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MH chap 9 & 10
Nursing process in MH, Therapeutic Groups
| Question | Answer |
|---|---|
| Name the six steps used in the nursing process | Assessment, Diagnosis, Outcome Identification, Planning, inplementation, Evaluation |
| Systematic, dynamic process which the RN uses through interaction w the client, significant others, and health care providers, collects and analyzes data ab the client | Assessment |
| Assessment data includes what 9 areas | physical, psychological, sociocultural, spiritual, cognitive, functional abilities, developmental, economic, and life-style |
| clinical judgements ab individual, family, or community responses to actual or potenial health problems/life processess | Nursing Diagnosis |
| provides the basis for selection of nursing interventions to achieve outcomes which the RN is accountable | Nursing Diagnosis |
| Measurable, expected, patient-focused goals that translate into observable behaviors | Outcomes |
| comprehensive, standardized classifacation of client outcomes developed to evaluate the effects of nursing interventions | Nursing Outcomes Classification (NOC) |
| Client Education and necessary referals r included in this step of the NP | Planning |
| A comprehensive, standardized language describing tratments that nurses perform in all settings and all specialties | Nursing Intervention Classification (NIC) |
| contains definitions and a detailed set of activities that describe wat a RN does to implement the treatment | Nursing Intervention Classification (NIC) |
| Which step in the NP is the diagnosis, outcome, and plan of care reviewed and revised as needed | Evaluation |
| Name the 8 functions that groups serve for their members | Socialization, Support, Task Completion, Camaraderie, Informational, Normative, Enpowerment, Governance |
| Name the 3 types of groups | Task Groups, Teaching Groups, Supportive/Therapeutic Groups |
| The way in which group members interact with each other... Interrupt, judgements, glares | Group Process |
| Curative Factor: Selfless concern for the welfare of others...ex. Helping without getting anything in return | Altruism |
| Curative Factor: Expressing both (+) & (-) feelings in a nonthreating atmosphere... Ex. Let it go!! | Catharsis |
| Curative Factor: Learning that u do exist and have a purpose | Existential Factors |
| Curative Factor that observing the process of others in the group gives the member expectancy that problems can be solved | The Instillation of Hope |
| Curative Factor: Individuals come to realize that they are not alone in the problems, thoughts, and feelings they are experiencing | Universality |
| Curative Factor:Gaining knowledge through formal instruction as well as sharing of advice and suggestions | The Imparting of Information |
| Curative Factor: members r able to reexperience family conflicts that have remained unresolved with attempts at resolution r promoted through feedback and exploration | The Corrective Recapitulation of the Primary Family Group |
| Curative Factor: Individuals r able to correct maladaptive social behaviors and learn and develope new social skills | The Development of Socializing Techniques |
| Curative Factor: Individuals may imitate selected behaviors of one who has mastered a particular psychosocial skill inorder to develope the skill in themselves | Imitative Behavior |
| Curative Factor: The opportunity for interacting w other people... Insight is gained regarding how one perceives and is being perceived by others | Interpersonal Learning |
| Curative Factor: An individual developes a sense of belonging/value as an individual and as a member of the group | Group Cohesiveness |
| interventions such as Coordination of care, Health teaching/health promotion, and Milieu therapy selected during the planning stage are executed. Coordination of care Health teaching and health promotion Milieu therapy | Implementation |
| A health delivery process whose goals are to provide quality health care, decrease fragmentation, enhance the client’s quality of life, and contain costs. | Case management |
| A concept designed to control the balance between cost and quality of care. Individuals receive care based on need, which is determined by coordinators of the providership | Managed care |
| The individual responsible for negotiating with multiple health care providers to obtain a variety of services for the client. | Case manager |
| The tools for provision of care in a case management system and are abbreviated plans of care on which outcome-based guidelines for goal achievement within a designated length of time have been established. | Critical Pathways of Care (CPCs) |
| A diagrammatic teaching & learning strategy,Shows interrelationships among medical & rn diagnoses,assessment data,treatments;They r practical, realistic,time-saving;enhance critical thinking skills, Based on the NP;Helps develop a holistic view of clients | Concept Mapping |
| These groups have a sound theoretical base, and leaders generally have advanced degrees in psychology, social work, nursing, or medicine | Group therapy |
| These groups are based to a lesser extent on theory. Focus is on group relations, interactions between group members, and the consideration of a selected issue. | Therapeutic groups |
| Name the Physical Conditions that Influence Group Dynamics | Seating, size, Open-ended groups and Closed-ended groups, |
| Name the 3 Phases of Group Development | Initial or Orientation Phase, Middle or Working Phase, Final or Termination Phase |
| Leader and members work together to establish rules and goals for the group. Leader promotes trust and ensures that rules do not interfere with fulfillment of the goals. Members are superficial and overly polite. Trust has not yet been established. | Initial or orientation phase |
| Productive work toward completion of the task is undertaken.Leader role diminishes & becomes more one of facilitator.Trust has been established between the members, and cohesiveness exists. Conflict is managed by the group members themselves. | Middle or working phase |
| A sense of loss, precipitating the grief process, may be experienced. Leader encourages members to discuss feelings of loss & reminisce ab accomplishments. Feelings of abandonment may be experienced. Grief for previous losses may be triggered. | Final or termination phase |
| Name the 3 leadership styles | Autocratic, Democratic, Laissez-Faire |
| Wat leadership style Focus is on the leader, on whom the members are dependent for problem-solving, decision-making, and permission to perform. Production is high, but morale is low.(My way r the highway) | Autocratic |
| Wat leadership style Focus is on members, who r encouraged to participate fully n problem-solving of group issues, including taking action to effect change. Production is lower than w autocratic leadership but morale is much higher. Focus is on members) | Democratic |
| Wat leadership style has no focus. Goals are undefined, and members do as they please. Productivity and morale are low.(anything goes, undefined) | Laissez-faire |
| Name the three types of roles within a group members play and how | Task roles—serving to complete the task of the group; Maintenance roles—maintaining or enhancing group processes; Individual (personal) roles— fulfilling personal or individual needs |
| Defined as a type of group therapy that employs a dramatic approach in which clients become “actors” in life-situation scenarios. | Psychodrama |
| This type of therapys purpose is to provide the client with a safe place in which to confront unresolved conflicts in an effort to progress toward resolution. | Psychodrama |
| Expresses negativism and hostility towards other members; may use sarcasm in effort to degrade the status of others | Aggressor |
| Resists group efforts; demonstrates rigid and sometimes irrational behaviors that impede group progress | Blocker |
| Manipulates others to gain control; behaves in authoritarian manner | Dominator |
| Uses the group to gain sympathy from others; seeks to increase self-confidence from group feedback; lacks concern for others or for the group as a whole | Help-seeker |
| Maintains control of the group by dominating the conversation | Monopolizer |
| Does not participate verbally; remains silent for a varity of reasons - may feel uncomforable w self-disclosure r may be seeking attention through silence | Mute or Silent member |
| Talks ab personal accomplishments in an effort to gain attention for self | Recognition seeker |
| Shares intimate details ab self w group; is the last reluctant of the group to do so; may frighten others in the group and inhibit group progress w excessive premature self-disclosure | Seducer |
Created by:
mromerobr
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