NURSE 360Mental Health ATI Critical Points .docx

ATI Test A Critical Points 1. Reduction of Risk Potential a. Patients with anorexia nervosa can present with hypotension and possible orthostatic hypotension, bradycardia (hospitalization required if pulse 40), and decreased body temperature. b. For patients with depression, the nurse should assess the patient for suicide risk. Don’t be afraid to ask about suicide ideation and it’s not going to make the patient more likely to do it. Implement appropriate safety precautions. This is priority c. Delirium versus dementia i. Delirium has a rapid onset whereas dementia is more insidious. Hallmark manifestation of delirium is distractibility. ii. Dementia causes aphasia, agnosia, impairments in executive functioning, and apraxia. The patients LOC is unchanged. Personality change is gradual. 2. Safety and Infection Control a. Interventions for child who has ADHD include: i. Use calm and firm approach ii. Use modeling to show acceptable behavior iii. Short and clear explanations iv. Set clear limits on behavior and be consistent v. Plan physical activities through which child can use energy and obtain success vi. Reward system vii. Provide safe environment viii. Assist in developing coping mechanisms