ATI Mental Health

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 happens when a health care professional redirects their feelings to the client based on people in their past. The nurse may project his or her feelings unconsciously onto the client. The nurse may act more positively to a client that reminds them of an old friend. A nurse is caring for a client who states that he has abused his son because of the stress caused by his son's mental illness. How should the nurse use the communication tool of 'clarifying' when speaking with this client? Clarifying is a great technique that is used to determine that the message received was accurate. The nurse may paraphrase the message to confirm what has been communicated. Restating is another technique that uses the client’s exact words to get confirmation. The nurse may also use exploring to gather more information about the important topics mentioned in the conversation. The client states that she is going through a divorce and her anxiety is extremely high. The nurse needs to assess the client’s ability to adapt and cope with this situation. What would this includes? 1. Health status and functional abilities 2. Living arrangements and employability 3. Personality factors such as attitudes 4. Client, caregiver and family assessments 5. Level of information such as community programs 6. Medication use and supplemental services What are the main types of consequences for children that are misbehaving? • Natural occurrence (missing treat) • Logical (not being able to go outside) • Unrelated (time­out) 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 of the working phase is to promote problem solving skills and to facilitate behavioral changes. The nurse in the working phase should focus on: • Maintain relationship according to the contract • Facilitate the clients needs and issues • Encourage problem solving • Foster positive behavioral changes • Reassess the client’s problems and goals • Support the client • Remind the client about the date of termination A nurse is caring for a client with attention seeking behaviors. Describe attention seeking behaviors commonly noted in clients diagnosed with histrionic personality disorder. • Uncomfortable or feel unappreciated when they are not the center of attention • Constantly seeking reassurance or approval • Inappropriately seductive behavior • Excessive dramatics with exaggerated displays of emotion • Easily influenced by others A nurse is caring for a client with obsessive compulsive disorder (OCD). Define this disorder and the common pharmacological therapies to assist with management of this disorder. An anxiety disorder that causes recurring, unwanted thoughts that make someone do repetitive actions to ease anxiety. The thoughts are persistent and unwanted routines and behaviors are rigid and not doing them causes great distress. The prescriber may prescribe antidepressants such as Prozac to help balance neurotransmitters in the brain. The medicine venlafaxine can also help with OCD symptoms. The tricyclic antidepressants is sometime used as well. A nurse obtains a health history from a mother who son is taking methylphenidate. She reports that he is having hallucinations. What would be the next action for the nurse to do? The nurse should advise the client to discontinue the medication immediately and seek medical attention. A client has been prescribed risperidone for autism spectrum disorder. What should the nurse instruct the care provider about administration of this medication? • Low doses are given initially, and dosages are then gradually increased • Medication may be taken without regard to food • Offered as an oral solution and quick­dissolving tablet .........................................................................................CONTINUE