The Nurse Patient Relationship Interactions With Sel Beh
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Transcript of The Nurse Patient Relationship Interactions With Sel Beh
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The Nurse-Patient relationship:
Interactions with selected behaviours
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Hallucinations Comment on their behaviour
Once the content is known do not focus on the hallucination
If message is to harm themselves or others contract for safety inform the rest of the team
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Delusions
Clarify meanings
Once meaning has been clarified do not focus on the delusion
patient is to be monitored for safety as necessary
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4
Conflicting values
Assist patient to examine the effects of their beliefs on their lives
It is important for the nurse to understand the patients view as the patient sees it
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Incoherent Speech patterns:
Clarify the meanings of the communication
Medications can be of help
The nurse needs to be supportive in order to build trust
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Manipulation
Often to gain attention, sympathy, control and dependence
Address what is happening
Limit setting
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Crying
Should be allowed unless part of manipulation
Provide privacy
Offer opportunity to verbally express feelings
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Sexual Innuendos
Discuss underlying issues
Limit setting
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Lack of cooperation/ Denial
May be due to severe disturbances in thought processes, or lack of insight
Fear may be a factor
Nurse needs to build trust to address underlying issues
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Depressed Affect
Patience, frequent contact and empathy
Encourage the expression of feelings
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Suspiciousness
Communicate clearly, simply and congruently
Offer explanations and rationales for activities
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http://www.southalabama.edu/nursing/psynp/nursepat.pdf
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Hyperactivity
The patient should be in a quiet area with minimal stimuli
Physical activity can be used
May need some PRN Medication