Nurse Stacy identifies substance use disorder relapse prevention strategies that will be discussed during Mr. Moore's outpatient treatment program. Mr. Moore talks to Social Worker Eva about going out for drinks at the end of the day with other construction workers. This is a Premium document. Which of the following assessment tools should he use to identify suicide risk factors and the need for hospitalization? X mL = 0 mL Regression involves the acting out behaviors of an individual at an earlier stage in life. Integument The anatomical structures (skin, hair, and nails) and body functions related to This allows for exploring and clarifying the pt's statements. Visit us (http://www.khanacademy.org/science/healthcare-and-medicine) for health and medicine content or (http://www.khanacademy.org/test-prep/mcat) for MCAT. Fall Risk Assessment The use of current knowledge from research and other credible sources, upon Without treatment, social phobia can last for years or even a lifetime. The client stating that she will be fine without Rationale Restating the clients concerns allows for exploration and clarification of the benzodiazepine, such as lorazepam, as an anxiolytic agent. Have suction equipment available in Mr. Moore's room. 13. Braden Scale: 12 terms. Nurse Steve intervenes with a potentially violent Mr. Moore to de-escalate the situationNurse Steve is caring for Mr. Moore, who is angry and is raising his voice. 2. continue to gather more information regarding finances. nurse tara is discussing ms. simposon's most stressful situation. Which of the following statements should Nurse Anne say when discussing this topic with K? The nurse should administer lorazepam 0 mL IM. X mL = 0 mL Anxiety The Suicide Assessment Five Step Evaluation and Triage (SAFE-T). Elimination. based on a clients physiological, psychological, sociological, spiritual, and Step 8: Determine whether the amount to administer makes sense. Scenario Nurse Tara is admitting Ms. Simpson. Click the card to flip Definition 1 / 13 Assess respiratory status Click the card to flip Flashcards Learn Test Match Created by SHERNETTE_FAULKNER Terms in this set (13) Nurse T admit Ms. S. Priority action for T to take? ), Selected Ordering DenialDisplacementRationalizing. and gambling behavior to be the cause of her inability to pay rent is an example resolution of problems. If there are 4 promoting quality care and maintaining a secure environment for clients, self, Alcohol Abuse Disorder Which of the Reasoning Scenario Performance Related to Outcomes: *See Score Explanation and Interpretation, RN Pharmacological and Parenteral Therapies, Report Created on: 6/18/2022 07:13 PM EDT, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. PatientCentered Care The provision of caring and compassionate, culturally sensitive care that is support the body and provide its movement. Dose to administer = Nurse T is listening to Ms. S while she describes the stressors that contribute to her anxiety. The client stating that she will be fine without (Fill in the blank and click Real Life scenarios were developed by nurse educators to provide experience with the variety of situations nurses face in real life, without the need for live clinical presence or risk to client safety. unit of measure being calculated on the left side of the equation.) occurrence that is causing stress. What rivers serve as links to the Arctic Interventions are based on the degree of anxiety you are experiencing. Major Depressive Disorder (NEW Fall 2022). Step 1: What is the unit of measurement the nurse should calculate? circulation (ABC) approach to the client is to assess respiratory status of a client Splitting is the inability to blend both the positive and negative qualities of self. If there are 4 Bipolar Disorder Safety The minimization of risk factors that could cause injury or harm while Based on the ATI Real Life RN Mental Health 3.0, Module on Bipolar Disorder, develop a concept map that would include the following information. Discharge planning includes teaching Mr. Moore about medications prescribed to decrease his alcohol craving. Dose to administer = Nurse Stacy is completing the admission process for Mr. Moore. If a detrimental decision that could result in grave harm to the client is made during a Real Life scenario, the scenario HaveDesired= QuantityX4 mg2mg=ف mLX mL Improvement. Which of the following responses by Ben is appropriate? Desired 2 mg mL. 2. Which of the following responses to the question asked by the clien's mother is appropriate? appropriate action for Tara to take? DesiredQuantityX= Have2 mg1 mLXmL=ل mg on the submit button when you are finished.). Canadians who visit the United States often buy liquor and cigarettes, which are much cheaper in the United States. Step 5: What is the quantity of the dose available? -Diazepam (Valium): Anxiolytic and sedative, It can treat anxiety, muscle spasms, and seizures. [Show more] Preview 1 out of 4 pages unwanted units of measurement. Ask the AP to assist the client out of the room. and ears) and body functions that support perception, interpretation, and clinical judgment and client care are based. X mL = Absorption and involves the conscious effort of not thinking about an unpleasant event or appropriate action for Tara to take? Step 4: Should the nurse convert the units of measurement? Clients scales is an appropriate tool for Tara to use? Question Nurse Tara is communicating with Ms. Simpson. Step 2: What is the dose the nurse should administer? Scenario Nurse Tara is communicating with Ms. Simpson. Nurse Stacy offers a therapeutic response to Mr. Moore, who is using the defense mechanism of denial determines her score to be 26. Strong Exhibits optimal reasoning that results in positive outcomes in the care of clients and resolution Immunity The anatomic structures (spleen, thymus, bone marrow, and lymphatic system) Ben reviews Susans assessment data. Cranial nerve assessment. Desired 2 mg Schizophrenia Which of the following is the priority action for Tara to take? the client has shortness of breath, chest pain, headaches, restlessness, and trembling nurse tara completes the Hamilton-A assessment of ms. Simpson and determines her score to be 26. which of the following is an appropriate action for the nurse to take? Step 5: Round if necessary. Bipolar Disorder :Hearing voices must be frightening, but you are safe" Helpful one the pt is no longer in an acute state. Admitted by ambulance in acute alcohol intoxication with abrasions and accompanied by police. Step 1: What is the unit of measurement the nurse should calculate? Alcohol Abuse Disorder Practice. 2. Nurse T admit Ms. S. Priority action for T to take? an individual at an earlier stage in life. Body Function Strong Satisfactory Needs Improvement Cognition and Sensation 90.9% 9.1% Oxygenation 100% NCLEX RN Strong Satisfactory Needs Improvement RN Health Promotion and Maintenance 100% RN . HaveDesired _ _ #160QuantityX4 mg2 _PJ _ #1601 mLX mL Alcohol Abuse Nurse Stacy plans to complete the CAGE questionnaire as part of the Nursing Assessment. list the findings that the nurse includes when giving report using the SBAR format. Question Nurse Tara is assessing Ms. Simpson. Bipolar Disorder Alcohol Abuse Disorder Question Nurse Tara is initiating therapeutic communication with Ms. Simpson. Follow these steps for the Dimensional Analysis method of calculation: Management of Care Providing integrated, costeffective care to clients by coordinating, supervising. Displacement happens when there is a transfer of feelings Information related to each question answered in a scenario attempt is listed in the report. Step 3: What is the dose available? T3, T4, TSH (Hypothyrodism Side Effect) Nurse Tara is admitting Ms. Simpson. Question Nurse Tara is admitting Ms. Simpson. Which of the following medications are appropriate to include in this discussion? Question Nurse Tara completes the Hamilton-A assessment of Ms. Simpson and Exhibits reasoning that results in harmful or detrimental outcomes in the care of clients and After making your selection, click on the submit button.). related complications. Which statements should T include in the teaching? mL 16. The anatomical structures (heart, blood vessels, and blood) and body functions that The meal also offers high-protein, high calorie foods with no utensils. Which of the following info should the nurse include? Step 6: Set up an equation and solve for X. Olanzapoine 10 mg IM for pt SC, for acute mania. Alcohol Abuse Disorder how many mL should the nurse administer? RN Pharmacological and Parenteral Therapies 100%. (Place the ratio on the right side of the equation, ensuring that the select all that apply. Providing and directing nursing care for clients experiencing physical illness. Question Nurse Tara is assessing Ms. Simpson. This disorder, also known as conduct disorder, is one of two disruptive behaviour and dissocial disorders, the other is oppositional defiant disorder. Encouraging the pt to openly discuss the topic so that the nurse can gain info and insight into the situation. Which of the following is a therapeutic response to this statement by Nurse Stacy? Step 4: Should the nurse convert the units of measurement? HaveDesired= QuantityX4 mg2mg=ف mLX mL The pt has the right to refuse the treatment. Step 7: Round if necessary. Selected Option Assess respiratory status. Obtain a prescription forlorazepam (Ativan). To earn 6 hours, programs must use ATIs clinical replacement lesson plans. Establilsh a goal for long term commitment to attending group therapy. based on a clients physiological, psychological, sociological, spiritual, and It can also be used before surgery and medical procedures to relieve anxiety. the four levels of anxiety include mild, moderate, severe, and panic. - "you can experience four levels of anxiety." Hamilton-A Collaboration. 1 mLXmL=ل mg Elimination. Nurse T is discussing Ms. S is most stressful situation. Real Life RN Mental Health Anxiety Disorder Expert Sandra Watson Category: Nursing Description Full Document Mental Health (NR 326) Nurse Tara is admitting Ms. Simpson. Scenario Nurse Tara is discussing Ms. Simpsons most stressful situation. provides for the health and wellbeing of clients, significant others, and Alcoholics may experience cognitive changes, which may affect their ability to remember and use relapse prevention strategies effectively. (Place the A performance indicator is provided for each outcome listed within the nursing competency outcome categories. Step 6: Determine whether the amount to administer makes sense. Nurse T is teaching Ms. S about anxiety. Yes No Rationale Splitting is the inability to blend both the positive and negative qualities of self. People with social anxiety disorder may experience: Blushing, sweating, or trembling Pounding or racing heart Stomachaches Rigid body posture or speaking with an overly soft voice Difficulty making eye contact or being around people they don't know Feelings of self-consciousness or fear that people will judge them negatively 1 mL2 mgXmL= ل mgx mL nurse and the client? 4. Step 4: Should the nurse convert the units of measurement? Scenario Nurse Tara has discovered Ms. Simpsons self-injury. of problems. A detrimental decision indicates the need to remediate the related topic area to prevent detrimental outcomes in the an individual at an earlier stage in life. So you don't think you're an alcoholic? People with social phobia may worry for days or weeks before a social event. "When the client shares suicidal thoughts, the nurse shoudl ask if there is a specific plan and then determine the lethality of the method and whether or not the client has access to the desired method. As a student watches a scenario, they are prompted to make decisions about the patients care that significantly impact client outcomes. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Anxiety Disorder - Use on 7/15/2020 9:50:37 AM, Report Created on: 7/15/2020 10:12 AM EDT, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Rationale The first action the nurse should take using the nursing process is to collect data Real Life Mental Health Anxiety Disorder 1 - Individual Name: Institution: Program Type: Joann Chiu - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. Ingestion, Digestion, Incorporating preventative safety measures in the provision of client care that Question Nurse Tara is listening to Ms. Simpson while she describes the stressors that the following video clips demonstrates an appropriate interaction between the Providing and directing nursing care for clients experiencing physical illness. Scenario Nurse Tara is admitting Ms. Simpson. Unformatted text preview: ACTIVE LEARNING TEMPLATE: Nursing Skill Chance Granger STUDENT NAME_____ of the Suicidal Client SKILL NAME__Care _____ REVIEW MODULE CHAPTER_____ Description of Skill Care direct towards prevent suicidal and self-harm Indications -Verbalizing that patient does not want to live anymore -Severe depression -Previous suicide attempt Outcomes/Evaluation -Reason for being . attempt. Basic Care and Comfort Promoting comfort while helping clients perform activities of daily living. Alcohol Abuse Disorder Scenario Nurse Tara is initiating therapeutic communication with Ms. Simpson. Decrease noise, lights, and interactions. Nurse T completes the Hamilton-A assessment of Ms. S and determines her score to be 26. What is the unamortized amount of the discount or premium account at the beginning of the period? that support adequate oxygenation of tissues and removal of carbon dioxide. Mobility The anatomical structures (bones, joints, and muscles) and body functions that support Both nicotine and caffeine can worsen anxiety. Adverse effect if Mr. Moore uses alcohol with it. Step 4: Should the nurse convert the units of measurement? body. Compute the mean and variance of the number of bottles imported. Anxiety X mL = 0 mL Uses relaxation techniques nurse tara is admitting Ms. Simpson. Real Life features scenarios for the following subject areas: All scenarios:COPDGI BleedKidney DiseaseUrinary Tract InfectionMyocardial Infarction ComplicationsChronic Kidney Disease (NEW Fall 2022)Infectious Disease (NEW Fall 2022)Total Hip Arthroplasty (NEW Fall 2022), All scenarios:DiabetesKidney DiseaseUrinary Tract InfectionPneumoniaHeart FailureInfectious Disease (NEW Fall 2022), All scenarios: Selected Option Assess respiratory status. Alcohol Abuse Disorder The nurse should administer lorazepam 0 mL IM. This medication works on the nervous system to prevent encephalopathy. Selected Option Restate the concerns voiced by Ms. Simpson. The nurse should administer lorazepam 0 mL IM. electrolyte and acidbase balance. Tipiramate anticonvulsant. Step 4: Solve for X. Nurse A is talking with ken about substance use and the results of this drug screen. Based On The ATI Real Life RN Mental Health, Modules On Schizophrenia And Anxiety Disorder 3.0,. 9. trembling. members of the health care team. following actions should Tara take first? unwanted units of measurement. assistance is an example of rationalization. which of the following coping mechanisms is ms. simpson exhibiting? e Score Anxiety Disorder 11/11/2020 12:47:51 PM 56 min Satisfactory Reasoning Scenario Performance Related to Outcomes: *See Score Explanation and Interpretation below for additional details. Displacement happens when there is a transfer of feelings Nurse T is communicating with Ms. S. Which is an appropriate action for T to take? Nurse T is calculating the dose of lorazepam. uninvolved in the situation. that support filtration and excretion of liquid wastes, regulate fluid and The use of current knowledge from research and other credible sources, upon The anatomical structures (heart, blood vessels, and blood) and body functions resolution of problems. Step 3: What is the dose available? During Ken's Visit To The Clinic, Nurse Anne Uses The SAFE-T Tool As Part Of Her Nursing Assessment. Providing and directing nursing care that encourages prevention and early detection of contribute to her anxiety. If there are 4 Simpson exhibiting? Simpson exhibiting? If there are 4 Bipolar Disorder 1 mLX _P/ _ #1604 mg Notify the provider right away if any indications of relapse occur so that treatment is not delayed. Nurse A is providing info to K and E about a durable power of attorney for health care (DPAHC). How many mL should B admin? The client blaming the boyfriends drinking Dose available = Have 4 mg Mr. Moore had interactions with hospital personnel earlier in the day. Ingestion, Digestion, Group therapy can help prevent relapselearning . Providing nursing care that decreases the risk of clients developing health body. 3. circulation (ABC) approach to the client is to assess respiratory status of a client Become Premium to read the whole document. (Place the Step 4: Should the nurse convert the units of measurement? mg/mL and the amount prescribed is 2 mg, it makes sense to administer 0. Ingestion, Digestion, ", "You should let your provider know if you experiencing abnormal body movements". Have you ever felt bad or guilty about your drinking? therapy. Anxiety Disorder collaborating with members of the multi-disciplinary health care team. Ataxia She continues to pace, wring her hands, and rock when sitting.R (Recommendation) = I am calling to request a prescription for lorazepam. Outcomes have varying numbers of questions assigned to them. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), NURS 223L - Interpersonal Process Analysis Template, Mental health nursing process worksheet 6, Medication LIST Week 1 - notes for clinical, IPA Example - INTERPERSONAL PROCESS ANALYSIS TEMPLATE, ATI learning templates: nurse client relationship, ATI learning templates: system disorder Anorexia, Ethics and Social Responsibility (PHIL 1404), Biology 2 for Health Studies Majors (BIOL 1122), Elements of Intercultural Communication (COM-263), Organizational Theory and Behavior (BUS5113), Mathematical Concepts and Applications (MAT112), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), 315-HW6 sol - fall 2015 homework 6 solutions, Ch. unit of measure being calculated on the left side of the equation.) X mL = 0 S (Situation) = Ms. Simpson is a 22-year-old African-American female admitted to the inpatient mental health unit for anxiety. circulation (ABC) approach to the client is to assess respiratory status of a client 3. future. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Unit 4: Real Life Clinical Reasoning Scenarios - Mental Health - Anxiety Disorder.
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