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NR 607- FINAL EXAM ACTUAL EXAM DIAGNOSIS & MANAGEMENT IN PSYCHIATRIC MENTAL HEALTH WITH COMPLETE QUESTIONS AND CORRECT ANSWERS RATED A+$22.99
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NR 607- FINAL EXAM 2024- 2025 ACTUAL
EXAM DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC MENTAL HEALTH
WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS RATED A+
define psychiatric emergency
-involve acute disturbances in thought, mood, behavior /social
interactions that negatively impact a pt's abil to function in their
environment and require immediate intervention to keep the
pt/others from harm
--a state of crisis that has overwhelmed their coping mechanisms
psychiatric emergencies occur when
-a danger to self
-a danger to others
-unable to meet their own basic needs for food/clothing/shelter d/t
a psychological impairment
common psych emergencies
suicidality, acute psychosis, agitation and aggression, mania,
substance-related concerns, decompensation r/t personality d/o,
severe anxiety, and med-related emergencies
early signs of aggressive behavior
threatening comments, clenched fists, shifts in body position
towards a fighting stance, loud vocalizations, agitated movements
/ striking inanimate objects
interventions for aggressive behavior
,When aggression is unavoidable- prioritize security, sedation, and
supervision
AEIO risk assessment categories
Agitation/Arousal: sit still? pacing? demonstrating aggressive
behaviors?
Environment: Is the pt in a safe location? Id potential exits,
equipment in the room, and the distance of the room from the rest
of the unit.
Intent: pt have thoughts of harming themselves or others? pt
having psychotic experiences that may cause them to harm
themselves/others?
Objects: pt have access to firearms, blades, medications,
lighters, or clothing items that could be used to harm
themselves/others?
de-escalation techniques
-is a first-line response to potential violence/ aggression in
healthcare settings
-aka conflict resolution/crisis management, involves strategies
and techniques to reduce a pt's agitation/aggression
--Clear, calm, empathetic, nonjudgmental communication
--Respect for personal space
--Non-confrontational approach
--Non-threatening nonverbal communication
--Response to pt's expressed problem/condition
--Clear limits
--Environmental controls: minimizing light, noise, and loud
conversations
suicide warning signs
, -A sense of hopelessness or no hope for the future
-Isolation/feeling alone
-Aggressiveness and irritability
-Possessing lethal means
-Feeling like a burden to others
-Drastic changes in mood and behavior
-Frequently talking about death
-Self-harm, like cutting behaviors
-Engaging in "risky" behaviors
-Making funeral arrangements
-Giving things away
-Substance abuse
-Making suicide threats
-Negative view of self
SAFE-T
-- Suicide Assessment Five-Step Eval and Triage
-Identify risk factors
-Note those that can be modified to reduce risk
-Identify protective factors
-Note those that can be enhanced
-Conduct suicide inquiry
-Suicidal thoughts, plans, behavior, and intent
-Determine risk level/intervention
-Determine risk
-Choose appropriate intervention to address and reduce risk
-Document
-Assessment of risk, rationale, intervention, and follow-up
lithium toxicity
-Lithium has a narrow therapeutic range.
-Too much lithium can quickly cause toxicity- lead to acute kidney
injury and death
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