Capstone A& B Study Guide 2020/21

Capstone A& B Study Guide 2020/21 1. Eating Disorders: Caring for a client who has anorexia nervosa (Mental Health Chp.19) a. preoccupied with food and the rituals of eating, along with a voluntary refusal to eat b. Closely monitor the client during and after meals to prevent purging, c. Highly structured milieu, cognitive behavioral therapy (desensitizing, journaling, relaxation, cognitive reframing), d. reward for + behaviors e. A structured and inflexible eating schedule at the start of therapy, only permitting food during scheduled times, f. Liquid supplement, high fiber, low sodium g. Stay with client when eating 2. Psychotic Disorders: Identifying Speech Alterations (Mental Health Chp 15) a. Flight of ideas: Associative looseness. The client might say sentence after sentence, but each sentence can relate to a different topic, and the listener is unable to follow the client’s thoughts. b. Neologisms: Made-up words that have meaning only to the client, such as, “I tranged and flittled.” c. Echolalia: The client repeats the words spoken to him. d. Clang association: Meaningless rhyming of words, often forceful, such as, “Oh fox, box, and lox.” e. Word salad: Words jumbled together with little meaning or significance to the listener, such as, “Hip hooray, the flip is cast and wide‑sprinting in the forest 3. Stress Management: Teaching Progressive muscle relaxation (Mental Health Chp. 9) a. Progressive muscle relaxation (complete relaxation within a few minute) b. First, you systematically tense particular muscle groups in your body, such as your neck and shoulders. Next, you release the tension and notice how your muscles feel when you relax them 4. Substance Use disorders: Actions for Alcohol Toxicity (Pharm Chp.12) a. Alcohol toxicity can start 4-12 hrs after last drink and last up to 5-7 days b. Give benzo (-pams, chlordiazepoxide) + carbamazepine + clonidine + B. blocker (-olol) c. NI: seizure precaution, resp. depression, check v.s. 5. Substance Use Disorders: Adverse Effects of Disulfiram (Pharm Chp 12) a. Nausea, vomiting, weakness, sweating, palpitations, tachycardia, flushing, and hypotension 6. Newborn Nutrition: Evaluating Understanding of Formula Preparation (Maternity Chp.25) A. Handwashing first, newborn should be fed every 3 to 4 hr, Bottles and accessories can be put in the dishwasher, boiled, or washed by hand in hot soapy water using a good bottle and nipple brush, Teach parents to wash the lid of a can of concentrated formula with hot soapy water, and shake before opening it, Use tap water and boil it, prepared formula can be refrigerated for up to 48 hr, cradle the newborn in their arms in a semi‑upright position. The newborn should bottle feed at a 45˚ angle, Keep the nipple filled with formula to prevent the swallowing air. NEVER PROP BOTTLE, burp several times during a feeding, Place the newborn on his back after feedings, discard any unused formula remaining in the bottle, adequately fed (gaining weight; bowel movements are yellow, soft and formed; and satisfaction between feedings), 3 or more bowel movements a day; formula‑fed infants less frequent. Breastfed and formula‑fed infants usually have 6 or more wet diapers a day. 7. Basic Mental Health Nursing Concepts: Assessing an Older Adult (Mental Chp.1) A. Check Functional ability, Economic and social status, Environmental factors, such as stairways in the home, Physical assessment, Geriatric Depression Scale (short form), Michigan Alcoholism Screening Test: Geriatric Version, MMSE, Pain assessments, do assessments in private, quiet space with adequate lighting to accommodate for impaired vision and hearing, introduction, and determine the client’s name preference, Stand or sit at the client’s level to conduct the interview, ask about difficulty sleeping, incontinence, falls or other injuries, depression, dizziness, and loss of energy, detailed med history