Mental Health Review {100%Success}
Mental Health Review
Study online at https://quizlet.com/_btaod5
1. Health care refer- Nurses working in community care programs help stabilize or improve clients men-
rals tal functioning within a community. They also teach, support, and make referrals
in order to promote positive social activities
Chapter 6
2. Priority nursing Assess for thoughts of suicide and then assess for a plan.
assessment in
suicide Assess carefully for verbal and nonverbal clues. It is essential to ask the client if they
are thinking of suicide. This will not give the client the idea to commit suicide.
Chapter 30
Assess for potential suicide risk using standard assessment tool, such as the SAD
PERSONS scale
3. Caring for a client Only use if less restrictive measures are not sufficient
in restraints
They are for physical protection of the client and/or the protection of other clients
Chapter 2 and staff
Time limits for seclusion or restraints are based on the age of the client: 18 and
older is 4 hours. Age 9-17 is 2 hours. Age 8 and younger is 1 hour
The provider must reassess and rewrite the order every 24 hours
In an emergency the nurse can place the client in restraints without an order but
an order needs to be done in 15 to 30 minutes
4. Client indications Hospitalization can be required.
of acute mania Reduction of mania and client safety are the goals of treatment.
Risk of harm to self or others is determined.
Chapter 14 One to one supervision can be indicated for client safety.
Expected findings:
Labile mood with euphoria.
Agitation and irritability.
1/6
, Mental Health Review {100%Success}
Mental Health Review
Study online at https://quizlet.com/_btaod5
Restlessness.
Dislike of interference and tolerance of criticism.
Increase in talking and activity.
Flight of ideas: rapid, continuous speech with sudden and frequent topic change.
Grandiose view of self and abilities.
impulsivity: spending money, giving away money or possessions.
Demanding and manipulative behavior.
Distractibility and decreased attention span.
Poor judgement.
Attention seeking behavior: flashy dress and makeup, inappropriate behavior.
Decreased sleep.
Neglect of ADLs, including nutrition and hydration
Possible presence of delusions and hallucinations.
Denial of illness
5. Priority Nursing Identifying the problem and directing interventions for resolution.
interventions in Taking an active, directive role with the client, encourage active participation by the
crisis manage- client in planning solutions and goal setting.
ment Helping the client to set realistic and attainable goals
Chapter 29
6. Planning care for perform self assessment regarding possible feelings of frustrations regarding the
a client who clients eating behaviors, the belief that the disorder is self imposed, or the need
has anorexia ner- to nurture rather than care for the client.
vosa provide a highly structured milieu in an acute care unit for the client requiring
intensive therapy.
Chapter 19 Develop and maintain a trusting nurse/client relationship through consistency and
therapeutic communication.
Use a positive approach and support to promote client self esteem and positive
self image.
Encourage client decision making and participation in the plan of care to allow for
2/6
Mental Health Review
Study online at https://quizlet.com/_btaod5
1. Health care refer- Nurses working in community care programs help stabilize or improve clients men-
rals tal functioning within a community. They also teach, support, and make referrals
in order to promote positive social activities
Chapter 6
2. Priority nursing Assess for thoughts of suicide and then assess for a plan.
assessment in
suicide Assess carefully for verbal and nonverbal clues. It is essential to ask the client if they
are thinking of suicide. This will not give the client the idea to commit suicide.
Chapter 30
Assess for potential suicide risk using standard assessment tool, such as the SAD
PERSONS scale
3. Caring for a client Only use if less restrictive measures are not sufficient
in restraints
They are for physical protection of the client and/or the protection of other clients
Chapter 2 and staff
Time limits for seclusion or restraints are based on the age of the client: 18 and
older is 4 hours. Age 9-17 is 2 hours. Age 8 and younger is 1 hour
The provider must reassess and rewrite the order every 24 hours
In an emergency the nurse can place the client in restraints without an order but
an order needs to be done in 15 to 30 minutes
4. Client indications Hospitalization can be required.
of acute mania Reduction of mania and client safety are the goals of treatment.
Risk of harm to self or others is determined.
Chapter 14 One to one supervision can be indicated for client safety.
Expected findings:
Labile mood with euphoria.
Agitation and irritability.
1/6
, Mental Health Review {100%Success}
Mental Health Review
Study online at https://quizlet.com/_btaod5
Restlessness.
Dislike of interference and tolerance of criticism.
Increase in talking and activity.
Flight of ideas: rapid, continuous speech with sudden and frequent topic change.
Grandiose view of self and abilities.
impulsivity: spending money, giving away money or possessions.
Demanding and manipulative behavior.
Distractibility and decreased attention span.
Poor judgement.
Attention seeking behavior: flashy dress and makeup, inappropriate behavior.
Decreased sleep.
Neglect of ADLs, including nutrition and hydration
Possible presence of delusions and hallucinations.
Denial of illness
5. Priority Nursing Identifying the problem and directing interventions for resolution.
interventions in Taking an active, directive role with the client, encourage active participation by the
crisis manage- client in planning solutions and goal setting.
ment Helping the client to set realistic and attainable goals
Chapter 29
6. Planning care for perform self assessment regarding possible feelings of frustrations regarding the
a client who clients eating behaviors, the belief that the disorder is self imposed, or the need
has anorexia ner- to nurture rather than care for the client.
vosa provide a highly structured milieu in an acute care unit for the client requiring
intensive therapy.
Chapter 19 Develop and maintain a trusting nurse/client relationship through consistency and
therapeutic communication.
Use a positive approach and support to promote client self esteem and positive
self image.
Encourage client decision making and participation in the plan of care to allow for
2/6
