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PSYCH:Therapeutic Communication
Hesi Hints
8
Nursing
Not Applicable
08/13/2009

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Cards

Term
After the fourth group meeting, the info leader makes the statement that she believes she can help the group more than the assigned facilitator and has beeter credentials. Identify the group dynamics and stage of development
Definition
The informal leader is "testing" which is a behavior indicative of a new group trying to establish trust. The group is still in the orientation phase of development
Term
On an in patient psychiatric unit, the clients are expected to get up at a certain time, attend breakfast at a certain time, and arrive for their meds at the correct time. What form of therapy is incorporated into this unit?
Definition
Milieu
Term
The wife of a man killed in a motor vehicle accident has just arrived at the emergency room and is told of her husbands death. What nursing actions are appropriate for dealing with this crisis?
Definition
take her to a quiet room, and ask her if there are family members, friends, or clergy you can call for her. Assess her need for meds and discuss it with HCP. Stay with her, be firm and directive and assess previous successful coping straegies
Term
A 10 yr old is admitted to the childrens unit of the psychiatric facility after stabbing his sister. His behavior is extremely aggressive with the other children on the unit. Using a behavior-modification approach with positive reinforcement, design a treatment plan for this child.
Definition
Assess what activities he enjoys. Set up a taoken system; when he displays noaggressive behavior, he earns a token goo toward participating in the activity selected. he loses a token when he becomes aggressive
Term
The 10 yr old, his sister, his mother, and mothers live in boyfriend are asked to attend a therapy meeting. Who is the "client" that will be treated during this session?
Definition
The entire family
Term
A 66 yr old woman is admitted to the psychiatric unit with agitated depression. She has nmot responded to antidepresseants in the past. What would be the medical treatment of choice for this client?
Definition
ECT
Term
Describe the nurses role in preparing clients for ECT
Definition
Give accurate, nonjudgemental info about the treatment. Explore clients concerns. admin the following as prescribed: atropine sulfate (to dry oral secretions); A quick acting barbiturate (to induce anesthesia=Brevital Sodium); Muscle relaxant (Anrectine); check emergency equipment. Be sure suction equipment and 02 are avaliable
Term
Describe the nursing interventions used to care for a client during and after ECT
Definition
Maintain a patent airway. Check VS every 15 mins until alert. Remain with client following treatment until client is conscrious. Reorient if client is still confused.
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