- Psychosocial: Mood and Attect
Alison Beringer
- Physiological: Nutrition
Client Concerns
- Psychosocial: Stress and Coping
- Anxiety
- Impulsive Eating
Alison Beringer
- Depression
Scenarion Actions #1
- Self concept
- Purging
- Cardiac abnormalities
- Dehydration
Alison Beringer
- Tooth Erosion
Scenarion Actions #2
- Parotid Swelling
- Peripheral Edema
- Hematocrit level
Alison Beringer - BUN level
Scenarion Actions #3 - Potassium level
- Creatinine level
- Discuss binge and purging patterns with Allison
- Educate Allison on how purging can attect potassium
,Mental Health Swift River Complete Study Guide Review
xAlison Beringer levels.
Scenarion Actions #4 - Sit with Allison during meals and 1 hour following.
- "I joined an eating disorder support group."
Alison Beringer
- "I know that I will never be perfect."
Scenarion Actions #5
- "I no longer use laxatives after I eat."
- Health Promotion: Growth and Development
Tarence Walker - Psychosocial: Stress and Coping
Client Concerns - Physiological: Nutrition
- Psychosocial: Mood and Attect
- Loses temper easily
- Argues with mother about rules.
Tarence Walker - Fighting other students at school.
Scenarion Actions #1 - Not listening to teachers at school.
- School grades are declining.
- Starts arguments with siblings.
- This medication should be taken 30 minutes before
breakfast and lunch.
Tarence Walker
- This medication can cause problems with sleeping.
Scenarion Actions #2
- An adverse ettect of this medication action is a decrease
in appetite.
, Mental Health Swift River Complete Study Guide Review
- This medication can cause an increase in heart rate.
- Setup a structured plan of therapeutic activities for
Tarence.
- Identify situations that initiate Tarence's defensive behav-
Tarence Walker ior.
Scenarion Actions #3 - Develop a trusting relationship that conveys acceptance
of Tarence.
- Use positive reinforcement when Tarence is cooperative
with the plan.
- "Tell more about how this bigger kid made you feel."
Tarence Walker
- "What is another way you could have handled this situ-
ation?"
Scenarion Actions #4
- "What are some other situation that make you angry?"
Tarence Walker - "I don't get so mad and can accept the I get in trouble."
Scenarion Actions #5 - "I know I am responsible for my behavior."
- Physiological: Nutrition
Melinda Johnston - Health Promotion: Client Education
Client Concerns - Safety: Self-Harm
- Physiological: Fluid and Electrolyte
Melinda Johnston
Scenarion Actions #1