What is involved in the treatment of Abigail?
The PN accompanies Abigail to the treatment room and assists Abigail onto a stretcher. An IV line is inserted and EEG monitoring pads are placed, which consists of electrodes on the forehead and mastoid. Blood pressure and pulse are also monitored.
When should Abigail begin to feel less depressed?
When should Abigail begin to feel less depressed? 4 weeks. 3-4 days. 1-3 weeks. 6 weeks. The PN should be aware of common side effects of SSRI antidepressants such as
How does Abigail describe her mood after the admission assessment?
After the RN completes the admission assessment, the practical nurse (PN) asks Abigail what has brought her to the hospital. Abigail replies, "Things just aren't right" and begins to cry. After further conversation, Abigail describes her mood as "very sad now." She rarely goes out or invites friends to visit.
What does the PN do when Abigail is in the hospital?
The PN stays with Abigail until an unlicensed assistive personnel (UAP) arrives and safety precautions are initiated. The UAP must keep Abigail within sight at all times, and
Which behavior is inconsistent with depression?
Results: We observed that depressive patients were more impulsive and time-inconsistent in intertemporal choice action for gain and loss, in comparison to healthy controls.
Which side effects commonly occur in clients who are taking SSRI antidepressants?
Common side effects of SSRIs can include:feeling agitated, shaky or anxious.feeling or being sick.indigestion.diarrhoea or constipation.loss of appetite and weight loss.dizziness.blurred vision.dry mouth.More items...
Which of the following are initial problems nursing diagnoses or collaborative problems to be addressed with Gerry?
Which of the following are initial problems (Nursing Diagnoses or Collaborative Problems) to be addressed with Gerry? You need to continue building your relationship with Gerry, and make plans for interacting with him. These plans appropriately include: Scheduling short periods of time for your meeting with Gerry.
Which of the following side effects are associated with the use of tricyclic antidepressants?
Tricyclic antidepressants (TCAs)dry mouth.slight blurring of vision.constipation.problems passing urine.drowsiness.dizziness.weight gain.excessive sweating (especially at night)More items...
What happens if you take an SSRI and don't need it?
There is new reason to be cautious about using popular antidepressants in people who are not really depressed. For the first time, research has shown that a widely used antidepressant may cause subtle changes in brain structure and function when taken by those who are not depressed.
How do nurses promote patient safety and improve quality at your workplace?
Educating patients on their post-discharge care is a simple, yet effective, example of how nurses can improve patient safety. By working with patients to ensure they have a thorough understanding of their medical condition and self-care routine before they are discharged, nurses help facilitate a smooth recovery.
What is the medication prescribed for Abigail?
The PN reports the elevated blood pressure to the healthcare provider, and Abigail is. prescribed hydrochlorothiazide (Hydro-Chlor) 25 mg daily (a diuretic). The PN. collaborates with the dietician about Abigail's meal plan.
How old is Abigail Gordon?
Abigail Gordon is a 52-year-old African-American widowed female who is accompanied to the Emergency Department by her daughter.
How long to wait to get NPO before ECT?
These are common side effects. (27) Preparation is similar to a brief surgical procedure. NPO for 6 to 8 hours prior to treatment with the exception of receiving cardiac medications or antihypertensive agents. Prostheses should be removed, and the client should void immediately before receiving ECT.
What does Betheny's daughter tell the nurse about her mother?
She tells the nurse that her mother's clothes fit looser, and weight loss is evident. Current alcohol use is suspected, and a breathalyzer is positive for alcohol use.
How long has Betheny slept?
Betheny only slept 30 minutes in the past 24 hours, and the daily graphics indicate that she has slept an average of 2 hours in the past week.
How long should you be NPO before a cardiac procedure?
NPO for 6-8 hours prior to treatment w/exception of receiving cardiac meds or antihypertensive meds. Prostheses should be removed and patient should void immediately before procedure. When Betheny awakens from the treatment, the nurse should be prepared to perform which nursing action?
What drugs are used to facilitate a sexual assault?
b (The drugs most frequently used to facilitate a sexual assault, rape, are flunitrazepam, Rohypnol, "roofies", a fast-acting benzodiazepine, and ã-hydroxybutyrate, GHB, and its congeners. They are odorless, tasteless, and colorless, mix easily with drinks, and can leave a person unconscious in a matter of minutes.
What does Anna say when asked what brought her to the hospital?
When asked what brought her to the hospital, Anna replies, "Things just aren't right" and begins to cry.
What does a depressed client tell the nurse?
A depressed client tells the nurse he is in the 'acute phase' of his treatment for depression. The nurse recognizes that the client has been in treatment: b (Fruit and cottage cheese do not contain tyramine. Avocados, fermented food such as sauerkraut, processed meat, and organ meat contain tyramine.
What is the role of intervention in nursing?
Intervention is the responsibility of the nurse manager and other nursing administrators. However, clear documentation, specific dates, times, events, consequences, by co-workers is crucial. The nurse manager's major concerns are with job performance and client safety.
What is synergistic effect?
The term synergistic effect is utilized when drugs are taken together and the effect of either or both drugs is intensified.) The nurse is caring for a patient with an addictive disorder who is currently drug-free. The patient is experiencing repeated occurrences of vivid, frightening images and thoughts.
What is tolerance in a patient?
Tolerance occurs when a patient's physiological reaction to a drug decreases with repeated. administration of the same dose.
Is option 4 a good practice?
Abuse potential is minimal, so option 4 is incorrect. Option 1 for safety reasons, is not a good practice when taking trazodone as a sleep aid, and option 2 is incorrect because taking more fluids will not increase the effectiveness of the medication.)
What is involuntary mental health treatment?
Involuntary mental health treatment is a serious curtailment of liberty. Involuntary mental health treatment occurs in a variety of contexts. The most common type of involuntary mental health treatment is court-ordered commitment to an inpatient mental health facility.
What does MHA mean by involuntary treatment?
MHA believes that involuntary treatment should only occur as a last resort and should be limited to instances where persons pose a serious risk of physical harm to themselves or others in the near future and to circumstances when no less restrictive alternative will respond adequately to the risk. [1] .
What are procedural protections?
Procedural Protections. Persons facing involuntary confinement have a right to substantial procedural protections. Those protections should include: A judicial hearing at which at least one mental health professional is required to testify.
Why is it important to respect the rights of people with mental health conditions?
It is essential that the rights of persons with mental health conditions to make decisions concerning their treatment be respected. MHA urges states to adopt laws that reflect the paramount value of maximizing the dignity, autonomy and self-determination of persons affected by mental health conditions.
What is the least restrictive environment for mental health?
Persons with mental health conditions can and should be treated in the least restrictive environment and in a manner designed to preserve their dignity and autonomy and to maximize the opportunities for recovery. Continuum of Crisis Care.
How long can a person stay in a mental health facility?
Rather, it is common for mental health laws to permit the facility to detain a person for up to one week after she or he indicates a desire to leave.
Can mental health be coercive?
Today, we know otherwise, that persons with mental health conditions are not only capable of making their own decisions regarding their care, but that mental health treatment and services can only be effective when the consumer embraces it, not when it is coercive and involuntary. Involuntary mental health treatment is a serious curtailment ...
What are the rights of a mentally ill person?
Such rights usually include notice of commitment, objection to confinement, representation by an attorney, presence at the commitment hearing, trial by jury, independent psychiatric examination, and change to voluntary status. Additional civil rights of the mentally ill, regardless of their legal status, generally include humane care and treatment; treatment in the least restrictive setting; free and open communication with the outside world via telephone or mail; meetings with visitors, particularly their attorney, physician,or clergy; confidentiality of records; possession of their own clothing and money; payment for any work done in the hospital; absentee ballot voting; and being informed of such rights. Many of these rights may be temporarily restricted by the staff if deemed necessary (e.g., while the patient is in restraints or seclusion).
How long are restraints and seclusion?
In general, the use of restraints and seclusion requires a physician’s written order; is limited in duration (often to 24 hours); and must be accompanied by frequent monitoring of the patient’s condition, usually by the nursing staff, with documentation of the assessment and reasons for continued seclusion or restraints. If seclusion or restraints are necessary beyond the initial period, a physician must conduct a direct examination, sign another written order, document the behaviors that necessitate continued external constraints, and establish that such measures are the least restrictive intervention. When restraints or seclusion have been used for several consecutive days, a mandatory review by the medical director or superintendent is common.
What is the difference between a seclusion room and a restraint room?
Seclusion refers to the placement of an individual in isolated confinement . A seclusion room typically is small, securely built, and unfurnished or minimally furnished, with a lockable door. The door usually has a small window for viewing the patient or a mounted camera for close monitoring.
What is considered an outpatient commitment?
Patients appropriate for outpatient commitment include those who have shown a good response to psychiatric medications in the past, but are noncompliant with medications and other aspects of treatment without continued coercion. Involuntary outpatient treatment also is indicated for patients who require considerable structure to their lives and support from others to maintain adequate functioning outside the hospital. For outpatient commitment to be realistically tenable, the facility, often a mental health center, should be capable of adequate outreach. Also needed is a high degree of cooperation and communication between the courts authorizing commitment and the outpatient programs, as well as between the outpatient and inpatient facilities.
What is the purpose of emergency detention?
All states provide for some form of emergency detention, in which the intent is immediate psychiatric intervention to treat what is currently, or soon to become, an emergency situation. Emergency detention allows for an initial psychiatric assessment and at least temporary treatment for an individual who, for example, has presented a danger to self. Some states include statutes that provide for observational institutionalization. A person satisfying the appropriate criteria may be hospitalized so that the treatment staff and psychiatrist may further observe him or her to determine the diagnosis and to provide limited treatment. Formal procedures for extended commitment can be found in nearly every state. Such commitment allows for continued psychiatric treatment of individuals who meet one or more of the state’s specific criteria (usually dangerousness to self or others or grave disability; less common criteria are discussed above) but would otherwise refuse treatment.
How long is an emergency detention period?
It is generally limited to a brief period, usually 3–5 days; the period ranges from only 24 hours in a few states to 20 days in New Jersey.
What is mental health?
The legal definition of the term mental health, as spelled out in each state’s statutes, varies considerably. Except for Utah, the statutes do not include specific psychiatric diagnoses, but instead define mental illness in terms of its effects on the individual’s thinking or behavior. Some definitions are rather vague; for example, in the District of Columbia mental illness means “a psychosis or other disease which substantially impairs the mental health of a person.” Most definitions include some deleterious effect of the illness. For example, in Georgia mentally ill “shall mean having a disorder of thought or mood which significantly impairs the judgment, behavior, capacity to recognize reality, or ability to cope with the ordinary demands of life.” Some definitions are qualified by a reference to the need for treatment. Hawaii’s statute specifies that a mentally ill person has “psychiatric disorder or other disease which substantially impairs the person’s mental health and necessitates treatment or supervision.” Many definitions include aspects of dangerousness. Oregon’s statute declares that a mentally ill person is “a person who, because of a mental disorder, is either (a) dangerous to himself or others; or (b) unable to provide for his basic personal needs and is not receiving such care as is necessary for his health or safety.”