Mental Health VATI RN Remediation Week 6 Questions And Answers

A nurse is admitting a new client on the mental health unit. During the conversation the nurse should be aware that countertransference can occur if the nurse display what feeling? Countertransference occurs when a health care team member displaces characteristics of people in her past onto a client. The nurse overly identifies with the client, competes with the client, and argues with a client. A client on the mental health unit is being discharge to a community base program referred to as Assertive Community Treatment. (ACT) What should the nurse explain to the client about this program? This program includes nontraditional case management and treatment by an interprofessional team for clients who have severe mental illness and are noncompliant with traditional treatment. ACT helps to reduce reoccurrences of hospitalizations and provides crisis intervention, assistance with independent living, and information regarding resources for necessary support services. A nurse is caring for a client in the manic phase of bipolar disorder. Identify five (5) clinical manifestations associated with this phase of the bipolar disorder. During the manic phase of a bipolar disorder, the patient may present with an elevated mood, the decreased need for sleep, racing thoughts, difficulty maintaining attention, and excessive involvement n pleasurable activities. A nurse is completing a physical assessment on a child. What are three (3) potential signs of neglect? Unusual weight loss, malnutrition, dehydration. Untreated physical problem, Being left dirty or unbathed. Unsuitable clothing or covering for the weather. A nurse is facilitating group therapy and the group is currently in the working phase of group development. What is the primary focus during this phase? The primary focus during the working phase is to promote problem-solving skills to facilitate behavioral changes. One should know that power and control issues could dominate during this phase. A nurse is caring for an adolescent client with Autism Spectrum Disorder. Define Autism Spectrum Disorder. What are common manifestations of Autism Spectrum Disorder? A nurse is caring for an adolescent client with Autism Spectrum Disorder. Define Autism Spectrum Disorder. What are common manifestations of Autism Spectrum Disorder?Autism Spectrum Disorder is a neurodevelopment disorder that is genetic with behaviors affecting and individual’s ability to communicate and interact with others. Cognitive and language development are delayed. Manifestations of this are inability to maintain eye contact, repetitive actions, and strict observance of routines. Physical difficulties can be experiences such as sensory integration dysfunction, sleep disorders, digestive disorders, feeding disorders, epilepsy, and/or allergies. A nurse is caring for a client with delirium. What is the onset and clinical manifestations of this disorder? The onset for delirium is rapid over a short period of time. The manifestation of delirium is impaired memory, judgment, and ability to focus/calculate. Confusion and disorientation are worse early morning This study source was downloaded by from CourseH on :23:00 GMT -05:00 and night. LOC is altered and fluctuate rapidly. Personality change rapidly. Anxiety, restlessness, fluctuation moods, and motor agitation are common. Change can cause anger, panic and fear. Vital signs become unstable and require intervention. Perceptual disturbance can be present, such as illusions and hallucinations. Four types of delirium: hypoactive with quietness and apathy; hyperactive with restlessness and agitation; combination of hypoactive and hyperactive manifestation (mixed); unclassified because their manifestation does not classify into other categories. A nurse is caring for a client with attention seeking behaviors. Describe attention seeking behaviors commonly noted in clients diagnosed with histrionic personality disorder. Patients diagnosed with histrionic personality disorder tend to present provocative behavior, and influenced easily by others or circumstances. A nurse is caring for a client with a psychotic disorder who is exhibiting alterations in speech. Define the following alterations in speech: Flight of ideas, neologisms, echolalia, clang association, and word salad. Flight of ideas is associative looseness sentences do not relate to each other. Neologisms is made up words that only make sense to patients. Echolalia is imitating words, clang association is meaningless rhyming. Word salad jumbling words together without meaning. A nurse obtains a health history from a mother who son is taking methylphenidate. She reports that he is hallucinating. What would be the next action for the nurse to do? The nurse should instruct the client to report manifestations immediately and discontinue the medication List the four (4) major groups for the antidepressant medications and the prototype of each one. What are the major differences between the four (4) classes? Tricyclic antidepressants (TCAs), monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), and atypical antidepressants. TCAs are used for depressive disorders, insomnia, anxiety disorders, neuropathic pain, fibromyalgia, and bipolar disorder. MAOIs are used for depression, first-line treatment for atypical depression and bulimia nervosa. SSRIs are used for panic disorders, PTSD, bulimia nervosa, major depression, OCD, premenstrual dysphoric disorder, and bipolar disorder. Atypical antidepressants are used to aid to quit smoking, depression, alternative to SSRIs for patients who can’t tolerate sexual dysfunction side effects, and prevention of seasonal pattern depression. A nurse is doing discharge teaching for a client receiving disulfiram as a deterrent to drinking. What information will the nurse provide to the client regarding how it works and precautions to take? Inform patient of purpose of disulfiram and the consequences of drinking alcohol during therapy. It may cause a disulfiram-reaction. May cause drowsiness. Caution patient to avoid driving and other activities requiring alertness until response to medication is known. Advise patient to consult health care professional prior to taking other CNS depressants A nurse is caring for a client experiencing acute alcohol withdrawal. Identify medication(s) used to address acute alcohol withdrawal. List three (3) actions the nurse will take to review the effectiveness of the medication with a client experiencing acute alcohol withdrawal.