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ATI Proctored Mental Health Remediation
Adult Health II (NURS4601)
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ATI – Mental Health Proctored Exam Remediation
Management of Care
Establishing Priorities
Safety is always a priority concern because some clients who have a personality disorder are at risk for self-injury or violence.
Clients who have personality disorders often have comorbid substance use disorders and can have a history of nonviolent and violent crimes, including sex offenses.
The maladaptive behaviors of a personality disorder are not always perceived by the individual as dysfunctional, and some areas of personal functioning can be adequate.
Safety and Infection Control
Accident/Error/Injury Prevention
It is vital to clearly and objectively document information related to violent or other unusual episodes. Staff should respond promptly to disruptive, violent, or potentially harmful behavi
Use of Restraints/Safety Devices
Nurses must know and follow federal/state/facility policies that govern the use of restraints If the need for seclusion or restraint continues the provider must reassess the client and rewrite the prescription, specifying the type of restraint, every 24 hr or the frequency of time specified by facility policy. Complete documentation every 15 to 30 min for clients with restraints.
Health Promotion and Maintenance
Aging Process
While females are more likely to attempt suicide, adolescent, middle, and older adult males are more likely to have a completed suicide Older adult clients often have untreated depression as well as feelings of isolation and powerlessness. Older adult clients may have physical changes which can alter the necessary dosage of medications or how they are metabolized.
Health Promotion/Disease Prevention
Primary interventions focus on suicide prevention through the use of community education and screenings to identify individuals at risk. Secondary interventions focus on suicide prevention for an individual client who is having an acute suicidal crisis. Suicide precautions are included in this level of intervention.
Tertiary interventions focus on providing support and assistance to survivors of a client who completed suicide.
Psychosocial Integrity
Behavioral Interventions
Group process is the verbal and nonverbal communication that occurs during group sessions, including how the work progresses and how members interact with one another. Family behavior that can be healthy or dysfunctional is the action of disciplining. Setting limits on children’s behavior protects their safety and provides them with security. Caregivers should be in unison on when and how to discipline.
Family Dynamics
Families go through various developmental stages. The roles the family members fulfill change throughout the stages Families can have healthy or dysfunctional characteristics in one or more areas of functioning. Healthy family relationships support the well-being of each member of the family unit.
Mental Health Concepts
Scapegoating: A member of the family with little power is blamed for problems within the family. Triangulation: A third party is drawn into the relationship with two members whose relationship is unstable. Multigenerational issues: These are emotional issues or themes within a family that continue for at least three generations.
Substance Use and Other Disorders and Dependencies
A substance use disorder involves repeated use of chemical substances, leading to clinically significant impairment during a 12-month period. The defense mechanism of denial is commonly used by clients who have problems with a substance use or addictive disorder. According to 2013 data from the National Institute of Alcohol Abuse and Alcoholism, 86% of people over the age of 18 reported alcohol consumption at some point in their life with 56% reporting alcohol consumption in the past month.
Reduction of Risk Potential
Laboratory Values
Most clients who have bulimia nervosa maintain a weight within a normal range or slightly higher. BMI is 18 to 30. Vital signs demonstrating heart rate less than 50/min, systolic blood pressure less than 90 mm Hg, body temperature less than 36 ̊ C (96 ̊ F) require treatment. Weight loss of 20% of ideal body weight or less than 10% body fat requires treatment.
Potential for Complications of Diagnostic Tests/Treatments/Procedures
ATI Proctored Mental Health Remediation
Course: Adult Health II (NURS4601)
University: The University of Texas Rio Grande Valley
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