exam Flashcards
(15 cards)
- Outline four therapeutic communication techniques
listening silence open ended questions restating reflection
- Name four therapeutic approaches used in mental health setting
cognitive behavioural therapy
electro convulsive therapy
psychotherapy
pharmacotherapy
- List four reasons for carrying out a risk assessment
part of an overall assessment on admission
major changes in client circumstances
moving client between services
prior to granting leave/discharge
- State four side effects of atypical antipsychotics
hypotension dizziness fainting sedation weight gain insomnia dry mouth
- Define depression and state four signs and symptoms of depression
depression is a mood disorder characterised by depressed mood, pessimism, anhedonia and apathy. signs and symptoms: social and emotional withdrawal impaired attention and conversation delusions of guilt and worthlessness fatigue weight gain/loss
- briefly describe the powers and responsibilities of a senior mental health practitioner under the 1996 mental health act
may detain a patient that is at risk in the absence of a doctor for up to 6 hours
Jack is a middle-aged male who is admitted to a mental health facility with a history of drink-ing between 8 and 12 cans of beer per day. His first is upon awakening. Jack has been drink-ing regularly since high school. Although he has had numerous jobs, he is either fired or quits within a month or two of being hired. He has lived off and on with many male friends and occasionally comes home to his parents for several weeks. Jack has been known to pawn items from his parent’s home to support his drinking habit.
A. List four assessments that would be required for Jack on admission.
mental state examination risk assessment psychological assessment alcohol withdrawal assessment patient history
B. State four effects of Jack’s alcohol addiction on his family.
violence and abuse manipulation family separation communication problems loss of income - financial problems
C. Outline at least six principles of nursing management/care for Jack.
initial assessment seizure precautions limit environmental stimuli food and nourishing fluids assists with ADLs place patient in room near nurses station signs and symptoms of alcohol withdrawal
You have been hospitalised with an acute episode of affective disorders and medical advise is that there is likely hood that you have bipolar disorder. You are being given instructions on the possible side effects of the antidepressants medication you have been pescribed, and advised that you will have to continue taking some form of medication indefinitely
A. Outline your two immediate concerns
fear of the diagnosis
what are the short/long term effects?
B. What type information would you seek for? List four.
what is the medication? what are the adverse effects? what the diagnosis is? is it curable? how will this effect my daily living?
C. What type of support would you wish to receive, and from whom would you wish to receive it? State at least four.
emotional support from family social groups psychologist doctor friends
A 20 year old female is diagnosed with anorexia nervosa. As a teenager, she was never overweight but she was never thin. She was active in sports, but a coach commented that she would perform better if she lost a few kg. She lost over 17 kg, and weighed 45 kg and was 1.63 cm when she was first diagnosed. Her parents, both with professional careers, put her in for treatment at the recommendation of the GP. For the last 3 years, the client has struggled to gain weight and currently weighs 47 kg
A. State ONE nursing diagnoses that would be pertinent for this client.
imbalanced nutrition: less than body requirement related to insuffiencent intake of nutrients to meet metabolic needs
B. Write ONE expected outcome for the identified nursing diagnosis?
the client will increase nutritional intake and increase weight gain within 2 weeks
List six nursing interventions nursing care for for this client?
decrease power struggle
structure to meals times
do not bribe, coax, threaten to eat food but encourage
remove food when meal time is over
supervise client during and after meals
do not allow client to use the toilet 30 minutes after meals
monitor client intake and output
grant and restrict privileges based on weight gain/loss
weigh client before breakfast and after voiding
