nurs 406 test 3
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1. key points: ________________________________________
2. suicide & nonsuicidal self injury
ch 25 mental health: • Suicide is a significant public health problem in the United States and should be
approached as a "never event."
• Specific biological, psychosocial, and cultural factors increase the risk of suicide.
• Treating the coexisting psychiatric disorder may help most patients with suicidal ideation.
• Certain health conditions and psychiatric diagnoses are associated with increased risk for suicide.
• Every suicide attempt must be taken seriously even if the person has a history of multiple attempts.
• Nursing care of the patient who is suicidal is challenging but rewarding. Patients' desperate feelings evoke intense
reactions in staff, but most people with suicidal behaviors respond to treatment and do not complete suicide.
• If a patient completes suicide, family, friends, and healthcare workers are traumatized and need postvention in terms
of support, possibly including referrals for psychiatric treatment.
• Nonsuicidal self-injury is a problem that is becoming increasingly important, especially among young people.
• Treatment of patients with suicidal and nonsuicidal self-injury behaviors involves an interdisciplinary team working
together to implement plans of care developed with support of the patient's family and friends.
3. ch 11 childhood and neurodevelopmental disorders
pg 171-190, 566-583: • One in five children and adolescents in the United States suffers from a major menta
illness that causes significant impairments at home, at school, with peers, and in the community.
• Factors known to affect the development of mental and emotional problems in children and adolescents include
genetic influences, biochemical (prenatal and postnatal) factors, temperament, psychosocial developmental factors,
social and environmental factors, and cultural influences.
• The characteristics of a resilient child include an adaptable temperament, the ability to form nurturing relationships
, nurs 406 test 3
Study online at https://quizlet.com/_hvx7aa
with surrogate parental figures, the ability to distance the self from emotional chaos in parents and family, good socia
intelligence, the ability to perceive a future, and problem-solving skills.
• Use seclusion and restraint as last resorts after less restrictive interventions have failed and only in the case of
dangerous behavior toward self or others. Seclusion and restraint require continuous monitoring by trained staff and
must not be used as a punishment. Notify parents/guardians if such measures are used.
• Communication disorders are a deficit in language skills acquisition that creates impairments in academic achieve-
ment, socialization, or getting self-care.
• Motor disorders are manifested by impairments in gross and fine motor skill acquisition. They can range from mild to
profound in severity. Purposeless, repetitive movements that interfere with daily living activities characterize stereotypic
movement disorders.
• Tics are sudden, nonrhythmic, and rapid motor movements or vocalizations. Tic disorders vary in severity and degree
of interference with the child's social and academic functioning.
• Learning disorders may be in the areas of reading, mathematics, or written expression with performance in those
areas below
4. older adult behavioral health
ch 31 mental health: • The older adult population is increasing exponentially.
• The increase in the number of older adults poses a challenge not only to nurses but also to the entire healthcare
system to respond to the special needs of this population.
• Attitudes toward older adults are often negative, reflecting ageism—a bias against older adults based solely on age.
Ageism occurs at all levels of society and even among healthcare providers, which affects the way we render care to our
older patients.
• Maintaining a positive regard that demonstrates respect will improve interactions with older adults.
• Nurses who care for older adults in various settings may function at different levels. All should be knowledgeable
, nurs 406 test 3
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about the process of aging and be aware of the differences between normal and abnormal aging changes.
• The Patient Self-Determination Act established guidelines and a philosophy of care that call for patients to be free
from unnecessary use of drugs and physical restraints.
• The use of more than five medications doubles the risk of an adverse reaction.
• Accurate pain assessment is important, and the nurse must remember that older adults tend to understate their pain.
• Nurses working with older adult patients with concurrent mental health problems should be knowledgeable about
psychotherapeutic approaches relevant for the older adult.
• When it comes to dying and death, older adults' wishes and those of their families are frequently ignored. The
implementation of the Patient Self-Determination Act, passed in 1990, allows patients autonomy and dignity in death.
• A variety of treatment settings are available to older adults. The level of disability, cognitive abilities, and psychiatric
disorders influence the choice of setting.
5. substance-related and addictive disorders
varcolis
pg 407-429: • Substance-related and addictive disorders are complex brain diseases characterized by craving,
seeking, and using regardless of consequences.
• Most substance use disorders are characterized by addiction, intoxication, tolerance, and withdrawal.
• The cause of substance use is a combination of biological and environmental factors.
• Assessment of patients with substance use problems needs to be comprehensive and aimed at identifying common
medical and psychiatric comorbidities.
• Clients with a co-occurring diagnosis have more severe symptoms, experience more crises, and require longer
treatment for successful outcomes.
• Substance use affects the family system of the patient and may lead to codependent behavior in family members.
, nurs 406 test 3
Study online at https://quizlet.com/_hvx7aa
• Relapse is an expected complication of substance use, and treatment includes a significant focus on teaching relapse
prevention.
• Successful treatments include an integrated approach, self-help groups, psychotherapy, therapeutic communities,
and psychopharmacotherapy.
• Nurses need to be aware of their own feelings about substance use so that they can provide empathy and hope to
patients.
• Nurses are at higher risk for substance use disorders and should be vigilant for signs of impairment in colleagues to
ensure patient safety and referral to treatment for the chemically dependent nurse.
• A variety of settings are helpful in meeting the needs of individuals who are trying to maintain recovery from alcohol.
6. 1. Which patient statement does not demonstrate an understanding of a
suicide safety plan?
a. "I know that when I start thinking about my dad, I'm going to start thinking
about killing myself."
b. "Going for a really long, hard run helps clear my mind and stops the suicidal
thoughts."
c. "My sister is always there for me when I start getting suicidal."
d. "I keep the suicide prevention phone number in my wallet.": b. "Going for a really
long, hard run helps clear my mind and stops the suicidal thoughts."
7. 2. Which interventions will help make the environment on the unit safer for
suicidal patients? Select all that apply.
a. All windows are kept locked.
b. Every shower has a breakaway shower rod.
c. Eating utensils are counted when trays are collected.
d. Patient doors are kept open.
e. Staying within listening distance of the patient.: a. All windows are kept locked.
b. Every shower has a breakaway shower rod.
c. Eating utensils are counted when trays are collected.
d. Patient doors are kept open.
Study online at https://quizlet.com/_hvx7aa
1. key points: ________________________________________
2. suicide & nonsuicidal self injury
ch 25 mental health: • Suicide is a significant public health problem in the United States and should be
approached as a "never event."
• Specific biological, psychosocial, and cultural factors increase the risk of suicide.
• Treating the coexisting psychiatric disorder may help most patients with suicidal ideation.
• Certain health conditions and psychiatric diagnoses are associated with increased risk for suicide.
• Every suicide attempt must be taken seriously even if the person has a history of multiple attempts.
• Nursing care of the patient who is suicidal is challenging but rewarding. Patients' desperate feelings evoke intense
reactions in staff, but most people with suicidal behaviors respond to treatment and do not complete suicide.
• If a patient completes suicide, family, friends, and healthcare workers are traumatized and need postvention in terms
of support, possibly including referrals for psychiatric treatment.
• Nonsuicidal self-injury is a problem that is becoming increasingly important, especially among young people.
• Treatment of patients with suicidal and nonsuicidal self-injury behaviors involves an interdisciplinary team working
together to implement plans of care developed with support of the patient's family and friends.
3. ch 11 childhood and neurodevelopmental disorders
pg 171-190, 566-583: • One in five children and adolescents in the United States suffers from a major menta
illness that causes significant impairments at home, at school, with peers, and in the community.
• Factors known to affect the development of mental and emotional problems in children and adolescents include
genetic influences, biochemical (prenatal and postnatal) factors, temperament, psychosocial developmental factors,
social and environmental factors, and cultural influences.
• The characteristics of a resilient child include an adaptable temperament, the ability to form nurturing relationships
, nurs 406 test 3
Study online at https://quizlet.com/_hvx7aa
with surrogate parental figures, the ability to distance the self from emotional chaos in parents and family, good socia
intelligence, the ability to perceive a future, and problem-solving skills.
• Use seclusion and restraint as last resorts after less restrictive interventions have failed and only in the case of
dangerous behavior toward self or others. Seclusion and restraint require continuous monitoring by trained staff and
must not be used as a punishment. Notify parents/guardians if such measures are used.
• Communication disorders are a deficit in language skills acquisition that creates impairments in academic achieve-
ment, socialization, or getting self-care.
• Motor disorders are manifested by impairments in gross and fine motor skill acquisition. They can range from mild to
profound in severity. Purposeless, repetitive movements that interfere with daily living activities characterize stereotypic
movement disorders.
• Tics are sudden, nonrhythmic, and rapid motor movements or vocalizations. Tic disorders vary in severity and degree
of interference with the child's social and academic functioning.
• Learning disorders may be in the areas of reading, mathematics, or written expression with performance in those
areas below
4. older adult behavioral health
ch 31 mental health: • The older adult population is increasing exponentially.
• The increase in the number of older adults poses a challenge not only to nurses but also to the entire healthcare
system to respond to the special needs of this population.
• Attitudes toward older adults are often negative, reflecting ageism—a bias against older adults based solely on age.
Ageism occurs at all levels of society and even among healthcare providers, which affects the way we render care to our
older patients.
• Maintaining a positive regard that demonstrates respect will improve interactions with older adults.
• Nurses who care for older adults in various settings may function at different levels. All should be knowledgeable
, nurs 406 test 3
Study online at https://quizlet.com/_hvx7aa
about the process of aging and be aware of the differences between normal and abnormal aging changes.
• The Patient Self-Determination Act established guidelines and a philosophy of care that call for patients to be free
from unnecessary use of drugs and physical restraints.
• The use of more than five medications doubles the risk of an adverse reaction.
• Accurate pain assessment is important, and the nurse must remember that older adults tend to understate their pain.
• Nurses working with older adult patients with concurrent mental health problems should be knowledgeable about
psychotherapeutic approaches relevant for the older adult.
• When it comes to dying and death, older adults' wishes and those of their families are frequently ignored. The
implementation of the Patient Self-Determination Act, passed in 1990, allows patients autonomy and dignity in death.
• A variety of treatment settings are available to older adults. The level of disability, cognitive abilities, and psychiatric
disorders influence the choice of setting.
5. substance-related and addictive disorders
varcolis
pg 407-429: • Substance-related and addictive disorders are complex brain diseases characterized by craving,
seeking, and using regardless of consequences.
• Most substance use disorders are characterized by addiction, intoxication, tolerance, and withdrawal.
• The cause of substance use is a combination of biological and environmental factors.
• Assessment of patients with substance use problems needs to be comprehensive and aimed at identifying common
medical and psychiatric comorbidities.
• Clients with a co-occurring diagnosis have more severe symptoms, experience more crises, and require longer
treatment for successful outcomes.
• Substance use affects the family system of the patient and may lead to codependent behavior in family members.
, nurs 406 test 3
Study online at https://quizlet.com/_hvx7aa
• Relapse is an expected complication of substance use, and treatment includes a significant focus on teaching relapse
prevention.
• Successful treatments include an integrated approach, self-help groups, psychotherapy, therapeutic communities,
and psychopharmacotherapy.
• Nurses need to be aware of their own feelings about substance use so that they can provide empathy and hope to
patients.
• Nurses are at higher risk for substance use disorders and should be vigilant for signs of impairment in colleagues to
ensure patient safety and referral to treatment for the chemically dependent nurse.
• A variety of settings are helpful in meeting the needs of individuals who are trying to maintain recovery from alcohol.
6. 1. Which patient statement does not demonstrate an understanding of a
suicide safety plan?
a. "I know that when I start thinking about my dad, I'm going to start thinking
about killing myself."
b. "Going for a really long, hard run helps clear my mind and stops the suicidal
thoughts."
c. "My sister is always there for me when I start getting suicidal."
d. "I keep the suicide prevention phone number in my wallet.": b. "Going for a really
long, hard run helps clear my mind and stops the suicidal thoughts."
7. 2. Which interventions will help make the environment on the unit safer for
suicidal patients? Select all that apply.
a. All windows are kept locked.
b. Every shower has a breakaway shower rod.
c. Eating utensils are counted when trays are collected.
d. Patient doors are kept open.
e. Staying within listening distance of the patient.: a. All windows are kept locked.
b. Every shower has a breakaway shower rod.
c. Eating utensils are counted when trays are collected.
d. Patient doors are kept open.
