NUR2488 EXAM 3/ NUR 2488 EXAM 3 LATEST (50
QS AND ANS )MENTAL HEALTH NURSING –
RASMUSSEN|COMPLETE EXAM
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Terms in this set (127)
Suicidal ideations, lack of judgement, memory
Common symptoms of difficulty, dfficulty with simple taks, difficulty making
depression decisions, feelings of helplessness, questioning the
meaning of life, feelings of worthlessness, anhedonia
Beck's cognitive triad
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, 1/17/25, 7:51 PM NUR2488 EXAM 3/ NUR 2488 EXAM 3 LATEST (50 QS AND ANS )MENTAL HEALTH NURSING – RASMUSSEN|COMPLETE EX…
Risk for suicide, questions have you thought about hurking/killing yourself, do
to ask patient you have a plan, how would you carry out that plan
Psychiatric disorder with severe symptoms of acute
precipitating event protective factors not relevant,
High risk for suicide
Potentially lethal suicide attempt or persistent
ideation with strong intent or suicide rehearsal
When a patient is mute, use the technique of making
observations: "There are many new pictures on the
wall" or "You are wearing your new shoes.". Use
simple, concrete words.
nursing diagnosis for
Allow time for the patient to respond. Listen for
depression patients
covert messages and ask about suicide plans: "Have
you had thoughts of killing or harming yourself in any
way?". Avoid platitudes such as, "Things will look up"
or "Everyone gets down once in a while."
Help the patient question underlying assumptions and
beliefs and consider an alternate explanation to
problems. Work with the patient to identify cognitive
distortions that encourage negative self-appraisal.
Encourage activities that can raise self-esteem.
communication Identify the need for (a) problem-solving skills, (b)
interventions in coping skills, and (c) assertiveness skills.
depression Discuss physical activities the patient enjoys.
Encourage formation of supportive relationships, such
as through support groups, therapy, and peer
support. Provide information referrals, when needed,
for spiritual/religious information (e.g., readings,
programs, tapes, community resources).
Offer small, high-calorie, and high-protein snacks
frequently throughout the day and evening, Weigh the
Interventions for physical patient weekly and observe the patient's eating
needs in depressed patterns, Provide periods of rest after activities,
patients Monitor intake and output, especially bowel
movements, Evaluate the need for laxatives and
enemas.
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