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Psychiatric Nursing ProcessPsychiatric Nursing: Contemporary Practice

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________ is a person's attitude and satisfaction about one's self.
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Self-esteem
_________ is knowing who I am and allows people to establish boundaries and understand personal strengths and limitations.
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Personal identity
What should a nurse do if a patient gives indication that he/she is being told to harm someone?
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Ensure self-safety and institute assaultive precautions
Why is a cultural assessment an important part of a mental health evaluation?
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Culture helps a person frame beliefs about life, death, health and illness, roles and relationships.
What are outcome indicators?
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A measurement of patient progress towards mututally agreed upon goals.
_________ interventions are specific, time limited interactions between a nurse and a patient, family or group experiencing immediate or ongoing difficulties related to their health or well-being.
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Counseling
How is counseling different from psychotherapy?
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Counseling is a short term intervention that focuses on improving coping abilities, reinforcing healthy behaviors, fostering positive interactions or preventing illness/disability. Psychotherapy is a long term approach aimed at regaining or improving hea
_________ is a specific type of intervention that is used to help resolve disagreements or disputes with family, friends, or between patients.
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Conflict resolution
What are the general steps in the conflict resolution process?
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Identify the problem, develop expectations, identify intersts, creative brainstorming and combining options to achieve a win-win situation.
_________ is the act of bridging, linking, or mediating messages, instructions, and belief systems between patients who are politcally and economically powerless and people in the health care system.
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Cultural brokering
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What is required in order for a nurse to be an effective cultural broker?
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Establish and maintain a sense of connectedness with the patient and cultural competence.
_________ is the reading of selected materials to express feelings or gain insight under the guidance of a health care provider.
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Bibliotherapy
Why would a health care provider assign reading material to a patient (bibliotherapy)?
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They believe that the patient would receive therapeutic benefit from reading the material
What are four ways a patient can be enriched by bibliotherapy?
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Catharsis, problem soliving ideas, develop insight or reduce anxiety
_______ is an expression of feelings stimulated by parallel experiences.
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Catharsis
_________ is a therapeutic technique that encourages discussion about a person's past to identify past coping strategies and to maintain self-esteem, stimulate thinking, support the natural healing process of life review and can include a written account
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Reminiscence
________ therapy focuses on reinforcing or promoting desirable behaviors or altering undesirable ones.
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Behavioral
________ is a specific, systematized behavior therapy techniques to reinforce desired behaviors and extinguish undesired ones by rewarding desired behavior.
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Behavior modification
What types of conditions has behavior modification been successful in treating?
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Dysfunctional eating, addictions, anger management, impulse control and in treating children and adolescents.
What is a token economy?
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A behavior modification technique used in inpatient and group home settings to encourage selected behaviors. Patients are awarded tokens that can later be exchanged for a desired item.
What populations are especially receptive to token economies?
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People who are developmentally disabled or have severe or persistent mental illness. It also works with aggressive patients.
  
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