Question

Mental Health Nursing

Is this correct?

What steps would you take in de-escalating a situation?

• Encourage patients to take deep breaths or implement learned breathing exercises.
• Ensure nonverbal communication, such as facial expression, matches the situation (you should not be smiling if the patient is in pain). Maintain eye contact and avoid hostile postures or closed body language.
• Use therapeutic communication and positive verbal communication techniques, such as acceptance, active listening, validation, and open-ended statements. Be empathic when fits and speak in a calm, direct manner.
• Avoid methods that inhibit communication- challenging patient or asking "why" questions, being judgmental, refrain from giving advice/opinions and false reassurances...etc.
• Do not use abbreviations or jargon.
• Set boundaries.
• The use of
• ***Make the client the priority/ focus.
• Seek anger management, psychoeducational intervention, and Cognitive-behavioral therapy (CBT) resources for the patient.

What interventions and in what order do you use them? (Please respond to at least 2 of your peers).

1. Anger Management: A Psychoeducational Intervention to Promote Wellness.
2. Cognitive-Behavioral Therapy for Anger.
3. Communication and Development of the Therapeutic Nurse-Patient Relationship.
4. Cognitive Interventions to Address Aggression.
5. Milieu and Environmental Interventions.
6. Interventions for Managing Imminent Aggression and Violence.

Restraints – When the appropriate use. What Assessment is needed, and what Documentation?

• Restraints are appropriate to use when a patient is a danger to themselves and/or others; alternative measures have failed. Restraints should be used as a last resort, only for emergencies.
• Make sure you can fit two fingers between the patient and restraints when applying wrist restraints, and make sure and use a quick-release knot/ slipknot.
• Place restraints only on movable parts of the bed.
• Place restraints over fabrics to maintain skin integrity or prevent skin breakdown.
• Obtain frequent Documentation every 15 to 30 minutes; containing: precipitation event, prior attempts of alternative interventions, time treatment began and ended, medication administered; intake & output current behavior, mental status, vital signs, pain levels, and patient care that was provided, the location (s), amount, and type of restraints.
• Restraints are temporarily and removed immediately once patient behavior improves or is no longer a threat to themselves or others.
• Assess for suicidal or homicidal ideation.
• Assess skin, hydration status and circulation.
• Obtain a written order from the care provider. PRN prescriptions are not allowed.

How do you ensure your safety as a psych RN on an inpatient psych unit? (Respond to at least 2 of your peers).

• Keep a safe distance from patients.
• Let co-workers know where you are and when you will interact with the patient.
• Stay close to the door for easy access and avoid secluded environments.
• Avoid wearing clothes or accessories that can be used to cause you or another person harm.

Answer 1

What steps would you take in de-escalating a situation?

Use the techniques under to de-escalate a situation:

Listen to what the issue is and the person's concerns.

Offer reflective feedback to exhibit that you have heard what their issues are.

Wait until the person has released their frustration and explained how they are feeling.

Look and hold fantastic eye contact to join with the person.

Incline your head slightly, to show you are listening and give you a non-threating posture.

Nod to affirm that you are listening and have understood.

Express empathy to exhibit you have understood.

What steps would you take in de-escalating a situation?

The term is generally utilized to a huge range of sorts of interventions, which consist of psychotherapies (e.g., psychodynamic therapy, cognitive-behavioral therapy, interpersonal psychotherapy, problem fixing therapy), community-based remedy (e.g., assertive neighborhood treatment, first episode psychosis interventions