Exam (elaborations)
HESI NSG 221: MENTAL HEALTH
- Course
- Institution
HESI NSG 221: MENTAL HEALTH
[Show more]
Content preview
HESI NSG 221: MENTAL HEALTHCountertransferenceoi-oians--
✔✔Countertransferenceoioccursoiwhenoitheoitherapistoidisplacesoiontooitheoiclientoiattitud
esoioroifeelingsoifromoihisoioroiheroipast.oiForoiexample,oiaoifemaleoinurseoiwhooihasoiteena
geoichildrenoiandoiwhooiisoiexperiencingoiextremeoifrustrationoiwithoianoiadolescentoiclientoi
mayoirespondoibyoiadoptingoiaoiparentaloioroichastisingoitone.oiTheoinurseoiisoicountertrans
feringoiheroiownoiattitudesoiandoifeelingsoitowardoiheroichildrenoiontooitheoiclient.oiNursesoi
canoidealoiwithoicountertransferenceoibyoiexaminingoitheiroiownoifeelingsoiandoiresponses,
oiusingoiself-awareness,oiandoitalkingoiwithoicolleagues.
TardiveoiDyskinesiaoi-oians--
✔✔Tardiveoidyskinesiaoi(TD),oiaoisyndromeoiofoipermanentoiinvoluntaryoimovements,oiisoi
mostoicommonlyoicausedoibyoitheoilong-
termoiuseoiofoiconventionaloiantipsychoticoidrugs.oiTongueoithrustingoiandoiprotruding,oilipo
ismacking,oiblinking,oigrimacing,oiandoiotheroiexcessiveoiunnecessaryoifacialoimovementso
iareoicharacteristic.oiAfteroiitoihasoideveloped,oiTDoiisoiirreversible,oialthoughoidecreasingoi
oroidiscontinuingoiantipsychoticoimedicationsoicanoiarrestoiitsoiprogression
CivialoiRights-PsychiatricoiClientsoi-oians--
✔✔Clientsoireceivingoimentaloihealthoicareoiretainoialloiciviloirightsoiaffordedoitooialloipeople
oiexceptoitheoirightoitooileaveoitheoihospitaloiinoitheoicaseoiofoiinvoluntaryoicommitment.oiAn
yoirestrictionsoi(e.g.,oimail,oivisitors,oiclothing)oimustoibeoimadeoiforoiaoiverifiable,oidocume
ntedoireason.oiTheseoidecisionsoicanoibeoimadeoibyoiaoicourtoioroiaoidesignatedoidecision-
makingoipersonoioroipersons,oiforoiexample,oiaoiprimaryoinurseoioroitreatmentoiteam,oidepe
ndingoionoilocaloilawsoioroiregulations.
GroupoiTherapyoi-oians--
✔✔Inoigroupoitherapy,oiclientsoiparticipateoiinoisessionsoiwithoiaoigroupoiofoipeople.oiTheoi
membersoishareoiaoicommonoipurposeoiandoiareoiexpectedoitooicontributeoitooitheoigroupoit
ooibenefitoiothersoiandoireceiveoibenefitoifromoiothersoiinoireturn.oiGroupoirulesoiareoiestabli
shed,oiwhichoialloimembersoimustoiobserve.oiTheseoirulesoivaryoiaccordingoitooitheoitypeoio
foigroup.oiBeingoiaoimemberoiofoiaoigroupoiallowsoitheoiclientoitooilearnoinewoiwaysoiofoilooki
ngoiatoiaoiproblemoioroiwaysoiofoicopingoiwithoioroisolvingoiproblemsoiandoialsooihelpsoihimoi
oroiheroilearnoiimportantoiinterpersonaloiskills.
CrisisoiIntervention-Empathyoi-oians--
✔✔Empathyoiisoitheoiabilityoitooiplaceoioneselfoiintooitheoiexperienceoiofoianotheroiforoiaoim
omentoiinoitime.oiNursesoidevelopoiempathyoibyoigatheringoiasoimuchoiinformationoiaboutoi
anoiissueoiasoipossibleoidirectlyoifromoitheoiclientoitooiavoidoiinterjectingoitheiroipersonaloiex
periencesoiandoiinterpretationsoiofoitheoisituation.oiTheoinurseoiasksoiasoimanyoiquestionsoi
,asoineededoitooigainoiaoiclearoiunderstandingoiofoitheoiclient'soiperceptionsoiofoianoieventoio
roiissue.
ClarificationoiCommunicationoi-oians--
✔✔Understandingoitheoicontextoiofoicommunicationoiisoiextremelyoiimportantoiinoiaccurate
lyoiidentifyingoitheoimeaningoiofoiaoimessage.oiTooiclarifyoicontext,oitheoinurseoimustoigathe
roiinformationoifromoiverbaloiandoinonverbaloisourcesoiandoivalidateoifindingsoiwithoitheoicli
ent.
DepressedoiAdolescentoiRapportoi(useoiofoiselfoidisclosure)oi-oians--✔✔Self-
disclosureoimeansoirevealingoipersonaloiinformationoisuchoiasoibiographicaloiinformationoi
andoipersonaloiideas,oithoughts,oiandoifeelingsoiaboutoioneselfoitooiclients.oiNow,oihowever
,oiitoiisoibelievedoithatoisomeoipurposeful,oiwell-plannedoiself-
disclosureoicanoiimproveoirapportoibetweenoitheoinurseoiandoitheoiclient.oiTheoinurseoicanoi
useoiself-
disclosureoitooiconveyoisupport,oieducateoiclients,oiandoidemonstrateoithatoiaoiclient'soianxi
etyoiisoinormaloiandoithatoimanyoipeopleoidealoiwithoistressoiandoiproblemsoiinoitheiroilives.
DepressedoiAdolescentoiRapportoi(EstablishingoiRapport)oi-oians--
✔✔Whenoiassessingoiaoinewoipatient,oiestablishoirapportoifirst.oiIfoinotoimuchoitimeoiisoiava
ilableoitooiestablishoirapport,oioroiifoitheoipatientoiisoiguardedoioroisuspicious,oiyouoicanoisay,
oi"TheoiquestionsoiIoiamoiaboutoitooiaskoiyouoiIoiaskoialloiofoimyoipatients,"oiandoithenoiproce
ed.oiSomeoiotheroitipsoiincludeoitheoifollowing:
Establishoirapportoiandoiconnectionoibyoishowingoiinterestoiinoitheoipatientoiandoibyoilisteni
ng.
CodependentoiBehaviorsoi&oiAlcoholoiAbuseoi-oians--
✔✔Codependenceoiisoiaoimaladaptiveoicopingoipatternoionoitheoipartoiofoifamilyoimembers
oioroiothersoiresultingoifromoiaoiprolongedoirelationshipoiwithoitheoipersonoiwhooiusesoisubst
ances.oiCharacteristicsoiofoicodependenceoiareoipooroirelationshipoiskills,oiexcessiveoianxi
etyoiandoiworry,oicompulsiveoibehaviors,oiandoiresistanceoitooichange.oiFamilyoimembersoi
learnoitheseoidysfunctionaloibehavioroipatternsoiasoitheyoitryoitooiadjustoitooitheoibehavioroio
foitheoisubstanceoiuser.oiOneoitypeoiofoicodependentoibehavioroiisoicalledoienabling,oiwhich
oiisoiaoibehavioroithatoiseemsoihelpfuloionoitheoisurfaceoibutoiactuallyoiperpetuatesoitheoisub
stanceoiuse.
Clonidineoi(Catapress)oi-oians--✔✔Suppressesoiopiateoiwithdrawaloisymptoms
Itoiisoigivenoitooiclientsoiwithoiopiateoidependenceoitooisuppressoisomeoieffectsoiofoiwithdra
waloioroiabstinence.oiItoiisoimostoieffectiveoiagainstoinausea,oivomiting,oiandoidiarrhea,oibut
oiproducesoimodestoireliefoifromoimuscleoiaches,oianxiety,oiandoirestlessness
isoianoialpha-2-
adrenergicoiagonistoiusedoitooitreatoihypertension.oiItoiisoigivenoitooiclientsoiwithoiopiateoide
pendenceoitooisuppressoisomeoieffectsoiofoiwithdrawaloioroiabstinence.oiItoiisoimostoieffecti
veoiagainstoinausea,oivomiting,oiandoidiarrhea,oibutoiproducesoimodestoireliefoifromoimuscl
eoiaches,oianxiety,oiandoirestlessness
, Disulfiramoi(Antabuse)oi-oians--✔✔Maintainsoiabstinenceoifromoialcohol
Disulfiramoi(Antabuse)oimayoibeoiprescribedoitooihelpoideteroiclientsoifromoidrinking.oiIfoiaoi
clientoitakingoidisulfiramoidrinksoialcohol,oiaoisevereoiadverseoireactionoioccursoiwithoiflushi
ng,oiaoithrobbingoiheadache,oisweating,oinausea,oiandoivomiting.oiInoisevereoicases,oiseve
reoihypotension,oiconfusion,oicoma,oiandoievenoideathoimayoiresult.
AlcoholoiDetoxificationoi-oians--
✔✔Alcoholoidetoxificationoithroughoipharmacologicoimeansoigenerallyoitakesoiplaceoiinoiao
ihospitaloisettingoibutoimayoioccuroiinoitheoihome.oiTheoihomeoicareoinurseoisharesoitheoires
ponsibilityoiforoiteachingoipatientsoihowoitooiuseoichlordiazepoxideoieffectivelyoiandoihowoit
ooirecognizeoimedicationoiresponsesoithatoishouldoibeoireportedoitooitheoihealthoicareoiprov
ider.oiTheoinurseoiinstructsoitheoipatientoiand/
oroicaregiversoitooirecognizeoisignsoiandoisymptomsoiofoialcoholoiwithdrawaloiandoireviews
oitheoipharmacologicoitreatmentoiregimenoiwithoithem.
AnxietyoiCognitiveoiBehavioraloiTechniquesoi-oians--✔✔Cognitive-
behavioraloitherapyoi(CBT)oiisoiusedoisuccessfullyoitooitreatoianxietyoidisorders.
Positiveoireframingoimeansoiturningoinegativeoimessagesoiintooipositiveoimessages
Decatastrophizingoiinvolvesoitheoitherapist'soiuseoiofoiquestionsoitooimoreoirealisticallyoiap
praiseoitheoisituation.
Assertivenessoitrainingoihelpsoitheoipersonoitakeoimoreoicontroloioveroilifeoisituations.oiThe
seoitechniquesoihelpoitheoipersonoinegotiateoiinterpersonaloisituationsoiandoifosteroiself-
assurance.oiTheyoiinvolveoiusingoi"I"oistatementsoitooiidentifyoifeelingsoiandoitooicommunic
ateoiconcernsoioroineedsoitooiothers.
ValproicoiAcidoi(Depakote)oiMonitoringoiLaboi-oians--
✔✔Valproicoiacidoi(Depakote),oialsooiknownoiasoidivalproexoisodiumoioroisodiumoivalproat
e,oiisoianoianticonvulsantoiusedoiforoisimpleoiabsenceoiandoimixedoiseizures,oimigraineoipro
phylaxis,oiandoimania.oiTheoimechanismoiofoiactionoiisoiunclear.oiTherapeuticoilevelsoiareoi
monitoredoiperiodicallyoitooiremainoiatoi50oitooi125oiµg/
mL,oiasoiareoibaselineoiandoiongoingoiliveroifunctionoitests,oiincludingoiserumoiammoniaoile
velsoiandoiplateletoiandoibleedingoitimes.
AntisocialoiPersonalityoiDisorderoi-oians--
✔✔Disregardoiforoirightsoiofoiothers,oirules,oiandoilaws.oiPeopleoiwithoiantisocialoipersonali
tyoidisorderoigenerallyoidooinotoiseekoitreatmentoivoluntarilyoiunlessoitheyoiperceiveoisomeo
ipersonaloigainoifromoidoingoiso.
Clientsoiwithoiantisocialoipersonalityoidisorderoihaveoianoiestablishedoipatternoiofoireactingo
iimpulsivelyoiwhenoiconfrontedoiwithoiproblems.oiTheoinurseoicanoiteachoiproblem-
solvingoiskillsoiandoihelpoiclientsoipracticeoithem
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MASTERGRADE01. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
50843 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now