Restraint Definition
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Any manual method, physical or mechanical device or equipment that
immobilizes or reduces the ability of a patient to move his or her arms, legs,
body or head freely
Assessment of the thought processes of a client diagnosed with depression is most
likely to reveal what characteristic?
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, Self-deprecatory ideation
- Depressed clients never feel good about themselves
- They have a negative, self-deprecating view of the world
When the nurse asks whether a client is having any thoughts of suicide, the client
becomes angry and defensive, shouting, "I'm sick of you people! Are you ever do is
ask me the same question over and over. Get out of here!" The nurse's response is
based on what fact concerning hostility?
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The client may be at high risk for self-harm.
- Overt hostility is highly correlated with suicide; therefore the patient may
be considered high risk, and appropriate precautions should be taken
A teenaged client is being discharged from the psychiatric unit with a prescription for
risperidone. The nurse providing medication teaching to the client's mother should
provide which response when asked about the risk her son faces for extrapyramidal
side effects (EPSs)?
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Risperidone is a newer antipsychotic medication and has a lower risk of
EPSs than older antipsychotics.
- Risperidone is a newer, atypical antipsychotic.
- All newer antipsychotic medications have a lower incidence of EPSs than
older, traditional antipsychotics.
,Screening for psychosis
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Serial screening for those with a positive family history
Serial monitoring of subclinical symptoms to allow for early intervention in
the prodromal phase
Screening instruments include the Brief Psychiatric Rating Scale (BRPS), the
Positive and Negative Syndrome Scale (PANSS), and the Minnesota
Multiphasic Personality Inventory-2 (MMPI-2).
A client diagnosed with paranoid schizophrenia refuses food, stating the voices are
saying the food is contaminated and deadly. Which response should the nurse
provide to this client statement?
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"I understand that the voices are very real to you, but I do not hear them."
This reply acknowledges the client's reality but offers the nurse's perception
that he or she is not experiencing the same thing
Disturbed activity in neurotransmitters of the brain
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, Dopamine
Norepinephrine
Serotonin
Therapeutic Lithium level:
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0.6-1.2
When the clinician mentions that a client has anhedonia, the nurse can expect that the
client will demonstrate what behavior?
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No pleasure from previously enjoyed activities
Primary Prevention psychosis
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- Measures aimed at reducing risk factors
- Facilitating protective factors
- Decreasing early use of substances
- Early detection and intervention during prodromal states
Give this one a try later!
Any manual method, physical or mechanical device or equipment that
immobilizes or reduces the ability of a patient to move his or her arms, legs,
body or head freely
Assessment of the thought processes of a client diagnosed with depression is most
likely to reveal what characteristic?
Give this one a try later!
, Self-deprecatory ideation
- Depressed clients never feel good about themselves
- They have a negative, self-deprecating view of the world
When the nurse asks whether a client is having any thoughts of suicide, the client
becomes angry and defensive, shouting, "I'm sick of you people! Are you ever do is
ask me the same question over and over. Get out of here!" The nurse's response is
based on what fact concerning hostility?
Give this one a try later!
The client may be at high risk for self-harm.
- Overt hostility is highly correlated with suicide; therefore the patient may
be considered high risk, and appropriate precautions should be taken
A teenaged client is being discharged from the psychiatric unit with a prescription for
risperidone. The nurse providing medication teaching to the client's mother should
provide which response when asked about the risk her son faces for extrapyramidal
side effects (EPSs)?
Give this one a try later!
Risperidone is a newer antipsychotic medication and has a lower risk of
EPSs than older antipsychotics.
- Risperidone is a newer, atypical antipsychotic.
- All newer antipsychotic medications have a lower incidence of EPSs than
older, traditional antipsychotics.
,Screening for psychosis
Give this one a try later!
Serial screening for those with a positive family history
Serial monitoring of subclinical symptoms to allow for early intervention in
the prodromal phase
Screening instruments include the Brief Psychiatric Rating Scale (BRPS), the
Positive and Negative Syndrome Scale (PANSS), and the Minnesota
Multiphasic Personality Inventory-2 (MMPI-2).
A client diagnosed with paranoid schizophrenia refuses food, stating the voices are
saying the food is contaminated and deadly. Which response should the nurse
provide to this client statement?
Give this one a try later!
"I understand that the voices are very real to you, but I do not hear them."
This reply acknowledges the client's reality but offers the nurse's perception
that he or she is not experiencing the same thing
Disturbed activity in neurotransmitters of the brain
Give this one a try later!
, Dopamine
Norepinephrine
Serotonin
Therapeutic Lithium level:
Give this one a try later!
0.6-1.2
When the clinician mentions that a client has anhedonia, the nurse can expect that the
client will demonstrate what behavior?
Give this one a try later!
No pleasure from previously enjoyed activities
Primary Prevention psychosis
Give this one a try later!
- Measures aimed at reducing risk factors
- Facilitating protective factors
- Decreasing early use of substances
- Early detection and intervention during prodromal states
