CH 10 : The psychiatric-mental health nursing process

Affect

The observable, outward expression of emotion- seen in facial expression, voice, ad gestures

Asynchronous communication

Telehealth communication stored for later review, such as secure messages, email, or recorded video

Behavior modification

Use of learning principles and consequences to increase desired behavior and decrease undesired behavior

Bibliotherapy

Therapeutic use of selected books or written material to promote insight, coping, or discussion

Body image

A person’s beliefs and attitudes about their own body’s size, shape, function, and attractiveness

Cognition

The ability to think and know through attention, memory, comprehension, reasoning, and judgment

Conflict resolution

A collaborative process that identifies the issue beneath a disagreement and develops acceptable solutions

Containment

Creating safety and security, including reliable access to food, shelter, protection, and predictable limits

Couseling

Usually short-term nurse-patient or group interaction focused on current coping, symptoms, recovery, and healthy behavior

Cultural brokering

bridging language, beliefs, values, and health-system expectations so the patient can understand and participate in care

De-escalation

Calming and redirecting a person with immediate potential for violence before the situation become dangerous

Distraction

Purposefully shifting attention away from an unwanted sensation, thought, or symptom

Dysphoric

A depressed, uneasy, dissatisfied, or restless mood

Emotional well-being

the ability to understand feelings and cope with stress using effective skills

Environmental well-being

living in surroundings that are safe, pleasant, stimulating, and supportive of health

Euphoric

An unusually elevated or intensely cheerful mood

Euthymic

A stable mood within the expected or usual range

Financial well-being

feeling that present and future financial needs can be managed

Guided imagery

using intentional mental images to promote relaxation or redirect attention

Home visits

Delivery of nursing care in the patient’s living environment to support function, treatment, and community stability

Insight

awareness of one’s own thoughts, feelings, condition, behavior, and how others may view that behavior

Intellectual well-being

Recognizing creative abilities and being able to learn new knowledge and skills

Judgment

The ability to analyze choices, reach a logical decision, and choose an appropriate action

Labile

rapidly changing or unstable mood or affect

Milieu therapy

Use of a stable, structured, therapeutic social and physical environment to promote treatment and growth

Mood

The sustained, overall emotional state the person reports and shows overtime

Occupational well-being

satisfaction, meaning, and enrichment gained from work or productive roles

Open communcation

respectful, willing to share information within a supportive therapeutic relationship

Patient observation

Ongoing assessment of mental status and behavior to detect and prevent potential harm

Personal identify

knowing who one is, including boundaries, strengths, limitations, roles, and values

Physical well-being

Health-promoting function and habits related to sleep, nutrition, activity, self-care, hydration, and physical health

Psychoeducation

teaching skills and information that help patients and families manage psychiatric symptoms and improve function

Reminiscence

Purposeful recall and discussion of past experiences to promote meaning, identity, connection, or coping

Risk factors

characteristics, conditions, situations, or events that increase vulnerability to illness, symptoms worsening, or harm

Self-care

the ability to perform activities of daily living, such as hygiene, dressing, nutrition, and sleep routines

Self-concept

the total view of oneself, made up of body image, self-esteem, and personal identity

Social well-being

a sense of connection, belonging, and support within relationships and community

Self-esteem

A person’s overall attitude toward and satisfaction with themselves

Spiritual care assessment

a respectful exploration of spiritual needs, beliefs, practices, meaning, hope, and desired support

Structured interaction

Purposeful, planned interaction that helps patients relate to others in a safe and useful way

Synchronous communication

real-time telehealth interaction between clinician and patient

Token economy

a behavior program in which desired actions earn tokens that can be exchanged for agreed-upon rewards

Validation

communication and care that affirm the patient’s individuality, humanity, rights, and worth