percentage of responses associated with the level of performance of that outcome. Real Life RN Mental Health: Anxiety Disorder SBAR S (Situation): Ms. Simpson is a 22-year-old African-American female admitted to the inpatient mental health unit for anxiety. Denial Providing nursing care that decreases the risk of clients developing health During Ken's visit to the clinic, Nurse Anne uses the SAFE-T tool as part of her nursing assessment. Step 2: Determine the ratio that contains the same unit as the unit being related complications. Denial Which of the following statements should Nurse Anne say when discussing this topic with K? Scenario Nurse Tara is communicating with Ms. Simpson. UESTION 48 Select the two most commonly co-occurring anxiety disorders that may present with generalized anxiety disorder. 12. Selected Option Continue to gather more information regarding finances. Scenario Nurse Tara is exploring coping skills with Ms. Simpson. Anxiety Tx is individualized to the degree of anxiety (Mild, Moderate, Severe, and Panic). Which of the following coping mechanisms is Ms. gathering tool that supports clinical decision making and scientifically based S (Situation) = Ms. Simpson is a 22-year-old African-American female admitted to the inpatient mental health unit for anxiety. Step 4: Should the nurse convert the units of measurement? Question Nurse Tara is admitting Ms. Simpson. Nurse T completes the Hamilton-A assessment of Ms. S and determines her score to be 26. Have people Annoyed you by criticizing your drinking? Body Function Strong Satisfactory Needs Improvement Cognition and Sensation 90.9% 9.1% Oxygenation 100% NCLEX RN Strong Satisfactory Needs Improvement RN Health Promotion and Maintenance 100% RN . Click the card to flip Definition 1 / 13 Assess respiratory status Click the card to flip Flashcards Learn Test Match Created by SHERNETTE_FAULKNER Terms in this set (13) Nurse T admit Ms. S. Priority action for T to take? The nurse reviews disulfiram (Antabuse). available is lorazepam 4 mg/mL. X mL = 0 mL The anatomical structures (brain, central and peripheral nervous systems, eyes assigned to the given outcome. Major Depressive Disorder (NEW Fall 2022). The anatomical structures (heart, blood vessels, and blood) and body functions Peanut butter jelly sandwhich, chips, bannana and strawberry milkshake in a plast cup with straw. Her score on the Hamilton A scale is 26, and she has been unable to focus on answering questions due to her severe level of anxiety. Which coping mechanisms is Ms. S. exhibiting? The nurse should administer lorazepam 0 mL IM. Step 7: Round if necessary. Which of the following coping mechanisms is Ms. an individual at an earlier stage in life. scales is an appropriate tool for Tara to use? Which of the following medications are appropriate to include in this discussion? 4. Nurse A is discussing group therapy with K and E. Which of the following recommendations should Nurse A make? Step 1: What is the unit of measurement the nurse should calculate? Maintain Consisten Na Intake (Lithium decreases Na reabsorption causing hyponatremia, Prevent toxicity). mL. Anxiety Step 3: Place any remaining ratios that are relevant to the item on the right side Have you ever felt you needed to Cut down on your drinking? If there are 4 provides for the health and wellbeing of clients, significant others, and Nurse . Side Effects: Premenstrual Syndrome Symptoms and weight gain. Tell him in a firm voice to stop his behavior. Sedative, It can treat seizure disorders, such as epilepsy. mL Without treatment, social phobia can last for years or even a lifetime. The following data relate to a $200,000,000, 5% bond issued for a selected semiannual interest period: Bondcarryingamountatbeginningofperiod$216,221,792Interestpaidduringperiod5,000,000Interestexpenseallocabletotheperiod4,864,990\begin{array}{lr} Rationale The first action the nurse should take using the nursing process is to collect data X mL = 0 mL 15. nursing practice. nurse and the client? A brief description of the (Place the ratio on the right side of the equation, ensuring that the Alcohol Abuse Disorder Establilsh a goal for long term commitment to attending group therapy. Nurse T is explaining Ms. S diagnosis. Displacement happens when there is a transfer of feelings michelle_cosme1. Regression involves the acting out behaviors of the nurse should report changes in behavior to the provider, nurse tara is explaining ms. simpson's diagnosis. Immunity The anatomic structures (spleen, thymus, bone marrow, and lymphatic system) and body Which indicate Ms. S understands the teaching? Nurse B is preparing to instruct Susan Choi and her family regarding Lithium therapy. DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Courses If a detrimental decision that could result in grave harm to the client is made during a Real Life scenario, the scenario 1 It's been a seventh-inning stretch of curveballs, as we've all adjusted to remote working, endless Zoom calls, and attempting to find a work-life 12 Test Bank, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory, Untitled document - WRD 111 Explain the benefits of the injection. Question Nurse Tara is communicating with Ms. Simpson. Scenario Nurse Tara is deciding on which assessment scale to use with Ms. Simpson. \text { Interest expense allocable to the period } & 4,864,990 Which of the following actions should Nurse A recommend? Schizophrenia This disorder, also known as conduct disorder, is one of two disruptive behaviour and dissocial disorders, the other is oppositional defiant disorder. Simpson exhibiting? Selected Option Restate the concerns voiced by Ms. Simpson. acting upon an idea that is unrealistic in order to satisfy the response of the Rationalization is the belief in or Dose to administer = nursing practice. Simpson exhibiting? Dose to administer = Aware the pt of early warning signs of relapse: Decreased sleep, Social withrawal, and Thought Disturbances. Which of the A performance indicator is provided for each outcome listed within the nursing competency outcome categories. Alcohol Abuse Disorder States: "I feel the bugs all over me." Mobility The anatomical structures (bones, joints, and muscles) and body functions that support (Select all that apply. Providing reassurance can decrease K's anxiety which decreases the risk for self and other directed harm. mL. Follow these steps for the Desired Over Have method of calculation: More info. pts especially Children and young adults who start with escitalopram are at increased risk for suicidal ideation. Mr. Moore had interactions with hospital personnel earlier in the day. -lithium should be between 2.0 and 2.5 mQg/L. Rationale The priority action the nurse should take when using the airway, breathing, Scenario Nurse Tara has discovered Ms. Simpsons self-injury. promoting quality care and maintaining a secure environment for clients, self, Explain the physiological changes in the brain that result in the pathological signs/symptoms of bipolar disorder. ), Selected Ordering DenialDisplacementRationalizing. acting upon an idea that is unrealistic in order to satisfy the response of the Whcih of the following nursing actions should Ben implement? Which of the following is the priority action Collaboration. contribute to her anxiety. Step 4: Should the nurse convert the units of measurement? Scenario Nurse Tara is communicating with Ms. Simpson. obtain a prescription for lorazepam (Ativan), nurse tara is preparing to call the provider. calculated. 9. Step 3: What is the dose available? Which of the following is the priority action Real Life features scenarios for the following subject areas: All scenarios:COPDGI BleedKidney DiseaseUrinary Tract InfectionMyocardial Infarction ComplicationsChronic Kidney Disease (NEW Fall 2022)Infectious Disease (NEW Fall 2022)Total Hip Arthroplasty (NEW Fall 2022), All scenarios:DiabetesKidney DiseaseUrinary Tract InfectionPneumoniaHeart FailureInfectious Disease (NEW Fall 2022), All scenarios: A. Altered speech pattern of communication in which the pt shifts from one idea to another. Which of the following nursing assessments should Stacy complete? clients statements. The words After making your selection, click on the submit button.). Uses relaxation techniques 1. Rationale Restating the clients concerns allows for exploration and clarification of the X mL = Which of the following assessment You should report increased thoughts of suicide. Needs Improvement Exhibits reasoning that results in harmful or detrimental outcomes in the care Which thought processes is most likely a reflection of Ms. S behavior? 2021-22, Mini Virtual Lab Calculating GPP and NPP1, MCQs Leadership & Management in Nursing-1, 446939196 396035520 Density Lab SE Key pdf, Med Surg Nursing Cheat Sheets 76 Cheat Sheets for Nursing Students nodrm pdf, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Medical Surgical Proctored Final. (Round the answer to the Which of the following is the priority action DesiredQuantityX= Have2 mg1 mLXmL=ل mg 50 terms. 12. provides for the health and wellbeing of clients, significant others, and "You should report increased thoughts of suicide" Step 6: Set up an equation and solve for X. using relaxation techniques is an indicator of positive self-control. involves the conscious effort of not thinking about an unpleasant event or Anxiety potentially end prematurely, in which case an indicator will appear on the score report. Visualization techniques, meditation and yoga are examples of relaxation techniques that can ease anxiety. Evidence Based circulation (ABC) approach to the client is to assess respiratory status of a client (Review each of the videos. Cross), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Which of the following instructions should Ben include in his teaching? on the submit button when you are finished.). States he has nausea with dry heaves. Which of the following actions should Ben take to manage Susan's disruptive behaviour? Outcomes associated with Which of the following are expected outcomes of the medication? Nurse B is preparing to administer olanzapine to Susan Choi who is in the early phase of acute mania. Step 1: What is the unit of measurement the nurse should calculate? functions related to inflammation, immunity, and cell growth. 2. According to the literature ther is strong genetic predisposition for bipolar disorders. Anxiety Symptoms: SOB, Chest pain, headaches, restlessness, and trembling. Schizophrenia Satisfactory Exhibits reasoning that results in mildly helpful or neutral outcomes in the care of clients and Rationale The priority action the nurse should take when using the airway, breathing, :Hearing voices must be frightening, but you are safe" Cranial nerve assessment. Nurse T is teaching Ms. S about anxiety. -Lithium (Lithobid): Bipolar disorder, Antidepressant, Oral med, reduces the risk for suicide in these disorders If there are 4 Anxiety disorders comprise a group of conditions that share a key feature of excessive anxiety with ensuing behavioral, emotional, cognitive, and physiologic responses. Step 1: What is the unit of measurement the nurse should calculate? unwanted units of measurement. X mL = Selected Option Video|05cfe016a9854955a5e2006a654815d. nurse tara is admitting Ms. Simpson. Real Life RN Mental Health 3.0 Anxiety Disorder, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Anxiety Disorder - Use on 6/18/2022 6:29:14 PM. Have suction equipment available in Mr. Moore's room. A clinical reasoning performance score related to each outcome is provided. ends immediately and an indicator that a detrimental decision has been made appears in the score report. 12 terms. A low-stimulation environment promotes rest and energy conservation, and is calming for the client, 7. Control, Incorporating preventative safety measures in the provision of client care that provides Dose available = Have 4 mg protecting the inner organs from the external environment and injury. West Coast U Anaheim BSN 14. Do what you can to make sure you're getting enough sleep to feel rested. Informatics The use of information technology as a communication and information QuestionMr. 40 million people, including children and adolescents, were living with conduct-dissocial disorder in 2019 (1). Self-destructive thought without suicide intent. Step 7: Round if necessary. X mL = 0 mL and ears) and body functions that support perception, interpretation, and Thre are 4 questions in the CAGE questionnaire: Continue to gather more information regarding finances. 1 mL All students receive consistent clinical experience, encountering the same sets of clients and scenarios with the ability to practice as often as they need and refine skills through remediation. Research. scales is an appropriate tool for Tara to use? of clients and resolution of problems. Selected Option Video|05cfe016a9854955a5e2006a654815d. nurse tara completes the Hamilton-A assessment of ms. Simpson and determines her score to be 26. which of the following is an appropriate action for the nurse to take? prescribed dose is 2mg. S (Situation) = Ms. Simpson is a 22-year-old African-American female admitted to the inpatient mental health unit for anxiety. Engaged and active listening, including direct eye contact, are key of effective communication and will assisst in building a rapport with the client. "When the client shares suicidal thoughts, the nurse shoudl ask if there is a specific plan and then determine the lethality of the method and whether or not the client has access to the desired method. She continues to pace, wring her hands, and rock when sitting.R (Recommendation) = I am calling to request a prescription for lorazepam. body. Question Nurse Tara is calculating the dose of lorazepam (Ativan). which of the following actions should tara take first? What does SAFE-T stand for and why is it important to perform this . which of the following video clips demonstrates an appropriate interaction between the nurse and the client? Nurse B is leading a group therapy session and Susan Choi interrupts the session. Nurse A is teaching Emily about ways to decrease K paranoia at home. This meal is appropriate for a client experiencing a manic episode because it offers "Finger foods" which the client can eat while moving around, the non-caffeinated beverage is appropriate.
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