self concept - ANS-the sum of perceptions, feelings, and beliefs about one's self;
includes self-esteem and identity
self awareness through self
... [Show More] assessment - ANS-- nurses need to constantly monitor
personal feelings and thoughts with a person in crisis --> always focus on the pt
- supervision promotes professional growth of the nurse, and safeguards the integrity of
the nurse-client relationship
therapeutic relationship nurse activities - ANS-- facilitating communication of distressing
thoughts and feelings
- assisting clients with problem solving
-
professional roles of the psych nurse - ANS-1. basic level - counseling, milieu tx,
promotion of self-care, psychobiological interventions, health teaching, case mgmt,
health promotion+maintenance
2. advanced practitioner - individual and group tx, counseling, rx mgmt
3. therapeutic encounters - interaction w/healthcare team
paplau - ANS-what nurses do WITH pts not TO pts
- nurse as a therapeutic tool - therapeutic use of self
- care for the person as well as the illness
- think exclusively of patients as persons, not as a dx
phases:
1. orientation
2. working
3. termination
roles of the nurse
- stranger
- resource person
- teacher
- leader
- surrogate
- conselor
approaches - ANS-we use
- milieu tx - goal: behavioral modification
- group
- psychopharm
- crisis intervention - started before they got to the hospitaltherapeutic milieu - ANS-goals:
- re-socialization: behaviors you have to exhibit to live in normal society -- give pt
opportunities to do this
- ego development: better understanding of self. ex: how medications work,
- prevent regression: via services, coping skills
- *safety*, structure, support: impulse control etc is the #1 priority. ex: no scissors
rules vs autonomy
- every unit has rules/a schedule but pt isnt forced to do it, only encouraged. by
following rules, pt shows s/he can live in the hospital community safely = possible to be
safe at home
group therapy - ANS-- individuals *share a common purpose/goal* come together and
benefit by giving and receiving feedback w/in the dynamic and unique context of group
life
- uniqueness depends on specifics: size, purpise, degree of similarity
open group (ex: AA mtg) vs closed group
goals: [Show Less]