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NR-452 Capstone Course capstone remediation 13 $14.99   Add to cart

Exam (elaborations)

NR-452 Capstone Course capstone remediation 13

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NR-452 Capstone Course

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  • September 11, 2024
  • 2
  • 2024/2025
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A nurse is caring for a client admitted to the acute mental health unit with phencyclidine (PCP)
intoxication. What should be the nurse's primary focus during the acute intoxication period?
Suggested Mental Health Learning Activity: Substance & Non-Substance Abuse: General Review
and Stimulant Abuse

 Maintain a safe environment to prevent falls; implement seizure precautions as needed
 Provide close observation for withdrawal manifestations, possibly one-on-one supervision
physical restraint should be last resort
 Orient the client to time, place and person
 Maintain adequate nutrition and fluid balance
 Create low stimulation environment
 Administer medications as prescribed to treat the effects of intoxication or to prevent or
manage withdrawal. This can include substitution therapy.
 Monitor for covert substance use during the detoxification period


A nurse is caring for a client experiencing opioid withdrawal. What manifestations should the nurse
anticipate?
Suggested Mental Health Learning Activity: Substance and Abuse and Addictive Disorders

 Abstinence syndrome begins with sweating and rhinorrhea progressing to
piloerection(gooseflesh), tremors, and irritability, followed by severe weakness, diarrhea,
fever, insomnia, pupil dilation, nausea and vomiting, pain and in the muscles and bones and
muscle spasms
 Withdrawal is very unpleasant but not life threatening

What is nursing care for the client with acute mania related to bipolar disorder?
Suggested Mental Health Learning Activity: Personality Disorders

 Focus on safety and maintaining physical health
 Provide a safe environment during the acute phase
 Assess the client regularly for suicidal thoughts, intentions, and escalating behavior
 Decrease stimulation without isolating the client if possible. In certain cases seclusion may
be the only way to safely decrease stimulation for the client.
 Implement frequent rest periods
 Provide outlets for physical activities. Do not involve client in activities that last a long
time or involve a high level of concentration and/or detailed instructions.
 Protect client from poor judgement and impulsive behavior
 Provide portable high calorie foods
 Avoid power struggles


What is electroconvulsive therapy (ECT) used to treat? How does a nurse prepare a client for ECT
and what are some common side effects of ECT?
Suggested Mental Health Learning Activity: Brain Stimulation


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