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Mental Health 8

MentalHealth 8


Ch28 Aggressive

1.List some of the possible comorbid disorders that go along withaggressive behavior

Psychoticdisorders, alcohol/substance abuse and Bipolar disorder

2.Do seclusions and restraints lead to a positive behavior change inthe client?

Theyare viewed as negative intervention by patients and nursing staffhence may cause additional physiological conditions such as trauma.It is recommended that they should only be used during emergenciessince they violate patient rights if used as means correction.

3.When does the nursing staff remove the client from seclusions orrestraints? Why?

Theclient should be removed from seclusions and or constraints whenthere is no emergency because there may be other restrictive waysthat can be effective.

4.What are some behaviors that nurses need to be aware of in clientswhen suspected of becoming aggressive?

Theyinclude loud or pressured speech, restlessness, hostility, extremenervousness, jaw contraction, impaired memory, confusions anddifficulties in sitting well.

5.List some of the interventions that the nurse uses to helpde-escalate a client who might become angry or aggressive.

Speakingcalmly in low voice

Acknowledgingthe client’s feelings and reassuring total help to the patients

Earlyidentification of patient dynamic behavioral signs

6.When would it be appropriate to administer an IM medication to anaggressive patient? And what type of IM is used?

TheIM medications should be administered when the patient become moreviolent. The type of IM used can be typical antipsychotichaloperidol, droperidol, and midazolam (Stuart et al, 2013).

7.What are the nursing care and medication care after discharge?

Thenurses should over medical if ordered, evaluate the patient’s needsat regular intervals and teach the family the risks and benefits ofrestraints and restraint reduction at home.

8.As in the background information associated with violent behaviors,what is the best single predictor of violence?

Thebest single predictor of violence is childhood hostility to animalsor other children or dangerous actions towards others.

9.What does debriefing mean and why is it used?

Itis an important part of therapeutic interventions that are used inending the use of seclusions or restraints.

Familyand community violence ATI pg.300

1.List one or two myths and how would they be used to educate survivors

Familyviolence is common among individual who thrives on poverty

Violencerarely occurs among dating or partners in a relationship

Thiscan be used to create positive attitudes by educating families andchanges beliefs and feelings as well as informing survivors about thefacts about violence (Stuart et al, 2013).

2.What are some issues that make it difficult for a woman to leave therelationship and necessary nursing interventions to help dischargeplanning?

Womenfear the dangers for homicide. Educating them on a legal matter andexisting resources in critical before discharging plan.

3.How can the cycle of violence stopped and what the nurse needs toteach the abuser and the victim

Thecycle of violence can be stopped through the creation of positiveattitudes. Nurses should be less easygoing to some behaviors.

4.List of areas or injuries that the nurse would suspect abuse whenassessing

Infantpatients include bruises before the age of six months.

Preschoolersinclude burns on arms, feet and buttocks.

Adolescentsinclude short attention period and unresponsiveness.

Olderpeople include malnutrition and dehydration as well as fractures.

5.What type of abuse and agency is the nurse mandated to report?

Thenurse is mandated to report the protective services when child abuseis suspected

6.What two goals for care plan for survivors of abuse and twointerventions of each goal?

Thepatient will find supportive people to help in dealing withchallenges the patient will be encouraged to discuss the situationswith reliable people.

Thepatient will actively take part in organizing systems a plan for afollow-up within few days and provision of written notification aboutpublic services

7.List one information source for abuse or violence your neighborhood.

Injuriesare sources for abuse or violence.

Ch21 personality disorders

  1. Describe personality disorder in your words and compare it with psychosis and DID

Apersonality disorder is a mental condition that affects howindividuals control their feeling and relate with others. The diseaseaffects the brain the same way psychosis and DID disorders do (Stuartet al, 2013).

2.Describe two pathological personality characteristics and how theyare pathological

Theyinclude impaired self-identity and interpersonal functioning. Theyare associated with manifested symptoms.

3.Explain why manipulation is used as a coping mechanism in personalitydisorders

Itis used because it has little motivation change as it mostly has areward for them.

4.What are issues that nurses need to be aware of when someone withpersonality disorder uses manipulation?

Nursesshould incorporate diagnosis if the individual becomes manipulativeor dishonest.

5.Describe some of the nursing interventions to use with followingdisorders

Borderlinedisorder the nurse should understand that this disorder is notincredibly planned. Antisocial disorder diagnosis is applied whensomeone regularly disregards social rules and is unfair andnarcissistic disorders are driven to gain constant approval.

6.Other mental illness or co-morbidities that are linked to personalitydisorders

Includedepressive disorders and post-traumatic stress disease.

7.Communication strategies that a nurse might use with a client with apersonality disorder

Nursesshould always consider the extent and nature of coping, mechanismsand maladaptive behaviors.

8.Describe briefly:

Projectionis a forecast or prognosis that is obtained from and extrapolationthereby puts obligation for antisocial behaviors.

Splittingis a partition or division in mind affecting someone’s sense ofself hence resulting in an inability to distinguish the worthy andwrong.

Projectiveidentification is an intricate mechanism regarded as a process bywhich subject integrates an aspect and attribute hence transformedusing identification that the personality is established and defined(Stuart et al, 2013).

9.Are medications used to treat personality disorders used to treatsymptoms manifested or character?

Thedrugs include schizoid and paranoid. They treat symptoms displayedsuch as maladaptive social responses.

Ch40 Life-Threatening Illness

1.The patient will ask if he will be in a better position to pay fortreatment and other financial commitments and whether he will sufferany continued pain. I would physically and emotionally adjust thepatient’s worries on a multiplicity level.

2.Describe or define:

Advanceddirectives are a legal file that gents someone to spell out his orher decisions about the end of life care ahead of time and give achance to tell wishes to family members.

Livingwill is someone’s written declaration detailing his or her desirepertaining clinical treatment in situations in which they are notable to express conversant consent.

Adurable power of attorney for health care is a detailed statementthat remains in operation if someone becomes mentally disabled.

3.Give an example of each type of loss stated

Includerelationship breakups and death of a partner such as a wife orhusband.

4.List the five stage of grief from Kubler-Ross

Thestages are rejection, anger, bargaining, despair and acceptance.These stages of grief are mostly taught verbally when a patient isapproaching death. The nurse and terminally ill could discuss thesecourageously through interviews.

5.Answer the question on pg. 765

6.Palliative care is a specialized clinical care that patients withsevere illness receive that aims to relief them from symptoms andpain. As a nurse, you improve the quality of life of the patient andfeel empathy by providing comfort (Stuart et al, 2013).

7.Hospice care offers support to dying patients during advancedillness. It focuses on comfort rather than cure, nutritionalcounseling, psychological emotional support and when the patientbecomes stable, he can be discharged to receive hospice services in aspecialized facility.

8.Identify nursing interventions when working with dying patients

Supportingthe family sector, communicating with the patient and family abouttreatment purpose and share the process of decision-making.

9.Describe boundary issues that nurse face when working with dyingpatients

Thenurse should not receive gifts from the patient as a form ofmotivation. The nurse is not expected to take personal contact ormoney from their clients.


Stuart,G. (2013). Principles and Practice of Psychiatric Nursing (10th ed.)St. Louis, MO: Elsevier