Psych Nursing HESI (2022/2023) Graded A+

Psych Nursing HESI (2022/2023) Graded A+ Milieu Therapy There are set times and they are expected to follow. focusing on here and now, limiting the setting, focus on ADL's and social skills while maintaining safety. Behavior Modification Positive and Negative reinforcement with role modeling to teach new behaviors Family therapy identifying roles of the family. Life scripts: living out the parents dream. Self Fulfilling prophecies: setting something up to happen because you think it will Crisis Intervention person with ineffective coping mechanism has a crisis and needs immediate resolution When using different techniques be sure to use this approach judgement free, advice free, reassurance free. Only use facts, no opinions If a psych client presents a physical problem what should the nurse do ASSESS If psych patient asks if information will be shared how should the nurse respond some information will have to be shared with other team members for your safety (suicide, therapy options) Bad phrases from the nurse include you should, you'll have to, you cannot, Why, Don't worry, just a second, I know, Everyone, If it were me..., Why don't you, I think you, Good phrases from the nurse include Tell me about.. Go on... What are you thinking Are you saying that... It seems like... the only coping mechanism the is intentional is Suppression. Moving thoughts out of mind Reaction Formation disliking animals but volunteering at animal shelter. Doing opposite of what they actually feel Introjection watching someone you admire doing something and then you doing it too. Intellectualization This is your doctor. He uses reason to avoid dealing with the emotion displacement loses job so goes home and yells at wife Repression is similar to suppression but it is involuntary. Mom died when son was 12, but son cannot remember it rationalizing is offering a logical explanation to unacceptable behavior. Student fails a course but blames teacher for failing Cognitive Therapy helps replace irrational beliefs and attitudes. supposed to solve problems and overcome barriers. Short Term over 2-3 months ECT considerations don't use word shock when describing treatment. Make sure to give Muscle Relaxant or general anesthesia such as methohexital sodium to prevent bone/muscle damage. Also give a Anticholinergic to dry up secretions. Have Crash Cart available. After ECT the patient is expected to be unconscious make sure to maintain a patent airway, orient patient because they are generally confused upon awakening, short term memory is also impaired at first. Make sure to check vitals q15 until patient is alert. Common complaints of ECT include headache, muscle soreness, retrograde amnesia, and Nausea (also unconscious=aspiration) Differences in Levels of anxiety from mild, moderate, severe, and panic Mild (Good Test taker): is somewhat helpful in daily life, it increases awareness and allows thoughts that are logical, patient can still function and seems calm and in control. Moderate (Stage Fright/Giving a Presentation): can still be functional with the help of others. Patient can still function but not as easily as before. speech gets faster and louder, a little restless in movements and may have headache, nausea, tachycardia. Severe Anxiety (Me when an elevator stops working): this can stimulate fight/flight response. may cause distorted perceptions, impaired concentration and problem solving, verbalizing need for help or out. increased motor activity wringing hands, twitching. Panic is when there are distortions in reality, hallucinations, no problem solving or rationality, overwhelmed and helpless. may cry or be angry, etc. What