Card Set Information
Ignoring unacceptable realities
Restoring to a earlier more comfy level of functioning
Denied entry of a threatening thought into consciousness
Blaming others for a personal shortcoming
Not acknowledging the significance of ones behavior
"Why did you find yourself getting angry with your dad?"
Non therapeutic...demanding an explanation
"You shouldnt feel so bad about this"
"I would not do that if I were you"
"You seem more anxious today than yesterday"
"I felt the same way when I was your age"
Non therapeutic-not about you!!
Essential component that a nurse must bring to a nurse patient relationship
Phases of a nurse patient relationship
Getting demographic information regarding a patient
Developing and implementing a plan of action
a sense of loss may be felt at this stage
Personality is shaped by whether a series of developmental tasks are sucessfully met
There are 3 components to the personality, and development stops at adolesence
Stage in which pt learns how to have intimate relationships
Intimacy vs. Isolation
Preventing a painful reality from entering conscious awareness
When non verbal communication matches the spoken message
"I can see how much your brother meant to you, this loss seems to have devastated you"
An example of empathetic response using reflection techniques
Giving approval, disapproval, agreeing, advising "why"
Non therapeutic responses
"You look a lot like my mother, she was a nurse too"
Unconditional positive regard, genuine response, congruency, empathy, and trust
Elements of a nurse patient relationship
Anger at spouse, not safe to express, yells at child
Ego defense mechanism....called displacement
Ways of thinking, perceiving, doing, learned within society
"the reason I drink is because I hurt my back and then I lost my job"
Initial action a nurse should take when a patient is experiencing an emotional difficulty
Trust and Rapport