What is the nurse developing a daily care program for?
Disturbed thought processes The nurse is developing a daily care program for a depressed client who was just admitted to the mental health unit. Which is the best approach when planning activities for this client?
What happens when a client approaches the nurses'station?
The client is calm and quiet. The day nurses in a psychiatric unit are receiving report from the night shift. While this is occurring, a client approaches the nurses' station, becomes very loud and offensive, and demands to be seen by the health care provider (HCP) immediately.
When is a mental health nurse assigned to care for a client?
Remaining with the client A mental health nurse is assigned to care for a client with a diagnosis of acute schizophrenia. The nurse should use which approach when planning care for this client?
Who cares for the client with a diagnosis of acute hypoparathyroidism?
The nurse cares for the client admitted with a diagnosis of acute hypoparathyroidism. It is MOST important for the nurse to have which items available? 1. Tracheostomy set
Why do nurses limit phone use?
Set limits on the client's phone use because of the inability to control behavior. Allow the client to use the phone. The nurse cares for the child who is in Buck's traction. The nurse notes the foot of the uninjured leg feels warmer to touch than that of the broken leg.
What does a nurse inject?
The nurse injects insulin through a single-lumen percutaneous central catheter for the client receiving total parenteral nutrition. 3. The nurse applies lip balm to the lips immediately after performing a blood draw to obtain a specimen.
What is hand washing?
Hand-washing represents an attempt to manipulate the environment to make it more comfortable. 2. Hand-washing externalizes the anxiety from a source within the body to an acceptable substitute outside the body. 3. Hand-washing helps the client avoid undesirable thoughts and maintain some control over guilt and anxiety.
Why is it important to wash your hands?
Hand-washing helps the client avoid undesirable thoughts and maintain some control over guilt and anxiety. 4. Hand-washing helps maintain the client in an active state to resist the effects of depression. Hand-washing helps the client avoid undesirable thoughts and maintain some control over guilt and anxiety.
What should a nurse do if a medical explanation is not found?
Even if a medical explanation is not found, the symptoms are real and distressing to the client. The nurse should provide compassionate care. The nurse should not shift focus onto the insurance company, criticize the other nurse as being judgmental, or suggest the client should be in the psychiatric unit.
Why should a nurse encourage benzodiazepines?
The nurse should encourage conservative use of benzodiazepines in order to reduce the risk of medication dependence. Encouraging the client to rely on the nurse to meet the client's needs reinforces the illness behavior and should be avoided.
What is the term for a situation in which immigrants adapt to and absorb the practices and beliefs of a new culture
Assimilation refers to a situation in which immigrants adapt to and absorb the practices and beliefs of a new culture until these customs are more natural than the ones they learned in their homeland. A nurse is evaluating the effects of treatment for a client with dissociative identity disorder.
What is conversion disorder?
Conversion disorder, or functional neurobiological symptom disorder, is attributed to the channeling of emotional conflicts or stressors into physical symptoms. Symptoms of conversion disorder are not within the client's voluntary control.
What does a nurse do when a client is diagnosed with bipolar disorder?
Assist the client to identify factors that trigger alcohol use you. The nurse provides care for a client who is diagnosed with bipolar disorder. During the period ovulation, which behavior does the nurse expect to see in the. Frenzied and irritable.
What is a psychiatric nurse?
The psychiatric nurse provides care for a client with a diagnosis of paranoid schizophrenia in an inpatient facility. The client refuses to eat food served from the cafeteria and states, "I can't eat this food. Someone is trying to poison me.".
What is ECT therapy?
Benzodiazepines and electro convulsive therapy (ECT) A client with a diagnosis of bipolar disorder is boisterous, quarrelsome, and unusually energetic. Which intervention is most important for the nurse to include in the clients plan of care. Orient the client to reality.
What is the role of a nurse in a client with severe depression?
Assigning the client to a room at the end of the hall. A nurse who is caring for a client with severe depression is planning activities for the client . The nurse goes to the activity room and finds a puzzle; a checkerboard game; a paint-by-number picture; and crayons, colored pencils, and paper for drawing.
How to provide a client with written information about their mental illness?
Supply the client with written information about their mental illness. 4. Provide an opportunity for the family to discuss why they felt the admission was needed. 1. Monitor closely for harm to self or others. The nurse is preparing a client for the termination phase of the nurse-client relationship.
What is termination phase of a nurse-client relationship?
A mental health nurse who has been meeting with a client with a diagnosis of post-traumatic stress disorder is in the termination phase of the nurse-client relationship. The nurse notes that the client has been quiet and withdrawn.
What is a nurse assessment?
3. Unconsciously controlling unpleasant thoughts or feelings. A nurse is performing an assessment on a client being admitted to the mental health unit. During the interview, the nurse discovers that the client suffered a severe emotional trauma 1 month earlier and is now experiencing paralysis of the right arm.