 18" (if you have to be in the intimate zone, prepare client for what you will be doing/they will be experiencing) |
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Definition
| 18" - 4 ' (most contact is in this space) |
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Definition
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Term
(Therapeutic Technique)
Broad Openings |
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Definition
Implies that the client has the lead in the interaction.
"Where would you like to begin?" |
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Term
(Therapeutic Technique)
Focusing |
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Definition
Concentrating on a single point; may prevent overwhelming the client.
"This point seems worth looking at more closely." |
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Term
(Therapeutic Technique)
Formulating a plan of action |
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Definition
Making definite plans increases the likelihood that the client will cope more effectively in a similar situation.
"Next time this comes up, what might you do to handle it?" |
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Term
(Therapeutic Technique)
General Leads |
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Definition
Giving encouragement: this indicates that the nurse is listening and following; encourages the client to continue.
"Go on." "Tell me about it." "And then?" |
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Term
(Therapeutic Technique)
Giving Information |
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Definition
Making available the facts that the client needs. This enables the client to know what to expect.
"My name is..." "Visiting hours are..." |
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Term
(Therapeutic Technique)
Placing events in time or sequence |
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Definition
Putting events in proper order helps both nurse and client see them in perspective. May help reveal recurrent themes.
"What seemed to lead up to this?" "Was this before or after?" |
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Term
(Therapeutic Technique)
Reflecting |
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Definition
Encourages client to recognize and accept his own feelings. Nurse indicates that client's point of view has value and that client has right to have opinions, make decisions, etc.
Client: Do you think I should tell the doctor?
Nurse: Do YOU think you should tell the doctor? |
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Term
(Therapeutic Technique)
Restating |
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Definition
Nurse repeats what client has said in nearly the same words the client has used. Lets client know he has communicated his words effectively. Give client a chance to clarify his thoughts.
Client: I can't sleep. I stay awake at night.
Nurse: You have difficulty sleeping? |
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Term
(Therapeutic Technique)
Seeking Info |
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Definition
Seeking clarification throughout all interactions helps nurse to avoid making assumptions.
"I'm not sure that I follow..." "Have I heard you correctly?" |
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Term
(Therapeutic Technique)
Voicing Doubt |
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Definition
Permits the client to become aware that others don't necessarily perceive events in the same way or draw the same conclusions. Nurse is not agreeing or disagreeing, however, she has not let misperceptions and distortions pass without comment.
"Isn't that unusual?" "Really?" "That's hard to believe." |
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Definition
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Definition
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Term
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Definition
| I count/ You don't count, but I'm not going to tell you this |
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Definition
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Term
| Mental Status Exam: 11 main categories |
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Definition
JIM HAS A STOP
J - judgement
I - insight
M - memory
H - history
A - affect/mood
S - sensorium
A - Appearance/behavior
S - speech/communication
T - thinking
O - orientation
P - perception |
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Term
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Definition
Observable characteristics of a person (objective data)
*Facial expression
*Gestures
*Dress
*Psychomotor activity |
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Term
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Definition
Observable emotion
Mood? Use the patient's own words if possible |
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Term
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Definition
Level of awareness
Client's ability to identify who and where they are, the date and approximate time.
Person- who am I (the nurse)
Place- where the client is
Self- who the client is
Situation - what is happening
Time - time of day/day of week
List what the patient is actually oriented to! |
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Term
| Thinking (content of thought) |
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Definition
The way the client functions intellectually.
Overall organization of thoughts. |
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Definition
| Mind's ability to recall earlier events |
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Definition
The ability to form valid conclusions
Ex: What would you do if a policeman stopped you for speeding? |
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Term
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Definition
| Including developmental and family history |
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Term
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Definition
Awareness of one's own responsibilities and concerns, especially regarding this illness. Ability to objectively analyze the problem.
"How do you make sense of this whole situation now?" |
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Term
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Definition
Client's wakefulness or consciousness:
Unconsciousness
Coma
Drowsiness/somnolence
Normal alertness
Hyper-alertness
Suspiciousness
Mania |
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Term
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Definition
Evaluate how the client is communicating, rather than what the client is telling you.
Rate/volume/modulation/flow |
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Definition
The way that a person experiences his/her environment and how the person perceives his or her frame of reference within that environment. Equal to a sense of reality.
Info is perceived by the senses and monitored by the mind and the mind's defenses:
Hallucinations
Illusion
Depersonalization
Derealization |
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Term
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Definition
| Inability to carry out purposeful movement to achieve a goal. |
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Definition
| Extreme restlessness; up and pacing, constantly moving. |
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Definition
Complete or partial loss of muscle movement.
Muscles do not get the message and cannot act as a group.
Slowness and difficulty initiating movement. |
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Definition
| Excessive movement of the mouth, protruding tongue, facial grimacing |
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Term
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Definition
Fine tremors with muscular rigidity
Drooling
Shuffling gait
Masklike facies
Cog-wheeling rigidity |
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Definition
Unexpected responses to a situation
Discussion of content that doesn't fit with accompanying emotions. |
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Term
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Definition
Euphoria: excessive and inappropriate feelings of well-being
Exaltation: intense elation accompanied by feelings of grandeur |
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Term
| Unpleasurable affects (dysphoria) |
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Definition
Depression
Anxiety
Fear
Agitation
Ambivalence
Aggression
Mood swings
Lability |
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Term
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Definition
| No emotion on face; lights are not on; no one is home! |
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Term
| Blunted/constricted affect |
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Definition
| I might start to smile, but then it stops. I can't go through with the smile. |
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Term
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Definition
| poorly connected or poorly organized thoughts |
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Definition
| frequent digressions on the way to an eventual conclusion |
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Definition
| frequent digression until initial reason for beginning a discussion is forgotten |
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Definition
| rapid speaking with quick changes from one thought to another connected thought |
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Definition
| Repetition of the same word in reply to different questions. |
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Definition
| Cessation of thought production for no apparent reason |
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Term
| Poverty of amount of speech |
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Definition
| Just yes or no answers or short one-word answers, no descriptions. |
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| Poverty of content of speech |
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Definition
| Response is simple and question is often not really answered. Lack of content. |
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Definition
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Term
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Definition
| Events that occurred from the first recollection of childhood through adolescence, adulthood and up until the current week. |
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Definition
| Events that happened during the previous few days |
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Definition
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Definition
Inaccurate or false belief that cannot be corrected by reasoning.
False fixed belief that is not based in reality. |
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Definition
| Exaggerated belief about one's own abilities or importance |
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Definition
| False belief that one is at the center of another's attention and discussion |
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Definition
| False belief that others are seeking to hurt one or in some way damage one either physically or by insinuation. |
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Term
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Definition
| Complete or partial inability to recall past experiences |
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Definition
| Filling in gaps in memory with statements that are untrue |
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Definition
| Misinterpretation or distortion of an actual stimulus |
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Definition
Feeling detached from one's surroundings
Altered sense of one's surroundings |
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Definition
| Ranging from a mild sense of unreality to a frank loss of reality about one's environment |
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Definition
| False sensory perceptions that do no exist in reality |
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Definition
| Seeing objects that do not exist in reality |
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| Hearing sounds not present in reality |
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Term
| Cognitive, intellectual, concentrating abilities |
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Definition
Calculations
Reversing digits (7 is normal)
Serial 7's |
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Definition
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Term
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Definition
| Clinical disorder: whatever the mental health diagnosis is |
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Definition
| Personality disorder; mental retardation |
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Definition
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Definition
| Psychosocial stressors and environmental issues |
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Term
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Definition
Global Assessment of Function (number between 1-100)
0-10: Worst
100: No problems
May assess this score for functioning in the last year to 6 months. |
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