Mental Health & Psychosocial Integrity Must Know Study Material for NCLEX Takers
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Course
NURSING CARE
Institution
NURSING CARE
Mental Health & Psychosocial Integrity Must Know
Study Material for NCLEX Takers
● Based on the NCSBN Test Plan, the NCLEX Exam may
consist of 9-15% of Psychosocial Integrity
(
● Psychosocial Integrity (9-15% of the test) Must have a passing
standard on your report –in order to increase...
Mental Health & Psychosocial Integrity Must Know
Study Material for NCLEX Takers
● Based on the NCSBN 2020-2023 Test Plan, the NCLEX Exam may
consist of 9-15% of Psychosocial Integrity
(https://www.ncsbn.org/2020_NCLEXPN_TestPlan-English.pdf)
● Psychosocial Integrity (9-15% of the test) Must have a passing
standard on your report –in order to increase your chances of
passing your NCLEX.
● This study guide consists of need to know Mental Health and
Psychosocial Integrity study material combined for the NCLEX that I
studied and helped me pass my NCLEX which includes:
○ Depression
○ Suicidal Ideations
○ MAOIs
○ St. John’s Wort
○ NSSRIs
○ SSRIs
○ ECT
○ Mania
○ Mania NTK Treatments
○ Schizophrenia
○ Schizophrenia NTK Treatments
○ NMS
○ EPS
○ Munchausen Syndrome
○ Anorexia
○ Bulimia Nervosa
○ PTSD
○ Paranoid Personality Disorder
○ Panic disorders
○ OCD
○ Anxiety NTK Treatment
○ Restraints
○ Alcohol Use Disorder
○ Opioids
○ Delirium Tremors
, ○ Korsakoff’s Psychosis (KP)
○ Wernicke’s Encephalopathy (WE)
○ Abuse
○ Grief & Loss
○ End of Life
○ Strategies
● Digital download only!
● Nothing will be shipped.
● One time purchase.
● All sales are non-refundable.
Mental Health
FIVE INTERVENTIONS FOR PSYCH PATIENTS
1. Safety
2. Setting limits
3. Establish trusting relationship
4. Meds
5. Least restrictive methods/environment
Goals of Nursing care for major mental illness
Popcorn-Protection
Makes-Medication
Rick-Reality
Happy-Hygiene
Depression
Sign & Symptoms
● Socially withdrawn
● Slow thoughts
● Slow speech
● Usually related to loss (Job, Body Parts, and Self Esteem)
, ● Mild depression
○ Weight gain
○ Lack of motivation
○ Insomnia
○ Crying spells
● Severe depression
○ Slumped posture
○ Walking slowly
○ Weight loss
○ No more tears
○ Virtually nonexistent communication
○ Delusional thinking
○ No personal hygiene
○ Feel worse early in the morning and somewhat better as the day
progresses
Treatment:
● Assist with activities of daily living
● Do not push decision making or decisions the client is not ready to
make.
● Monitor sleep patterns
● Prevent isolation with depressed patients
○ Interact with others make patients them feel better
○ Be active and interact with patients
○ Avoid just observing and documenting
● Be careful with complements with depressed patients
● Once the patient gets better, help the patient remember a time in their
life when they were better
● If patient able: Walking, running, & weight lifting helps with
depression
● Electroconvulsive Therapy (ECT)
○ Last resort
○ Contraindicated if the person is on meds for
osteopenia/osteoporosis
○ Patient under general anesthesia & must be artificially
ventilated.
○ ECT treats depression primarily
○ Informed consent required for ECT
, ○ Complications of ECT
■ #1 Aspiration of emesis into lungs (most common)
■ #2 Dislocation of joints
■ #3 Fracture (rare)
○ Muscle relaxant-Succinylcholine given with ECT
○ Post-procedure memory loss is normal.
○ Patient safety is key
○ After ECT patient acts Drowsy, Dull, and Apathetic
○ Immediately after ECT patient position is on their side to
prevent aspiration.
○ Preop: 1. NPO after midnight 2. Remove dentures. 3. Void
before surgery. 4. Side rails up.
● Severely depressed
○ Just sit with patients and make no demands
○ Sit with them and offer yourself
○ Let patient know that you understand
○ Help them set accomplishable goals
○ Break them down into small steps
● Monitor & Assess depressed patients closely for signs of suicidal
ideation
○ As depression lifts, suicide risk goes up (Have energy)
○ Observe depression patients on SSRIs (1st two weeks
especially)
○ Sudden change on mood for better
○ Suicidal Ideation (planning)
■ Medical emergency (requires admission)
■ Suicide precautions (no metal silverware, no trash bags,
no phone cords, etc.)
○ American Indians highest suicide rate
○ Highest risk for suicide is older men and teenagers
○ Be direct with Suicide
■ Ask them 3 very important questions:
● Do you have a plan?
● What is the plan?
● How dangerous is the plan? Hanging, Car Crash,
Gun,CO Poisoning (Very Dangerous)
○ Next determine if they have access to plan:
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