The Nurse Patient Relationship Interactions With Sel Beh
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The Nurse Patient Relationship Interactions With Sel Beh



mental health

mental health



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  • Early assessment is based on the content of the messages
  • WHY?

The Nurse Patient Relationship Interactions With Sel Beh The Nurse Patient Relationship Interactions With Sel Beh Presentation Transcript

  • The Nurse-Patient relationship: Interactions with selected behaviours
  • 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
  • Delusions
    • Clarify meanings
    • Once meaning has been clarified do not focus on the delusion
    • patient is to be monitored for safety as necessary
  • 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
  • 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
  • Manipulation
    • Often to gain attention, sympathy, control and dependence
    • Address what is happening
    • Limit setting
  • Crying
    • Should be allowed unless part of manipulation
    • Provide privacy
    • Offer opportunity to verbally express feelings
  • Sexual Innuendos
    • Discuss underlying issues
    • Limit setting
  • 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
  • Depressed Affect
    • Patience, frequent contact and empathy
    • Encourage the expression of feelings
  • Suspiciousness
    • Communicate clearly, simply and congruently
    • Offer explanations and rationales for activities
  • Hyperactivity
    • The patient should be in a quiet area with minimal stimuli
    • Physical activity can be used
    • May need some PRN Medication