NUR 162 Final Review
- 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
- Individual factors r/t mental health
Answer persons biologic makeup, autonomy, independence, self-esteem
- Interpersonal factors r/t mental health
Answer relationship, effective communication, ability to help others, intimacy
- 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
- Mental Illness
Answer a disorder that affects a person's mood, behavior, and thinking (depression, schizophrenia, anxiety)
- 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
- Criteria for Duty to Warn 1 / 3
Answer
- Is the client dangerous to others? 2 Is the danger the result of serious mental illness?
- Is the danger serious?
- Are the means to carry out the threat available?
- Is the danger targeted at identifiable victims?
- Is the victim accessible?
- 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
- Main goal of therapeutic communication
Answer To establish trusting nurse-client relationship
- 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)
- 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)
- Concrete message
Answer 2 / 3
words are explicit and need no interpretation; clear, direct, and easy to understand
- 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
- Therapeutic Communication Responses
- Exploring
Answer
- Focusing
- Restating
- Reflecting
- Presenting reality
- Summarizing
- Empathy
- Exploring
Answer "Tell me more about that." ; "Would you describe it more fully?"
- 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?"
- Restating
Client
Answer "I can't sleep. I stay awake all night." Nurse
"You have difficulty sleeping."
- / 3