NURS 4110 NURSING IN MENTAL HEALTH CARE Week Three Townsend Chapters 6, 7, and 11.

ATI chapters 7 & 10. Diagnosis text Appendix G; chapter 1. Mental status/psychosocial assessment (Handout) Therapeutic nurse-patient relationship. ATI CHAPTER 3 Intrapersonal Interpersonal Public Transpersonal Define Therapeutic relationship (T, Core Concept, p. 109): Conditions: Rapport (T, p. 109): Trust (T, pp. 109-100): Respect (T, p. 110): Genuineness (T, pp. 110-111): Empathy (T, p. 111): Communication techniques. THERAPEUTIC (ATI, p. 25; T, TABLE 6-3, pp. 119-121). Silence Open-ended questions Clarifying

Touch NONTHERAPEUTIC (T, TABNEL 6-4, pp. 121-122). Giving reassurance Rejecting

Interpreting Introduce an unrelated topic Process Recordings (Handout; Forms on the Blackboard; T, p. 119, 123-125): Nursing Process in Mental Health. 1. Define nursing process (T, p. 130): 2. Figure 7-1, p. 130. 3. Define assessment (T, Core Concept, p. 131): 4. Define nursing diagnosis (T, Core Concept, p. 131): 5. Define outcomes (T, Core Concept, p. 141): 6. Mini-mental Status Evaluation (T, Table 7-1, p. 140): 7. Define evaluation (T, Core Concept, p. 142): 8. ANA Definition of Nursing (T, p. 142): 9. Box 7-2, T, p. 143 Standards of Psychiatric/Mental Health Clinical Nursing Practice: Standard 1 Standard 2 Standard 3 Standard 5c Standard 5 d 10. Define concept mapping (T, p. 147): 11. Compare and contrast paper charting and electronic health records [T, Table 7-6, p. 153]: PAPER CHARTING EHR Advantages Advantages 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. Disadvantages 1. Disadvantages 1.
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2. 3. 4. 5.

2. 3. 4. 5.

Complementary Therapies. 1. Define ALTERNATIVE Medicine (T, Core Concept, p. 205): 2. Define COMPLEMENTARY Medicine (T, Core Concept, p. 205): 3. Review TABLE 11-1 CAM Classifications (T, pp. 206-208): 4. Review the CLINICAL PEARL on T, p. 209 about Herbal Preparations 5. Review HERBAL REMEDIES (TABLE 11-3, T, pp. 210-211): NAME USE OR ACTION Black cohosh Cascara sagrada Chamomile Hops Kava kava Passion flower Scullcap St. Johns Wort Valerian 6. CAM Therapies Acupressure & Acupuncture Chiropractic medicine (T, p. 218): Yoga (T, p. 219): Pet therapy (T, p. 219-220): 7. Psychosocial therapies Psychoanalysis (T, p. 220-221; ATI, pp. 59-60): Free association (T, p. 221): Dream analysis (T, p. 221; ATI, p. 59): Hypnosis (T, P. 221): Interpersonal psychotherapy (T, p. 221-222): Reality therapy (T, p. 222): Cognitive therapy (T, p. 379-380; ATI, p. 60): Cognitive reframing (ATI, p.60): Cognitive distortions Therapy goal is to CHANGE the distorted, dysfunctional, negative thoughts and behaviors by teaching clients to use cognitive thoughts based on evidence and logic [critical thinking].
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NURSING CONSIDERATIONS

Priority restructuring (ATI, p. 60): Journal keeping (ATI, p. 60): Assertiveness training (ATI, p. 60: T, pp. 223-225): Modeling (ATI, p. 61): Operant conditioning (ATI, p. 61): Systematic desensitization (ATI, p. 61): Aversion therapy (ATI, p. 61): Relaxation therapy Meditation (T, p. 223; ATI, p. 61): Guided [mental] imagery (T, p. 223; ATI, p. 61): Diaphragmatic [deep] breathing (T, p. 223; ATI, p. 61): [Progressive] Muscle relaxation (T, p. 223; ATI, p. 61): Biofeedback (T, p. 223; ATI, p. 61): 8. ECT (T, pp. 380-381; ATI Chapter Ten): 9. Phototherapy (Handout; T, pp. 381-382): 10. TMS (Handout; T, p. 381): 11. VNS (Handout):