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Mental Health Remediation
Mental Health Nursing (NURS243)
College of Southern Nevada
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ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Management of care
Advocacy
legal and
ethical issues:responding to cuient's concern
Nursesmust know & follow federal/state/facility policies that
governtheuseofrestraints
useof seclusion rooms and/or restraints canbe warranted
g authorized
forclientsinsome cases.(restraints arephysical/chemical)
Aclientcanvoluntarilyrequesta temporarytimeout incases inwhichtheenvironment is too
stimulating
(ATI,MH,pg)
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Managementof care
Ethical practice
legal
tEthicalissues: Identification of nonmaleficence
justice
- fair and equaltreatment for an
veracity
honestywhendealing
withaclient
fidelity
loyalty
& faithfulness to the count
LATI,MH,pg)
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Managementof care
collaborationw/ interdisciplinary team
Depressivedisorders
:
priority findings to sharewithtreatment
team
psychomotor
retardation(slowedphysicalmovement,slumpedposture)ismore common,
but psychomotoragitationtrestlesstress,pacing,fingertapping)
slowed speech,decreasedverbalization,delayed response:arentmight seem
totiredto sleep.
Client becomes socially isolated,showing bottletonoeffort to interact
####### (ATI,MH,
pg. 68 )
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Safety and Infection control
Accident/Error /
Injuryprevention
Neurocognitive
disorders:performing riskassessmentforaclientwho
hasdementia
Functionaldementiascale:thistoolwillgivethenurseinforegardingtheclientsability
toperformselfcare
Blesseddementiascale:toolprovidesthenursewitharentbehavioral information
basedonainterviewat secondary source
Minimortalstatus examination and FAST
(ATI,MH,pg. 87 )
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
PsychosocialIntegrity
Abuse /Neglect
Family& Community
violence:counselingaarentwhoisexperiencing partner
violence
provideprivacywhen conducting interviews aboutabuse direct,honest,&processional
Uselanguage thearentunderstands and attentive.
Use therapeutictechniquesthat demonstrateunderstandingtopenendedquestions
(Atl,Mtl,pg)
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Psychosocial Integrity
Behavioral Interventions
MentalHealthIssuesofchildren+adolescents:identifyingoutcomesfor a clientwho
has autismspectrum disorder
Determineemotional&situationaltriggers ofnotice beforeroutine change.
EncourageparentstoparticipateinChilds caneandtreatmentplan
asmuchas
possible.
Identify desired behaviors andwarnthem.
(Atl,Mtl,pg)
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Psychosocial Integrity
Coping Mechanisms
Stressand defensemechanisms
:
identifying an adaptive use of aderense
Mechanisms
sublimation-personwhohasfeelings of anger&hostilitytoward theirwork
supervisorsublimatesthou Reewingsbyworking outvigourshyatgym
Suppression-StudentputsoffthinkingaboutaRight theyhadwithaPrrendto
beable tofocus ontest
Displacement-adolescents angrilypunchesapunching bagafter loosing a game
(AT I,MH,pg. 19 )
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Psychosocial Integrity
Coping Mechanisms
Stress anddefensemechanisms
:
RecognizingdeRense
mechanisms
Altruism-dealingwithanxietybyreaching outtoothers
Regression
- suddenuseofchildlikeorprimitivebehaviorsthat donot correlatew/person's currentdevelopmental level
Displacement-shifting feelings related toanobtect,person,or situation to
anotherless threatening object
(ATL,MH,pg)
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Psychosocial Integrity
Mental Health Concepts
Anxiety disorders:clinicalfindingsof posttraumatic
stress disorder
Intrusive findings(presenceofmemories,flashbacks,dreams about event)
memories of theevent recurinvoluntarily andaredistressing the client
Agression,hypervigilance,sleepdisturbances,inability tofocus
(ATI,MH,pg. 62 )
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Psychosocial Integrity
Mental Health Concepts
Eating disorders
####### :
evaluating effectiveness for a client
w/ anorexia nervousa
Monitor the client's vital sign,intakeandoutput,andweight
provide small,frequentmeals,whicharebettertolerated and help prevent event
frombeingoverwhelmed.
provideadultlowinsodiumtopreventfluidretention,provideliqiud supplement
as prescribed
(ATI,MH,pg. 101 )
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Psychosocial Integrity
Substanceuse+otherdependencies
substanceuset addictive
disorders
' '
caringfor
aclient whohasopioid
use disorder
safetyistheprimary focusof nursing care during acute intoxicationtowithdraw
provideemotionalsupportand reassurance totheclient andthefamily
theclient & familyabout codependentbehaviors.
Encourage attendanceto self help groups
(AT I,MH,pg. 96 )
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Basic care and comfort
Nonpharmalogical comfortinterventions
psychoanalysis,psychotherapy,&Behavioraltherapies:therapeutic
recommendation for a clientWIparanoid perso
psychodynamic psychotherapy
Interpersonalpsychotherapy
cognitive
- behavioraltherapy
(AT I,MN,pg. 37 )
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Pharmacological&Parentaltherapies
Adurseeffects 1 contraindications 1 sideeffects/Interactions
Medicationsfor psychoticdisorders:evaluating understanding
of risperidone
Thesemedications shouldnotbeusedfor clientswhohave dementia of thesemedicationscancausedeathrelatedto CVA orinfection
clients shouldavoidtheconcurrentuseofalcohol
pregnancy riskcategory C,generally notrecommendedduringpregnancy orbreast-
reeding
(ATI,MH,pg. 139 )
ATI Nursing Education 3 Critical Points
Topics to Review
Client Care Need Category
Sub Concept
Content
3 Critical Points 1.
####### 2.
####### 3.
Reduction of Risk potential
laboratory values
Medications for psychoticdisorders:Identifying a laboratory
findingtoreport for a clienttaking risperidone
Obtain fasting bloodglucose,&monitorvalueperiodically
Monitor cholesterolandtriglycerides,&weight gain
Obtain prolactinlevels if indicated
(ATI,MH,pg. 138 )
Mental Health Remediation
Course: Mental Health Nursing (NURS243)
University: College of Southern Nevada
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