Maladaptive Grieving Statement: Client states they still don't feel ready to return to work.
Mental Health Nursing Study Notes 2023
Overview
This document summarizes key findings, interventions, and nursing actions in mental health nursing based on a provided transcript. It addresses specific mental health disorders, therapeutic techniques, and ethical considerations in care planning.
Key Concepts and Nursing Actions
1. Borderline Personality Disorder (BPD)
Priority Strategy: Implement measures to prevent intentional self-inflicted injury.
2. Generalized Anxiety Disorder (GAD)
Initial Nursing Action: Provide the client with a quiet environment to alleviate anxiety.
3. Mania
Reporting Requirements: If a client reports eating only twice in the past two weeks, this should be immediately reported to the provider.
4. Obsessive-Compulsive Disorder (OCD)
Recommended Intervention: Include thought stopping in the plan of care.
5. Bipolar Disorder (Manic Episode)
Nursing Action: Dim the lights in the client's room to help create a calming environment.
6. Crisis Intervention for Adolescents
First Action to Take: Identify coping skills of the adolescents who witnessed a suicide.
7. Speech Alteration in Mental Health
Example of Clang Association: Document client’s nonsensical statements indicating potential psychiatric symptoms.
8. Depression in Older Adults
Nurse’s Response to Concerned Family: Ask for the reasoning behind the daughter's belief that her mother is depressed.
9. Autism Spectrum Disorder (ASD)
Care Plan Outcome: Foster social interactions with caregivers to improve engagement.
10. Behavior Therapy for OCD
Technique for Client: Use snap or rubber band on the wrist as a thought-stopping technique when compulsive urges arise.
11. Substance Use Disorder
Nonmaleficence Principle: Withhold prescribed medication if it causes adverse effects.
12. Positive Reinforcement in Developmental Disabilities
Use positive reinforcement to encourage desired behaviors in a developmentally disabled client who is engaging in theft.
13. Panic Attack Management
Nursing Action: Have the client breathe into a paper bag to manage hyperventilation.
14. Defense Mechanisms
Defense Mechanism Example: Recognize that a client forgetting a traumatic event signifies repression.
15. Anorexia Nervosa Interventions
Immediate Intervention Needed: Address abnormal blood pH (e.g., indicates alkalosis).
16. Safety and Observation
Priority Intervention for Agitated Client: Set limits on the client's behavior to ensure safety.
17. Dosage Calculation
Medication Administration: Administer mL of haloperidol injected at for a dose of .
18. Informed Consent for Electroconvulsive Therapy (ECT)
Documentation: Record the client’s refusal to consent to treatment in the medical record.
19. Grief Support
Initial Action for Mourning Client: Encourage attendance at a grief support group for mourning after a loss.
20. Dialectical Behavior Therapy for BPD
Group Encouragement: Encourage participation in nutritional counseling groups.
21. Monitoring Adverse Effects of Schizophrenia Medication
Expected Monitoring: Initiate the Abnormal Involuntary Movement Scale (AIMS) for clients on haloperidol.