“Fight or flight” response, restlessness. B. F. Physiological imbalances may play a role in defense mechanisms a client is utilizing. B. It occurs when you refuse to accept reality or facts. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. G. High anxiety in both nurse and client impedes communication. Your email address will not be published. (See Therapeutic Communication Techniques. J. )���m� � 8��� N�Hdi�B���9�o0�=�BBV��/0bx��8x=yy\�X���%�)]1v����R��X��_0� 8|��#� �`�3�-21?����mܽ�9���:.EJQIF�+�7���3�9F׸Y��uXEy����� X=V���(J�����4c|�ō;��wz����QבdE�W�q�*߽��*ʡu. in journalism from the University of Southern California. Nova Southeastern University. Additionally, these intrapsychic processes modify, nullify, or convey painful affects or tendencies so they can be tolerated consciously. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. I am a board-certified psychiatric mental health nurse. Most clinicians in the United States make psychiatric diagnoses with the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders).). 0000014892 00000 n The nurse’s level of self-awareness, understanding of human interaction and relevant theories, and needs enhances the development of the therapeutic relationship. Ruling out medical conditions as etiology for psychiatric conditions is always the first step in evaluation. Recognize blocks or barriers to effective communication and work to remove them. B. Communication is a basic human need. Caring and supportive relationships can help enhance resilience” (Search Institute, 2015). C. Recognize anxiety in self may escalate client’s anxiety. I. Whenever findings are abnormal, either initially or during treatment, etiology should be explored (e.g., laboratory test results, vital signs, physical assessment findings). Adjustment depends on one’s ability to vary responses so that anxiety is decreased. Assume the role of facilitator in the relationship. K. Interact on client’s intellectual, developmental, and emotional level. Psychiatric nursing care should be client- and family-centered. Therapeutic communication utilizes the principles of communication in a goal-directed professional framework. A. Anxiety is perceived subjectively by the conscious mind of the person experiencing it. The nurse recognizes that the client is most likely using the defense mechanism known as: ____ 7. Definition: The nurse–client relationship is a dynamic, therapeutic, professional relationship in which interaction occurs between two persons the nurse, who possesses the skills, abilities, and resources to relieve another’s discomfort, and the client, who is seeking assistance for alleviation of some existing problem or need. It is experienced as a painful, vague uneasiness or diffuse apprehension, or focused such as chest pain. Calm, matter-of-fact, nonthreatening, succinct approach. 0000006502 00000 n G. Assess environmental conditions that may affect nurse–client interaction. 0000005977 00000 n Cathy Parkes RN, covers Mental Health Nursing - Introduction. H. Examine your own feelings and expectations that may potentially impact the development of a therapeutic relationship. C. Assist client to clarify feelings and events and place them in time sequence. 0000005370 00000 n The term defense mechanism refers to a predominantly unconscious self-protective process that seeks to shield the ego from intense feelings or affect and impulses. To affect or influence others, one’s physical environment, and oneself. J. The phrase, “They’re in denial” is commonly understood to mean a person is avoiding reality … The dependent personality mental health disorder: Aggression, apathy, despair, depression, ... Recognizing the Client's Use of Defense Mechanisms. Learn psychiatric mental health nursing defense mechanisms with free interactive flashcards. 0000015270 00000 n We go through many, many changes as we move from infancy through childhood to adulthood. B. 0000032896 00000 n Gravity. Provide a safe, private, comfortable setting if possible. 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