Tiêu đề HANDOUT-INTENSIVE-NOV PNLE-PSYCHIAYRIC-NURSING.pdf ✅

1 TOPRANK REVIEW ACADEMY NURSING*RADTECH*DENTISTRY*CRIMINOLOGY*MIDWIFERY*MEDTECH LET*PSYCHOMET*RESPIRATORY THERAPY*CIVIL SERVICE*NAPOLCOM NCLEX*DHA*HAAD* PROMETRIC* UK-CBT PSYCHIATRIC NURSING Prof. Kenneth Arzadon, RN, UKRN Therapeutic Communication Sympathy vs. Empathy Nurse 1: “I feel sorry for you.” Nurse 2: “I see you are sad.” Nurse 1: “It must have been very difficult for you to lose you sister when you needed her most.” Nurse 2: “I know what it felt like to lose a sister, I lost mine when I was six.” OFFERING SELF “I’ll sit with for a while” SILENCE BROAD OPENING “How are you feeling today?” “Is there something you’d like to talk about?” EXPLORING “Tell me more....” RESTATING CLIENT: “I can’t sleep. I stay awake all night.” NURSE: “You have difficulty sleeping.” VERBALIZING THE IMPLIED CLIENT: “It’s a waste of time talking to anyone.” NURSE: “Do you feel that no one understands?” SEEKING CLARIFICATION Client: “I’m feeling sick inside.” Nurse: “What do you mean by ‘feeling sick inside?” TRANSLATING INTO FEELINGS Client: “I’m way out in the ocean.” Nurse: “You seem to feel lonely.” PLACING EVENTS IN SEQUENCE “Describe where you were and what you were doing when you collapsed.” IDENTIFYING THEMES “What comes into your mind each time you....?” “What do you do each time you argue with your wife?” REFLECTING CLIENT: “Do you think I should tell my dad?” NURSE: “What do you think would work best?” FORMULATING A PLAN “What could you do to let your anger out harmlessly?” SUPPORTIVE CONFRONTATION ''I know this isn't easy to do, but I think you can do it.“ “It would be difficult at first, but you’ll get through it.” ENCOURAGING COMPARISON “What is different about your feelings today?” Non – therapeutic communication Stereotyping: “Just have a positive attitude.” Reassuring: “Everything will be alright.” Requesting an explanation: “Why” NURSE-PATIENT RELATIONSHIP Most Important Element: ACCEPTANCE Purpose: To help client develop new and effective coping mechanisms Professional Relationship Elements of a contract: - Time, duration, and venue of sessions - Termination and criteria for termination
2 TOPRANK REVIEW ACADEMY NURSING*RADTECH*DENTISTRY*CRIMINOLOGY*MIDWIFERY*MEDTECH LET*PSYCHOMET*RESPIRATORY THERAPY*CIVIL SERVICE*NAPOLCOM NCLEX*DHA*HAAD* PROMETRIC* UK-CBT - Nurse’s and patient’s responsibilities - Participants Phases of Nurse Patient Relationship PRE – ORIENTATION Goal: INTROSPECTION Problem: Reluctance of the Nurse ORIENTATION Goal: Establish Trust Problem: Resistance of the Patient WORKING Goal: RN (explore); Patient (verbalize) Problem: EMOTIONAL ATTACHMENT Transference Countertransference TERMINATION Goal: Evaluate effectives of interventions Problem: Separation Anxiety CRISIS and CRISIS INTERVENTION CRISIS - When coping mechanism are ineffective that results to disequilibrium TYPES OF CRISIS Situational – caused by unexpected events (example: Loss of a job, Death of a loved one) Adventitious – caused by natural catastrophe (example: earthquake, fire, tornado) Maturational – caused by expected events (example: menarche, marriage, pregnancy, retirement) PRIORITY ASSESSMENT: 1.____________________________ 2.____________________________ 3. ____________________________ Duration of Crisis: 4 – 6 weeks (self-limiting) Goal: To help patient return to pre-crisis level Focus: Here and Now Approach: Directive and Supportive Freud’s Structural Theory of Personality ID – pleasure seeker EGO – balancer SUPEREGO – conscience EGO DEFENSE MECHANISMS Denial – refusal to accept the truth Regression – return to earlier stage of development Introjection – blaming self Projection – blaming others Displacement – redirection of emotion Reaction Formation – expressing the opposite of your true emotions Undoing – doing something to relieve feelings of guilt Suppression – conscious forgetting Repression – unconscious forgetting Dissociation – disconnection of feelings from a traumatic event Rationalization – Distortion of facts Intellectualization – disregarding the emotional aspect of a situation Splitting – viewing people of events as either good or bad