ATI Mental Health focused review

ATI Mental Health focused review Coordinated Care: Establishing Priorities 1. Managing Client Care: Organizing Client Care on a Mental Health Unit 2. Managing Client Care: Priority Implementation of Care on a Mental Health Unit for a Group of Clients 3. Personality Disorders: Prioritizing Client Care for a Group of Clients Safety and Infection Control 4. Accident/Error/Injury Prevention - Cognitive disorders: family teaching 5. Least Restrictive Restraints and Safety Devices - Anger Management: Least Restrictive Restraint measures 6. Least Restrictive Restraints and Safety Devices - Legal and Ethical issues: Mechanical Restraints Psychosocial integrity 7. Behavioral Management - Anger Management: Anger Control Assistance 8. Behavioral Management - Bipolar Disorders: Goal of Partial Hospitalization Program 9. Chemical and Other Dependencies - Medications for Substance Use Disorders: Reinforcing Discharge Teaching for Heroin Use Disorder 10. Mental health Concepts - Eating disorders: Clinical Findings of Bulimia Nervosa 11. Sensory/Perceptual Alteration - Psychotic Disorders: Auditory Hallucinations 12. Therapeutic Communication - Creating and Maintaining a Therapeutic and Safe Environment: Planning for Therapeutic Relationships Pharmacological Therapies 13. Expected Actions/Outcomes - Medications for Bipolar Disorders: Client Education about Mood Stabilizers Reduction of Risk Potential 14. Potential for Complications of Diagnostic Tests/Treatments/Procedures - Brain Stimulation Therapies: Reinforcing Client Teaching about Electroconvulsive 1. Coordinated Care: Establishing Priorities Managing Client Care: Organizing Client Care on a Mental Health Unit - Clinical reasoning guides the nurse through the process of assessing and compiling data o Nurse must assess first - Prioritize actual problems before potential future problems - One way to set priorities is based upon Maslow’s hierarchy of needs o Focus on physiological (such as food etc) before other needs ▪ Ex: offer high caloric fluids to prevent dehydration and exhaustion **In this question, the nurse prioritized care and chose to first offer high caloric fluids to a constantly pacing client. Other options were a helping a client with anxiety disorder practice relaxation technique, assisting a client w/ a decision re: group activities, or encouraging a client to verbalize feelings of hopelessness. 2. Coordinated Care: Establishing Priorities Managing Client Care: Priority Implementation of Care on a Mental Health Unit for a Group of Clients - When providing care, the nurse should select interventions that are the least restrictive/invasive first. - Use the nursing process to gather information prior to making a decision regarding a plan of action. - Apply clinical knowledge to procedural standards to determine the priority action **In this question, the nurse would have offered the client with dementia, who was increasing agitated, a diversionary activity rather than placing the client in a private room (even though it decreases environmental stimuli and escalation, it’s still shutting them in and that could be restrictive). 3. Coordinated Care: Establishing Priorities Personality Disorders: Prioritizing Client Care for a Group of Clients - Limit-setting and consistency are essential with clients who are manipulative, especially those who have borderline or antisocial personality disorders - Safety is always a priority concern because some clients who have a personality disorder are at risk for self-injury or violence o Give priority to responding to whatever poses the greatest (or most imminent) risk to the client’s physical well-being or that of others. - Characterized by disregard for others with exploitation, repeated unlawful actions, deceit, and failure to accept personal responsibility **In this question, we would have addressed the client with antisocial personality disorder first because his irrational actions could have caused harm to himself or others.