Psychiatric Nursing: Therapeutic Communication and Safety

Course Purpose

This course provides and overview of therapeutic communication, its components, barriers, and its effects in caring for person with mental health.

Continuing Education Credit Designation

This educational activity is credited for 3 contact hours at completion of the activity.

Overview

This course provides and overview of therapeutic communication, its components, barriers, and its effects in caring for person with mental health.

Objectives

Upon completion of this independent study, the learner will be able to:

1. State the retrieved definition of therapeutic communication and name the theorist whose Theory of Interpersonal Relations grounded it in nursing.
2. Explain the reported caution about eye contact and physical proximity with patients who have psychotic disorders or paranoia.
3. List the barriers to therapeutic communication reported in the retrieved review, and state what the literature reports about the time cost of an empathic response.
4. Name the components of the mental status examination as the retrieved chapter lists them.
5. Explain why the retrieved chapter treats suicidal and homicidal thought content separately from ideation in general.
6. State the recommended indirect phrasing for eliciting persecutory delusions and the reason given for it.
7. State the reported United States age-adjusted suicide rate for 2021 and the reported change in that rate between 2000 and 2018.
8. State the reported 2021 counts of adults with suicidal thoughts, plans and attempts and the number of deaths, and describe the spectrum from passive to active ideation.
9. Identify the circumstance in which the retrieved chapter classes suicidal ideation as a psychiatric emergency.
10. Describe agitation as the retrieved chapter describes it, including the DSM-5-TR characterisation and the distinction from aggression.
11. State the reported prevalence figures for verbal aggression, physical aggression and destructive behaviour in the cited dementia study and the reported primary precipitant.
12. Describe the verbal de-escalation posture reported in the retrieved review.
13. State the federal provision on the patient's right to be free from restraint and seclusion and the conditions under which they may be used.
14. Name the reported physical and psychological harms of restraint and seclusion, including the specific risk of prone manual holds.
15. List the reported strategies for preventing escalation to restraint or seclusion, including comfort rooms and response teams.
16. State the three conditions under which involuntary treatment is typically applied and the rights that a person under involuntary treatment retains.
17. State the reported symptom groupings in schizophrenia, its reported worldwide prevalence, and the reported life-expectancy and suicide figures.
18. State what the retrieved chapters report about bipolar disorder's episode pattern and initial misdiagnosis, and about the lifetime prevalence and sex ratio of major depressive disorder.
19. Recognise neuroleptic malignant syndrome, serotonin syndrome and lithium toxicity from the features reported in the retrieved chapters, and state the first treatment step each chapter gives.
20. State the reported clozapine agranulocytosis risk, the ANC thresholds defining neutropenia and agranulocytosis, and the reported myocarditis window.
21. State the reported timing, severity scale cut-offs and mortality figures for alcohol withdrawal and alcohol withdrawal delirium.
22. Distinguish delirium from dementia using the reported features, and state the reported rule about new visual hallucinations in an older adult.

Who this course is for:

Advanced Practice Registered Nurses, registered nurses, licensed practical or vocational nurses, and other healthcare providers in any setting who want continuing education on Psychiatric Nursing: Therapeutic Communication and Safety.

Course outline

12 sections · finish in any order across devices

1. 1

   Course overview and learning objectives

2. 2

   Introduction

3. 3

   What therapeutic communication is, and what gets in its way

4. 4

   The mental status examination as structured nursing observation

5. 5

   Suicidal ideation: the numbers, the spectrum, and the emergency

6. 6

   Agitation: recognising it, understanding its causes, and talking it down

7. 7

   Restraint and seclusion: a last resort with a regulatory floor

8. 8

   Involuntary commitment: scope, limits, and the nurse's role

9. 9

   Schizophrenia, bipolar disorder and major depressive disorder at the bedside

10. 10

    Emergencies that look psychiatric: NMS, serotonin syndrome, delirium and withdrawal

11. 11

    Nursing Considerations

12. 12

    Conclusion

This Course Satisfies

Requirement summaries come from our state requirement records. All Users of Fast CE For Less’s website and content are responsible for knowing their state’s license and renewal requirements.

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