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MH Practice 2019 B Remediation
Physical assessment (NURS 190)
West Coast University
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ATI Mental Health: Practice 2019 A Remediation
Management of Care (3)
1) Trauma and stress related disorders: Priority for PTSD a) First look for a safety risk b) Airway obstruction, hypoxia, bleeding, infection, injury? c) Flashbacks: dissociative reactions where the client feels the traumatic event is recurring in the present 2) Creating and maintaining a therapeutic and safe environment a) Use current data to make informed clinical decisions (evidence-based practice) b) Example, initiating CPR in proper steps for a client experiencing cardiac arrest c) Keep current on new research by reading professional journals to be updated with the new practices 3) Suicide: Community Referrals a) Health care services: Providers, acute-care sites, home care services, rehab, physical therapy, pharmacies b) Special service agencies: faith community groups, life care planners, health insurance companies, meal delivery services c) Discharge referrals difer based on client’s needs and potential problems.
Psychosocial Integrity (9)
1) Family and Community Violence: Priority when developing a safety plan a) All states have mandatory reporting laws that require nurses to report suspected child abuse or vulnerable adult abuse b) Provide basic care to treat injuries first c) Identify behaviors and situations that might trigger violence and provide information on safe places to live 2) Family and Community Violence: Mandatory reporting for abuse a) Neglect is mandatory to report b) Report physical neglect, such as feeding c) Report educational neglect, such as not enrolling a child in school 3) Eating Disorders: Parent response to a client who has bulimia nervosa a) Clients recurrently eat large quantities of food over a short period of time (binge eating) b) Look out for self-induced vomiting (purging) c) Clients have a sense of lack of control over eating
4) Trauma and stress related disorders: manifestations of posttraumatic stress disorder in school aged children a) Intrusive findings - presence of memories, lashbacks, dreams about the event b) Memories of the event recur involuntarily and are distressing to the client c) Nightmares related to the event can occur 5) Eating disorders: family understanding of bulimia nervosa a) Most clients who have this maintain a normal to slightly higher BMI (18-30) b) Occurs more oten in female patients c) Non-purging type: client can compensate for binge eating through other means (excessive exercise, diuretics, and enemas) 6) Bipolar disorders: recognizing manifestations of acute mania a) Dislike of interference and intolerance of criticism b) Flight of ideas: rapid, continuous speech with sudden and frequent topic change c) Grandiose view of self and abilities (grandiosity) 7) Bipolar disorders: Planning care for a client whois experiencing mania a) Provide portable, nutritious food because the client might not be able to sit and eat b) Supervising choice of clothes c) Giving step-by-step reminders of hygiene and dress 8) Substance abuse and addictive disorders: expected findings of alcohol withdrawal a) Manifestations include: abdominal cramping, vomiting, tremors b) Other manifestations include: restlessness, increased HR, hallucinations or illusions c) Alcohol withdrawal delirium can occur 2-3 days ater cessation of alcohol 9) Neurocognitive disorders: planning care for a client who has delirium a) Provide compensatory memory aids (clocks, calendars, photos) b) Keep a consistent daily routine c) Maintain consistent caregivers
MH Practice 2019 B Remediation
Course: Physical assessment (NURS 190)
University: West Coast University
