Question

Answer the following questions and review the suggested learning activities. Send me your answers here.

A nurse is providing care for a client with dementia. The family inquires as to whether or not long-term care is warranted. What tools may the nurse use to help collect data to help determine the client's ability to continue to function independently?
Suggested Mental Health Learning Activity: Cognitive Disorders

A client has been ordered to be placed in restraints after all other methods have failed to keep him safe. What care should be provided to the client during this time?

A nurse is caring for a client under suspicion of abuse by her partner. What are common risk factors for intimate partner abuse?
Suggested Mental Health Learning Activity: Abuse and Neglect

A nurse is providing care for a client who has been admitted for treatment of pedophilia. What nursing interventions would be effective in working with this client?
Suggested Mental Health Learning Activity: Abuse and Neglect

A nurse is caring for a client who is experiencing acute alcohol withdrawal. What interventions should the nurse take during this period?
Suggested Mental Health Learning Activity: Substance Use and Addictive Disorders

Compare the expected behaviors for someone with schizoid personality disorders compared to someone with schizotypal personality disorders.
Suggested Mental Health Learning Activity: Antisocial Personality Disorder

A client is admitted with severe anxiety. What interventions would the nurse take to help decrease the anxiety and develop a therapeutic relationship with the client?
Suggested Mental Health Learning Activities: Therapeutic Relationships and Therapeutic Milieu & Anxiety and Coping Mechanisms

A nurse is providing care for a client who has depression. What are some steps the nurse can take to help establish a therapeutic relationship with the client?
Suggested Mental Health Learning Activity: Mood Disorders

A nurse is caring for a client in a mental health unit. What is the purpose and outcomes of using therapeutic communication?
Suggested Mental Health Learning Activity: Therapeutic Communication

A client with severe stress has been taught to use progressive muscle relaxation to help decrease their anxiety and stress levels. The client asks how progressive muscle relaxation will work. How would the nurse respond?

Suggested Mental Health Learning Activities: Anxiety and Coping Mechanisms & Stress Management

A client has been ordered Methylphenidate 10 mg three times a day. Available is Methylphenidate 20 mg. How many tablets would the nurse administer?

A client with psychosis has been prescribed fluphenazine. What education regarding management of anticholinergic effects and postural hypotension should the nurse reinforce to this client?
Suggested Mental Health Learning Activity: Psychopharmacology: Psychoses

Discuss two (2) ways to provide safety for an Alzheimer's client who wanders at night.
Suggested Mental Health Learning Activity: Cognitive Disorders

Identify four (4) manifestations of generalized anxiety disorder.
Suggested Mental Health Learning Activity: Anxiety and Coping Mechanisms

A nurse is caring for a client who is experiencing acute alcohol withdrawal. What are three (3) manifestations of alcohol withdrawal the nurse should be aware of when managing care of this client?
Suggested Mental Health Learning Activity: Substance Use and Addictive Disorders

What are three (3) clinical manifestations of the manic phase of bipolar disorder?
Suggested Mental Health Learning Activity: Mood Disorders

A 14-year-old anorexic client shares with the nurse that she is not happy with her body. How best can the nurse address concerns with the client about her body image?
Suggested Mental Health Learning Activity: Eating Disorders

Identify two (2) speech alterations that can occur to a client with psychotic manifestations.
Suggested Mental Health Learning Activity: Psychotic Disorders

Identify three (3) adverse effects associate with valproic acid.

Suggested Mental Health Learning Activity: Psychopharmacology: Bipolar Disorders

Identify a therapeutic lithium level and three (3) signs of lithium toxicity noted in a client.

Answer 1

1# Remove scatter rugs, is there install door locks that can not be easily opened, lock water heater thermostat and turn water temperature down to a safe level provide good lighting. especially on stairs, handrail on stairs, and mark step edges with colored tape, mattresses on the floor, remove clutter, keeping clear, wide pathways for walking through a room, electrical cords to baseboards secured, cleaning supplies in locked cupboards, handrails in bathroom. etc...

2# some of the preventive , alternative measures that can decrease the need for restraints *accurate clinet assessment for the risk of falls, the immediate initiation of special falls risk interventions when a client is assessed as 'at risk' for falls, more frequent monitoring , providing frequent reminders to the client to call for help before arising from the bed or chair, using bed and chair alarms, using a companion, sitter etc..., reorienting the person, Some of the preventive , alternative measures that can decrease the need for restraints in order to prevent violent behaviour that place self and others risk for imminent harm for include , behaviour management techniques, behaviour modification techniques, keeping the client away from triggers, stress management and relaxation techniques, positive and negative reinforcement.

3# Risk factors for intimate partener violence.... *low self esteem, low income, low academic achievement, low verbal iq, young age, aggressive or delinquent behaviour as a youth, heavy alcohol and drug use, depression and suicide attempts, anger and hospitality

domestic violence and abuse stem from a desire to gain and maintain power and control over an intimate partner, abusive people believe they have the right to control and restrict their partners, and they may enjoy the feeling that exerting power gives them.

4# Behaviour treatment of pedophilia doesnot affect recidivism nor apparently does incarceration, the condition remains chronic, and for this reason , societal interest in incarceration prevails over what is genarally seen as equivocal behaviour treatment.Pedophilia can be treated with long-term individual or group psychotherapy and drugs that after the sex drive and reduce testosterone level.