Podcast
Questions and Answers
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
- Therapy is the only treatment option.
- The client is at greatest risk for suicide during the first weeks of an MDD episode. (correct)
- Medication is not needed for the client.
- The client has a strong support system.
Which of the following findings should the nurse expect in a 25-year-old client who has a new diagnosis of dysthymic disorder?
Which of the following findings should the nurse expect in a 25-year-old client who has a new diagnosis of dysthymic disorder?
- Presence of manifestations for at least 1 year.
- Presence of symptoms for less than 6 months.
- Presence of manifestations for at least 2 years. (correct)
- Presence of manifestations for at least 2 months.
Which of the following interventions should the nurse include in the care plan for a client who has bipolar disorder and is experiencing a manic episode? (Select all that apply)
Which of the following interventions should the nurse include in the care plan for a client who has bipolar disorder and is experiencing a manic episode? (Select all that apply)
- Offer concise explanations. (correct)
- Use a firm approach with communication. (correct)
- Encourage the client to engage in group activities.
- Establish consistent limits. (correct)
- Allow the client to make decisions.
ECT is effective for clients who are experiencing severe mania.
ECT is effective for clients who are experiencing severe mania.
What should the nurse say to a client who states, 'I am very rich, and I feel I must give my money to you'?
What should the nurse say to a client who states, 'I am very rich, and I feel I must give my money to you'?
What is the priority nursing action for a client who has bipolar disorder?
What is the priority nursing action for a client who has bipolar disorder?
Which statements about relapse prevention in bipolar disorder should the nurse include in the teaching? (Select all that apply)
Which statements about relapse prevention in bipolar disorder should the nurse include in the teaching? (Select all that apply)
How should the nurse respond to a client experiencing auditory hallucinations saying, 'The voices won't leave me alone!'? (Select all that apply)
How should the nurse respond to a client experiencing auditory hallucinations saying, 'The voices won't leave me alone!'? (Select all that apply)
Which of the following findings should the nurse document as positive symptoms in a client who has schizophrenia? (Select all that apply)
Which of the following findings should the nurse document as positive symptoms in a client who has schizophrenia? (Select all that apply)
What statement indicates the client is experiencing depersonalization?
What statement indicates the client is experiencing depersonalization?
What is the first action the nurse should take for a client reporting hearing voices telling her to 'kill your doctor'?
What is the first action the nurse should take for a client reporting hearing voices telling her to 'kill your doctor'?
What should the nurse ask when the client seems distracted while speaking with him?
What should the nurse ask when the client seems distracted while speaking with him?
It is important to practice limit-setting to help prevent client manipulation.
It is important to practice limit-setting to help prevent client manipulation.
What statement is expected from a client who has avoidant personality disorder?
What statement is expected from a client who has avoidant personality disorder?
Which defense mechanism is exemplified by the client saying, 'The nurse on the evening shift is always nice! You are the meanest nurse ever!'?
Which defense mechanism is exemplified by the client saying, 'The nurse on the evening shift is always nice! You are the meanest nurse ever!'?
What findings should the nurse expect in a client with antisocial personality disorder? (Select all that apply)
What findings should the nurse expect in a client with antisocial personality disorder? (Select all that apply)
Which personality characteristics should the nurse include in the teaching on personality disorders? (Select all that apply)
Which personality characteristics should the nurse include in the teaching on personality disorders? (Select all that apply)
What should the nurse teach a client about donepezil for early stage Alzheimer's disease?
What should the nurse teach a client about donepezil for early stage Alzheimer's disease?
What should the nurse say to a client with major neurocognitive disorder attempting to wander out of the building?
What should the nurse say to a client with major neurocognitive disorder attempting to wander out of the building?
Which suggestions should the nurse make to decrease the client's risk for injury who has Alzheimer's disease? (Select all that apply)
Which suggestions should the nurse make to decrease the client's risk for injury who has Alzheimer's disease? (Select all that apply)
What action should the nurse take when a caregiver discusses concerns about a client with Alzheimer's disease?
What action should the nurse take when a caregiver discusses concerns about a client with Alzheimer's disease?
Which findings should the nurse expect in a client with delirium related to an acute UTI? (Select all that apply)
Which findings should the nurse expect in a client with delirium related to an acute UTI? (Select all that apply)
What should the nurse include in a presentation about substance use in older adults?
What should the nurse include in a presentation about substance use in older adults?
Which findings should the nurse expect in a client with alcohol use disorder experiencing withdrawal? (Select all that apply)
Which findings should the nurse expect in a client with alcohol use disorder experiencing withdrawal? (Select all that apply)
What should the nurse identify as the priority intervention for a client experiencing benzodiazepine withdrawal?
What should the nurse identify as the priority intervention for a client experiencing benzodiazepine withdrawal?
What medication should the nurse anticipate administering to a client with alcohol use disorder to maintain abstinence?
What medication should the nurse anticipate administering to a client with alcohol use disorder to maintain abstinence?
Which statements by a family member indicate understanding of the teaching about a client with substance use disorder? (Select all that apply)
Which statements by a family member indicate understanding of the teaching about a client with substance use disorder? (Select all that apply)
Which questions should the nurse include when obtaining a nursing history from a client with anorexia nervosa? (Select all that apply)
Which questions should the nurse include when obtaining a nursing history from a client with anorexia nervosa? (Select all that apply)
What statement indicates a client with anorexia nervosa is experiencing cognitive distortion catastrophizing?
What statement indicates a client with anorexia nervosa is experiencing cognitive distortion catastrophizing?
Which findings are expected for a client with bulimia nervosa with purging behavior? (Select all that apply)
Which findings are expected for a client with bulimia nervosa with purging behavior? (Select all that apply)
What nursing action should be included in a care plan for a client with anorexia nervosa with binge-eating and purging behavior?
What nursing action should be included in a care plan for a client with anorexia nervosa with binge-eating and purging behavior?
What response should the nurse make to a client who has bulimia nervosa and has stopped purging behavior but is afraid of gaining weight?
What response should the nurse make to a client who has bulimia nervosa and has stopped purging behavior but is afraid of gaining weight?
Which risk factors for somatic symptom disorder should be included in teaching? (Select all that apply)
Which risk factors for somatic symptom disorder should be included in teaching? (Select all that apply)
Which finding should the nurse identify as placing a client at risk for conversion disorder?
Which finding should the nurse identify as placing a client at risk for conversion disorder?
Which findings should the nurse expect in a client with illness anxiety disorder? (Select all that apply)
Which findings should the nurse expect in a client with illness anxiety disorder? (Select all that apply)
What action should the nurse include in the care plan for a client with conversion disorder?
What action should the nurse include in the care plan for a client with conversion disorder?
What statement should the nurse expect from a client with factitious disorder imposed on another?
What statement should the nurse expect from a client with factitious disorder imposed on another?
What information should the nurse provide to a client who has a new prescription for diazepam for generalized anxiety disorder?
What information should the nurse provide to a client who has a new prescription for diazepam for generalized anxiety disorder?
What is the nurse's priority action for a client with benzodiazepine toxicity due to an overdose?
What is the nurse's priority action for a client with benzodiazepine toxicity due to an overdose?
What statement indicates the client understands the use of fluoxetine for treatment of generalized anxiety disorder?
What statement indicates the client understands the use of fluoxetine for treatment of generalized anxiety disorder?
Which findings should the nurse report to the provider as indications of serotonin syndrome after a client has received an initial dose of fluoxetine? (Select all that apply)
Which findings should the nurse report to the provider as indications of serotonin syndrome after a client has received an initial dose of fluoxetine? (Select all that apply)
What measures can manage the client's bruxism who is taking paroxetine for PTSD? (Select all that apply)
What measures can manage the client's bruxism who is taking paroxetine for PTSD? (Select all that apply)
What statement indicates an understanding of the teaching about a new prescription for amitriptyline?
What statement indicates an understanding of the teaching about a new prescription for amitriptyline?
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching regarding mental status exams? (Select all that apply)
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching regarding mental status exams? (Select all that apply)
What is an example of a psychobiological intervention when caring for a client with a mental health disorder?
What is an example of a psychobiological intervention when caring for a client with a mental health disorder?
What should a nurse identify as the priority during an initial client interview?
What should a nurse identify as the priority during an initial client interview?
What finding should a nurse expect when assessing a stuporous client?
What finding should a nurse expect when assessing a stuporous client?
Which information is appropriate to include in a discussion about the DSM-5? (Select all that apply)
Which information is appropriate to include in a discussion about the DSM-5? (Select all that apply)
Which client requires a temporary emergency admission to a mental health facility?
Which client requires a temporary emergency admission to a mental health facility?
A nurse decides to put a client in seclusion overnight due to staffing issues. This action is an example of which tort?
A nurse decides to put a client in seclusion overnight due to staffing issues. This action is an example of which tort?
What action should a nurse take upon learning a client has hidden a sharp knife under their mattress?
What action should a nurse take upon learning a client has hidden a sharp knife under their mattress?
Which documentation statements should a nurse include about a client in mechanical restraints? (Select all that apply)
Which documentation statements should a nurse include about a client in mechanical restraints? (Select all that apply)
What should a nurse do first after overhearing a newly licensed nurse discussing a client's hallucinations?
What should a nurse do first after overhearing a newly licensed nurse discussing a client's hallucinations?
What response should a nurse give to a mother concerned about her child's behavior?
What response should a nurse give to a mother concerned about her child's behavior?
What defense mechanism is a client using if they deny their coughing is related to lung cancer?
What defense mechanism is a client using if they deny their coughing is related to lung cancer?
What level of anxiety is indicated in a client reporting feeling shaky and nervous?
What level of anxiety is indicated in a client reporting feeling shaky and nervous?
Which actions should a nurse take when caring for a client experiencing moderate anxiety? (Select all that apply)
Which actions should a nurse take when caring for a client experiencing moderate anxiety? (Select all that apply)
What should a nurse say to a client at risk for suicide following a loss?
What should a nurse say to a client at risk for suicide following a loss?
Which characteristics should be included in a discussion about nurse-client relationships? (Select all that apply)
Which characteristics should be included in a discussion about nurse-client relationships? (Select all that apply)
What indicates transference behavior in a client during therapy?
What indicates transference behavior in a client during therapy?
What action should a nurse include in the plan of care for the termination phase of a nurse-client relationship?
What action should a nurse include in the plan of care for the termination phase of a nurse-client relationship?
What statement should a nurse make when orienting a new client to community meetings?
What statement should a nurse make when orienting a new client to community meetings?
Which client should a nurse visit first based on reported symptoms?
Which client should a nurse visit first based on reported symptoms?
What intervention should a nurse plan as tertiary prevention for depression among older adults?
What intervention should a nurse plan as tertiary prevention for depression among older adults?
Which services do community mental health programs provide? (Select all that apply)
Which services do community mental health programs provide? (Select all that apply)
What follow-up care is appropriate for a client needing supervision after discharge?
What follow-up care is appropriate for a client needing supervision after discharge?
What client might be considered for referral to an assertive community treatment (ACT) group?
What client might be considered for referral to an assertive community treatment (ACT) group?
What indicates understanding of classical psychoanalysis for a client with an anxiety disorder?
What indicates understanding of classical psychoanalysis for a client with an anxiety disorder?
What indicates understanding of the free association technique in therapy?
What indicates understanding of the free association technique in therapy?
Which cognitive reframing techniques should a nurse implement for a client with anxiety? (Select all that apply)
Which cognitive reframing techniques should a nurse implement for a client with anxiety? (Select all that apply)
What type of treatment is indicated by a nurse who informs a client that disulfiram can cause nausea and vomiting if alcohol is consumed?
What type of treatment is indicated by a nurse who informs a client that disulfiram can cause nausea and vomiting if alcohol is consumed?
What should a nurse do when assisting with systematic desensitization for a client with a fear of elevators?
What should a nurse do when assisting with systematic desensitization for a client with a fear of elevators?
What demonstrates democratic leadership in group settings?
What demonstrates democratic leadership in group settings?
Which activities should a nurse include in the initial phase of group therapy for bereavement? (Select all that apply)
Which activities should a nurse include in the initial phase of group therapy for bereavement? (Select all that apply)
What does a hidden agenda in a group refer to?
What does a hidden agenda in a group refer to?
What indicates manipulation by an adolescent during a family therapy session?
What indicates manipulation by an adolescent during a family therapy session?
What is an individual role in group dynamics as identified by a nurse?
What is an individual role in group dynamics as identified by a nurse?
What should be included in a discussion about stress during an educational seminar?
What should be included in a discussion about stress during an educational seminar?
Which effects should be identified as acute stress responses? (Select all that apply)
Which effects should be identified as acute stress responses? (Select all that apply)
What statement indicates understanding of stress-reduction techniques?
What statement indicates understanding of stress-reduction techniques?
What recommendation should a nurse make to a client experiencing stress due to pressure from a significant other?
What recommendation should a nurse make to a client experiencing stress due to pressure from a significant other?
What demonstrates effective communication when discussing workload stress with a coworker?
What demonstrates effective communication when discussing workload stress with a coworker?
What indicates understanding of client education regarding ECT?
What indicates understanding of client education regarding ECT?
What understanding of TMS is indicated by a newly licensed nurse?
What understanding of TMS is indicated by a newly licensed nurse?
What findings should a nurse expect when assessing a client immediately following an ECT procedure? (Select all that apply)
What findings should a nurse expect when assessing a client immediately following an ECT procedure? (Select all that apply)
Which indication for ECT should be included in a nurse's discussion?
Which indication for ECT should be included in a nurse's discussion?
What adverse effects should a nurse monitor for in a client who has undergone surgical implantation of a VNS device? (Select all that apply)
What adverse effects should a nurse monitor for in a client who has undergone surgical implantation of a VNS device? (Select all that apply)
What is an underlying reason for the repetitive behavior observed in a client with OCD?
What is an underlying reason for the repetitive behavior observed in a client with OCD?
What action should a nurse take when caring for a client experiencing a panic attack?
What action should a nurse take when caring for a client experiencing a panic attack?
Which findings should a nurse expect when assessing a client with generalized anxiety disorder? (Select all that apply)
Which findings should a nurse expect when assessing a client with generalized anxiety disorder? (Select all that apply)
What should the nurse's first action be for a client with body dysmorphic disorder?
What should the nurse's first action be for a client with body dysmorphic disorder?
What should a nurse say to a client with acute stress disorder experiencing severe anxiety?
What should a nurse say to a client with acute stress disorder experiencing severe anxiety?
What findings should a nurse expect in a client with PTSD? (Select all that apply)
What findings should a nurse expect in a client with PTSD? (Select all that apply)
What strategies should a nurse use to prevent developing a trauma-related disorder after a mass casualty incident? (Select all that apply)
What strategies should a nurse use to prevent developing a trauma-related disorder after a mass casualty incident? (Select all that apply)
What information should a nurse expect to collect during an admission history for a client with acute stress disorder?
What information should a nurse expect to collect during an admission history for a client with acute stress disorder?
What indicates derealization in a client?
What indicates derealization in a client?
What intervention should be included in the care plan for a client with dissociative fugue?
What intervention should be included in the care plan for a client with dissociative fugue?
What factors put a client at risk for depression? (Select all that apply)
What factors put a client at risk for depression? (Select all that apply)
What is the nurse's priority action when admitting a client with major depressive disorder and comorbid anxiety disorder?
What is the nurse's priority action when admitting a client with major depressive disorder and comorbid anxiety disorder?
What indicates understanding of premenstrual dysphoric disorder (PMDD) in a client?
What indicates understanding of premenstrual dysphoric disorder (PMDD) in a client?
Flashcards
Mental Status Exam
Mental Status Exam
Assessment of cognitive ability, affect, and language skills.
Psychobiological Interventions
Psychobiological Interventions
Care planning that includes monitoring medication side effects.
Initial Client Interview
Initial Client Interview
Identifying client's perception of mental health status.
Stuporous Client
Stuporous Client
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DSM-5
DSM-5
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Emergency Admission
Emergency Admission
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False Imprisonment
False Imprisonment
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Confidentiality Concerns
Confidentiality Concerns
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Documentation Requirements
Documentation Requirements
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Confidentiality Violations
Confidentiality Violations
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Defense Mechanisms
Defense Mechanisms
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Moderate Anxiety
Moderate Anxiety
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Coping Mechanisms
Coping Mechanisms
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Suicide Risk Communication
Suicide Risk Communication
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Nurse-Client Relationship
Nurse-Client Relationship
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Transference
Transference
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Termination Phase
Termination Phase
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Community Meetings
Community Meetings
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Assessing Community Care Risk
Assessing Community Care Risk
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Tertiary Prevention for Depression
Tertiary Prevention for Depression
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Partial Hospitalization Program
Partial Hospitalization Program
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Study Notes
Mental Status Exams
- Assess cognitive ability by asking clients to count backward by sevens.
- Evaluate affect through observation of facial expressions.
- Language ability can be tested by instructing clients to write a sentence.
Psychobiological Interventions
- Monitor clients for adverse effects of medications as part of care planning.
Initial Client Interview
- Prioritize identifying the client's perception of their mental health status during interviews.
Stuporous Client Assessment
- Expect that a stuporous client may only briefly arouse in response to a sternal rub.
DSM-5 Overview
- The DSM-5 provides diagnostic criteria for mental health disorders.
- Assists healthcare professionals in planning care.
- Indicates expected assessment findings relevant to mental health disorders.
Emergency Admissions
- Identify clients requiring temporary emergency admission, like those who have assaulted others.
Legal Considerations in Care
- Seclusion of clients without proper justification can be considered false imprisonment.
Confidentiality Concerns
- Report threats to safety, such as clients hiding weapons, to the healthcare team without informing the client of this action.
Documentation Requirements
- Document client care consistently including hydration offers, behavior, and any medications administered.
Confidentiality Violations
- Address inappropriate discussions regarding clients’ conditions in public settings immediately.
Supporting Parents
- Provide reassurance to parents by discussing specific concerns regarding their child's behavior.
Defense Mechanisms
- Clients may use denial when they rationalize their conditions, such as smoking while diagnosed with lung cancer.
Levels of Anxiety
- Moderate anxiety is characterized by physical symptoms like increased respiratory rate and nervousness.
Coping Mechanisms
- Engage clients with moderate anxiety by discussing their coping strategies and using clear, calm directions.
Suicide Risk Communication
- Acknowledge the emotional impact of loss when conversing with clients at risk for suicide.
Nurse-Client Relationship
- Nurse-client relationships should be goal-directed, encourage behavioral change, and include established termination dates.
Transference in Therapy
- Transference occurs when clients project feelings from past relationships onto the nurse, indicating unresolved personal issues.
Termination Phase Care
- Important to discuss ways to utilize new coping behaviors during the termination phase of therapy.
Community Meetings
- Community meetings on mental health units allow clients to discuss common issues collaboratively with staff.
Assessing Risk in Community Care
- Prioritize visits to clients expressing suicidal thoughts, showing high risk.
Tertiary Prevention for Depression
- Rehabilitation programs can effectively address depression among older adults.
Community Mental Health Services
- Community programs may include educational groups, medication dispensing, individual counseling, and family therapy.
Partial Hospitalization Program
- Suggest partial hospitalization as follow-up for clients needing supervision due to severe mental illness.
Assertive Community Treatment (ACT)
- Refer clients who frequently miss appointments and require ongoing support for conditions like schizophrenia.
Classical Psychoanalysis
- Focus of classical psychoanalysis is on exploring clients' past relationships to understand current issues.
Free Association Technique
- Encourage clients to express their thoughts freely during therapy without censorship.
Cognitive Reframing Techniques
- Techniques include priority restructuring, monitoring negative thoughts, and maintaining a journal.
Aversion Therapy
- Disulfiram can be used as aversion therapy by causing adverse reactions to alcohol consumption in clients with alcohol use disorder.
Systematic Desensitization
- Gradual exposure combined with relaxation techniques can help clients overcome fears, such as fear of elevators.
Group Leadership Styles
- Demonstrating democratic leadership involves facilitating group processes without intervention.
Initial Phase of Group Therapy
- Define the purpose, discuss termination, and ensure confidentiality in the initial sessions of group therapy.
Hidden Agenda in Groups
- Members may use group time to pursue personal interests or issues not related to the therapeutic goal.
Identification of Dysfunctional Behavior
- Manipulation within family dynamics, such as siblings trying to outshine each other for parental approval, signifies unhealthy patterns.
Individual Roles in Therapy Groups
- Individual roles may include bragging about achievements, which can disrupt group dynamics.
Effects of Stress
- Excessive stressors may lead to distress for clients, highlighting the impact of stress on mental health.
Acute Stress Response
- Acute stress can manifest through symptoms like chronic pain, depressed immune function, and general unhappiness.
Stress-Reduction Techniques
- Cognitive reframing helps clients shift irrational thoughts toward more positive interpretations.
Assertiveness Techniques
- Encourage clients under pressure to use assertiveness to navigate relationship challenges.
Effective Communication Strategies
- Help clients articulate their feelings and needs clearly to foster healthy workplace relationships.
Educating on ECT
- Educate clients scheduled for ECT about the pre-procedure protocol, including the administration of muscle relaxants.
TMS (Transcranial Magnetic Stimulation)
- Schedule TMS treatments frequently during the initial weeks for effective therapeutic outcomes.
Post-Electroconvulsive Therapy (ECT) Monitoring
- Following ECT, expect clients to potentially experience memory loss, nausea, and confusion.
Indications for ECT
- ECT may be indicated for conditions such as bipolar disorder with rapid cycling.
Monitoring for Device Complications
- Post-implantation of VNS (Vagus Nerve Stimulation), watch for voice changes, dysphagia, and neck pain.
Behavior in OCD
- Clients may engage in repetitive behaviors as attempts to reduce anxiety stemming from obsessive thoughts.
Panic Attack Management
- Remain present and maintain silence with clients during panic attacks to provide reassurance.
Generalized Anxiety Disorder Findings
- Expect clients to show patterns of excessive worry, restlessness, and a need for constant reassurance.
Self-Harm Risk in Body Dysmorphic Disorder
- Assess for risks of self-harm first when working with clients exhibiting body dysmorphic disorder.
Crisis in Acute Stress Disorder
- Encourage clients experiencing severe anxiety to share their feelings openly during assessments.
PTSD Characteristics
- Expect difficulty concentrating, negative self-image, and recurring nightmares in clients with PTSD.
Preventing Trauma Disorders in Staff
- Encourage staff involved in mass casualty incidents to take breaks, participate in debriefings, and access counseling.
Admission History for Acute Stress Disorder
- Clients may describe a sense of unreality about their traumatic experiences during assessments.
Derealization Indicators
- Clients may express feelings that their surroundings appear distorted or unreachable.
Planning for Dissociative Fugue
- Incorporate grounding techniques into care plans for clients with dissociative fugue.
Risk Factors for Depression
- Age, gender, chronic health conditions, and marital status are significant risk factors for developing depression.
Priority Actions in Major Depressive Disorder
- Monitoring clients closely, particularly on one-to-one observation, is crucial in acute settings.
Educational Insights on PMDD
- Clients should express understanding that PMDD may cause rapid mood fluctuations.
Suicide Risk in MDD
- Highest suicide risk occurs in the initial weeks of a major depressive episode, necessitating careful monitoring.
Dysthymic Disorder Manifestations
- Expect to find manifestations of dysthymic disorder lasting at least two years in affected clients.
Care for Bipolar Clients in Manic Episodes
- Use concise communication, establish limits, and communicate firmly to manage clients in manic states.
ECT for Bipolar Disorder
- ECT can effectively treat severe mania associated with bipolar disorder.
Handling Financial Offers from Clients
- Maintain professional boundaries by refusing monetary gifts from clients while providing care.
Escalating Behavior in Bipolar Clients
- Vigilance is necessary to monitor for escalating behaviors in clients diagnosed with bipolar disorder.
Education on Relapse Prevention
- Teach clients that changes in sleep patterns and participation in therapy can indicate potential relapses in bipolar disorder.### Anhedonia
- Anhedonia is a clinical symptom associated with depressive relapses, indicating a loss of interest or pleasure in previously enjoyable activities.
Substance-Induced Psychotic Disorder
- For clients experiencing auditory hallucinations, ask about the onset of symptoms and empathize with their fearfulness.
- Assess the content of voices, especially concerning self-harm.
Schizophrenia Assessment
- Document positive symptoms such as auditory hallucinations, clang associations, and delusions of persecution.
Schizoaffective Disorder
- A statement indicating depersonalization is, "I am no one, and everyone is me."
Client Safety
- When a client expresses intent to harm, initiate one-to-one observation to ensure safety.
Altered Attention
- If a client stops focusing and talks to themselves, inquire if they are perceiving something visually.
Personality Disorders
- Understanding of personality disorder management includes practicing limit-setting to prevent client manipulation.
- Clients with avoidant personality disorder may express excessive fears of abandonment.
Borderline Personality Disorder
- "Splitting" is a defense mechanism where patients idealize one nurse and devalue another.
Antisocial Personality Disorder
- Common behaviors include manipulating others for possessions and refusing personal accountability.
Personality Disorder Characteristics
- Nurses should recognize difficulty in interpersonal relationships, reliance on defense mechanisms, and lack of understanding in professional boundary issues among personality disorder clients.
Neurocognitive Disorders
- Donepezil may help slow cognitive decline in Alzheimer's disease.
- For clients in long-term care with wandering tendencies, guidance should be offered to reassure them.
Safety in Alzheimer's Care
- Recommendations include installing childproof locks, placing mattresses on the floor, and installing adequate lighting near stairs.
Respite Care for Caregivers
- Providing information on respite care resources can help alleviate caregiver stress related to Alzheimer's management.
Delirium Assessment
- Expect findings such as personality changes, hallucinations, and restlessness in clients with delirium due to acute infections.
Substance Use in Older Adults
- Acknowledgment that older adults have heightened risks for substance issues following retirement.
Alcohol Withdrawal Symptoms
- Withdrawal manifestations may include fine tremors, vomiting, and restlessness.
Benzodiazepine Withdrawal
- Priority intervention includes implementing seizure precautions for clients undergoing withdrawal.
Alcohol Abstinence
- Disulfiram can assist clients in maintaining abstinence from alcohol once withdrawal symptoms subside.
Family Education on Substance Use Disorder
- Promoting recovery involves eliminating codependent behaviors and fostering open discussions about substance use.
Anorexia Nervosa Assessment
- Important questions for assessment include inquiries about family dynamics, eating habits, and self-perception related to appearance.
Cognitive Distortion in Anorexia
- Statements such as "Life isn't worth living if I gain weight" indicate catastrophic thinking.
Bulimia Nervosa Findings
- Expect results like hypokalemia and slightly elevated body weight during assessments.
Anorexia with Purging Behavior
- Implement one-to-one monitoring during meal times to ensure safety and adherence to treatment.
Client Concerns in Bulimia Recovery
- Acknowledge fears of weight gain while redirecting discussions to recent positive accomplishments.
Somatic Symptom Disorder Risk Factors
- Associated risks include anxiety disorders and female gender.
Conversion Disorder Risk Factors
- Recent significant stressors, such as the death of a child, can increase the risk.
Findings in Illness Anxiety Disorder
- Common features include obsessive disease thoughts, a history of childhood abuse, avoidance of healthcare providers, and co-existing depressive disorders.
Care Plan for Conversion Disorder
- Facilitate discussions about alternative coping strategies to support client recovery.
Factitious Disorder
- Statements may reveal a need for parental care by creating sickness in a child.
Diazepam Education
- Warn clients to report any confusion as a potential sign of toxicity.
Benzodiazepine Overdose Priority Actions
- Assessing the client's orientation level is crucial in overdose situations.
Fluoxetine Patient Education
- Clients must understand the importance of gradual medication discontinuation.
Serotonin Syndrome Indicators
- Report findings like hallucinations, diaphoresis, and agitation following medication adjustments.
Bruxism Management
- Possible interventions include prescribing buspirone, using a mouthguard, or switching to an alternate medication class for anxiety.
Amitriptyline Patient Education
- Clients should be aware of potential drowsiness in the initial weeks of treatment.
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