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Remediation ATI Mental H
Nursing (Nur1)
St. Mary's School of Nursing
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ATI MENTAL HEALH REMEDIATION
Legal and Ethical Issues: Communicating Across Language Barriers (RM MH RN 11 Chap 2 Legal and Ethical Issues)
A nurse who works in the mental health settings is responsible for practicing ethically, competently, safety and in manner consistent with all local, state, and federal laws. Nurses must have an understanding of ethical in mental health settings.
Legal and Ethical Issues: Informed Consent for Electroconvulsive Therapy (RM MH RN 11 Chap 2 Legal and Ethical Issues)
The client also has various specific rights, including the following: informed consent and the right to refuse treatment, confidentiality, written plan of care/treatment that includes discharge follow up, as well as participation in the plan of care and review of that plan.
Legal and Ethical Issues: Applying Restraints (RM MH RN 11 Chap 2 Legal and Ethical Issues) Seclusion or restrain is for the shortness duration necessary and only if less restrictive protection of the client and or the protection of other clients and staff. Nurse responsibility: assessed (safety and physical needs). Offered food and fluid, toileted, monitored vitals sings. Monitor for pain. Complete documentation every 15 to 30min/
Legal and Ethical Issues: Indications for Removing Restraints (RM MH RN 11. Chap 2 Legal and Ethical Issues)
Restrain or seclusion must be discontinued when the client is exhibiting behavior that is safer and quieter. Once restraint is discontinued, the nurse must obtain a new prescription before initiate restrains again. Suicide: Evaluating a Client for Protective Factors (RM MH RN 11 Chap 30 Suicide) Feeling of responsibility toward partner and children. Current pregnancy. Religious and cultural beliefs, overall satisfaction with life. Presence of adequate social support, effective coping, problem solving skills.
Anger Management: Risk Factors for Violent Behavior (RM MH RN 11 Chap 31 Anger Management) History of aggression, poor impulsive control, and violence. Poor coping skills, limited support systems, comorbidity that leads to acts of violence (psychotic delusions, command hallucinations, violent angry reactions with cognitive disorders)
Personality Disorders: Identifying Risk Factors of Borderline Personality Disorder (RM MH RN 11 Chap 16 Personality Disorders) Clients who have personality disorders often have comorbid substance use disorders and can have a history of nonviolent and violent crimes, including sex offenses. Psychosocial influences (abuse or trauma).
Family and Community Violence: Counseling a Client Who is Experiencing Partner Violence (RM MH RN 11 Chap 32 Family and Community Violence) Provide psych first aid, make sure clients are physically and psychologically safe from harm, reduce stress-related manifestations, provide interventions to restore rest and sleep. Use open ended questions to elicit descriptive responses.
Stress and Defense Mechanisms: Identifying an Adaptive Use of a Defense Mechanism (RM MH RN 11 Chap 4 Stress and Defense Mechanisms) Repression/ unconsciously putting unacceptable ideas thoughts and emotions out of awareness. Adaptative use a person preparing to give a speech unconsciously forgets about the time when they were young, and kids laughed at them while on stage.
Stress and Defense Mechanisms: Recognizing Defense Mechanisms (RM MH RN 11 Chap 4 Stress and Defense Mechanisms) Suppression, Repression, Regression, Displacement, Reaction formation, Undoing, Rationalization, Dissociation, Denial, Compensation, Identification, Intellectualization,
Anxiety Disorders: Management of Posttraumatic Stress Disorder (RM MH RN 11 Chap 11 anxiety disorders) Provide a structured interview to keep the client focused on the present, provide safety and comfort to the client during the crisis, calm, quiet environment, perform suicide risk assessment, provide safe environment for other clients and staff.
Care of Clients Who are Dying and/or Grieving: Assisting a Client with Grieving (RM MH RN 11 Chap 27 Care of Clients Who are Dying and/or Grieving) Allow time for the grieving process. Educate the client and family on the stages and task associated with the grieving process. Identify expected grieving behaviors crying, somatic manifestations, anxiety. Use therapeutic communication.
Anxiety Disorders: Clinical Findings of Posttraumatic Stress Disorder (RM MH RN 11 Chap 11 anxiety disorders)
Intrusive findings presence of memories, flashbacks dreams about the traumatic event. Flashbacks-dissociative reactions where the client feels the traumatic events is recurring in the present. Night-time dreams related to the traumatic event. Trying to avoid thinking of the event.
Basic Mental Health Nursing Concepts: Mental Status Examination (RM MH RN 11 Chap 1 Basic Mental Health Nursing Concepts) Use touch to communicate caring as appropriate, however, respect the client’s personal space if they do not wish to be touched. Be sure include questions relating to difficulty sleeping, incontinence, falls or other injuries, depression, dizziness, and loss of energy. Include the family and significant others as appropriate. Following the interview, summarize and ask for feedback from the client.
Creating and Maintaining a Therapeutic and Safe Environment: Phases of the Nurse-Client Relationship (RM MH RN 11 Chap 5 Creating and Maintaining a Therapeutic and Safe Environment) Orientation: introduce self to the client and state purpose. Discuss confidentiality. Build trust by establishing expectations and boundaries. Working: maintain relationship according to the contract. Foster positive behavior change. Termination: provide opportunity for the client to discuss thoughts and feelings about determination and loss.
Medications for Depressive Disorders: Medication Interactions with Monoamine Oxidase Inhibitor (RM MH RN 11 Chap 22 Medications for Depressive Disorders) MAOIs can cause severe hypertension. OTC decongestants and cold remedies frequently contain medications with sympathomimetic actions and therefore should be avoided.
Remediation ATI Mental H
Course: Nursing (Nur1)
University: St. Mary's School of Nursing
