NSG 4800 Unit 4 Mental Health Community Health Health Promotion Questions, Answers & Complete Study Guide

Hospital-based admission has become more oriented to crisis intervention. Which of the following clients have priority for admission to an acute care facility? Select all that apply. A. Client who lives alone. B. Client who is acutely psychotic. C. Client who is depressed. D. Client who is not sleeping and has a lack of appetite. E. Client who is dangerous to self and others. F. Client who is not complying with medication regimens. A. Client who lives alone No, this client is not at a safety risk. B. Client who is acutely psychotic Yes, safety issues is the admission criteria for mental health clients. C. Client who is acutely depressed No, this client is not at a safety risk. D. Client who is not sleeping and has a lack of appetite No, this client is not at a safety risk. E. Client who is dangerous to self and others Yes, safety issues is the admission criteria for mental health clients. F. Clients who is not complying with medication regimens No, this client is not at a safety risk. Crisis Interventio n • Ones usual methods of coping are ineffective • Requires immediate interventions: Focus on the problem, not the cause Identify support systems Determine what has worked for the client in the past • What do you think is a priority nursing intervention for this client? Assault & Violence • Risk factors for violence Female, pregnancy, child & older adult • Characteristics of the Victim & Perpetrator • Family or intimate (domestic) partner violence- Can be physical, sexual or emotional Honey moon Phase abuse/violence • A Cycle of violence Periods of escalation and de-escalation Shorter and shorter periods Acting Out Phase Tensio n Phase Sexual Assault A sexual assault nurse examiner (SANE) is a registered nurse who has specialized forensic training in treating sexual assault victims. Priority Interventions After Sexual Assault Mandatory reporting Nurse with advanced training Conduct a nursing history Treat injuries Referrals as needed Safety Plan **Critical incident stress debriefing Substance Use Disorder Chemical and Other Dependencies • Substance Use Disorder: Repeated use of a chemical substance leading to clinically significant impairment during a 12 month period Alcohol, smoking, vapors, narcotics, street drugs, cannabis • Non-Substance Disorder: Problematic behavior Gambling, Sexual behavior, Shopping, Gaming • Addiction Characteristics: Loss of control, continues even with associated problems, and tendency for relapse