Psychiatric And Mental Health Nursing Discussion Paper

Posted on March 31, 2023

Psychiatric And Mental Health Nursing Discussion Paper

An RN is working with a 34-year-old patient admitted after surgical removal of a ruptured spleen and an open reduction internal fixation of her left femur after a multiple vehicle accident in which it has been determined that her husband was driving under the influence of alcohol. Her husband and a passenger in the second car were killed in the accident. In her acute grieving state, the patient verbalizes excessive guilt, stating she never should have let her husband drive after drinking at a party earlier on the evening of the accident. The patient tearfully sobs, “I’ve taken away my babies’ father, lost another family their loved one, and caused terrible grief to everyone! It’s all my fault. If only I’d insisted that I drive. I knew he’d been drinking, but it didn’t seem like he was drunk. This is all my fault! Everyone must really hate me. They must wish that it was me who died. I know I do.”

a. What techniques can the nurse use to help develop a therapeutic relationship?

b. Explain what events will occur in the working phase of this particular relationship.

Expert Answer

This solution was written by a subject matter expert. It’s designed to help students like you learn core concepts. Psychiatric And Mental Health Nursing Discussion Paper

Step-by-step

Step 1/2
a. Some techniques the nurse can use to help develop a therapeutic relationship with this patient include:
  1. Active listening: This involves fully focusing on the patient and what they are saying, and showing that you are listening and understanding through nonverbal cues such as eye contact and nodding.
  2. Empathy: This involves understanding and being able to share the patient’s feelings. The nurse can demonstrate empathy by saying things like “I can imagine how difficult this must be for you,” or “I can see that you’re feeling overwhelmed.”
  3. Genuineness: This involves being authentic and genuine in your interactions with the patient. The nurse should be honest and open, and not try to hide their own feelings or thoughts.
  4. Respect: The nurse should always treat the patient with respect, and be aware of the patient’s needs and boundaries. Psychiatric And Mental Health Nursing Discussion Paper
Step 2/2
During the working phase of this particular relationship, the nurse will likely work with the patient to address the patient’s feelings of guilt and self-blame, and help the patient cope with the loss of her husband and the changes in her life following the accident. This may involve helping the patient to process her feelings, exploring coping mechanisms, and providing emotional support as the patient navigates her grief. The nurse may also work with the patient to develop a plan for addressing any physical or emotional challenges she faces as she recovers from her injuries.

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Final answer
Therapeutic relationship techniques are an important part of psychiatric and mental health nursing, as they help to establish trust and rapport with patients and facilitate the healing process. Some key techniques include active listening, empathy, genuineness, and respect. By using these techniques, nurses can help to develop a therapeutic relationship with their patients and provide them with the support and care they need to heal and recover. For more understanding go through step one and two. Psychiatric And Mental Health Nursing Discussion Paper

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