Planning Care for a client experiencing auditory hallucinations - (correct Answer) - -provide a structured,
safe environment
-intensive case management and inter professional care
-promote therapeutic communication
-as client directly about hallucination- don't agree or disagree
-dont argue with clients delusions
-assess the client for paranoid delusions
-if they are experiencing command hallucinations safety is priority
-attempt to focus convo on reality-based subjects
-identify triggers
-be genuine and empathetic
-assess discharge needs
-promote self-care by modeling and teaching
-promote wellness
-use music, activities, walking, and talking to distract from voices
-provide teaching regarding medication
-whenever possible include family in all aspects of care
What foods should a client avoid to decrease the risk of hypertensive crisis especially when taking
MAOIs - (correct Answer) - Tyramine-Risk foods- aged cheeses, pepperoni, salami, avocados, figs,
bananas, smoked fish, protein, some dietary supplements, red wine, some beers
What does neglect consist of - (correct Answer) - -failure to provide health or dental care
-no education provided for the child
-emotional care- not speaking or interacting with child
-physical care- food, shelter, hygiene
, For clients who have antisocial personality disorder it is important to set limits and remain consistent
(they tend to be manipulative) - (correct Answer) -
Situational crisis - (correct Answer) - Often unanticipated and examples include:
-Loss/Change of a Job
-Death of a loved one
-Unwanted pregnancy
-A move
-Change in financial status
-Divorce
-Severe physical or mental illness
delayed or inhibited grief - (correct Answer) - The absence of grief when it ordinarily would be expected
Potentially pathological because the person is not dealing with the reality of the loss
Remains fixed in the denial stage of the grief process
Grief may be triggered much later in response to a subsequent loss
distorted or exaggerated grief - (correct Answer) - -experience manifestations at an exaggerated level
-can not perform ADLs
-can remain in anger stage and feel anger toward self or others
-can develop clinical depression
chronic or prolonged grief - (correct Answer) - high level of distress continuing over a number of years
without coming to a satisfactory conclusion
-can result in not being able perform ADLs
disenfranchised grief - (correct Answer) - A situation in which certain people, although they are
bereaved, are prevented from mourning publicly by cultural customs or social restrictions.
-EX: suicide, abortion
Atomoxetine side effects - (correct Answer) - headache
insomnia
somnolence