08.01 Psychological Review for CCRN Review

Nursing Points

General

1. Communication in Psychosocial Emergencies
   1. Listen
   2. Accept
   3. Other self
      1. Maintain a non-threatening tone and Non-threatening posture
      2. Open ended questions
      3. Restate/paraphrase what the patient has stated
      4. Encourage perceptions — The patient gives their understanding of the situation
         1. Minimizes negativity towards the patients perceptions
         2. Decreases risk for further agitation
      5. Seek clarification of the patient
2.  Aggressive, Abusive, Violent patients
   1.  Identify self
   2.  Speak slowly and clearly with a non-threatening approach
   3.  Listen
      1. Be non-judgmental and compassionate
      2. Show Respect
         1.  Body language
         2. Space
         3. Look for changes in emotions
3. Use of restraints
   1. Restraints are appropriate when there is:
      1. Acute danger to self or others or the patient is engaged in violent, dangerous behavior
   2.  Restraints are sometimes appropriate in:
      1. Involuntary patients but depends on their behavior
   3. Restraints are never appropriate when:
      1. History of aggression
      2. Lack of supervision
      3. Voluntary patients
      4. No presence of acute danger