MENTAL HEALTH NURSINGNU2740REVIEWtest3.pptx - MENTAL HEALTH NURSING NU 2740 DATE REVIEW ON TEST#3 UNIT 10 EXAM 3 CLOUDED SENSORIUM 1 The patients

MENTAL HEALTH NURSINGNU2740REVIEWtest3.pptx - MENTAL HEALTH...

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MENTAL HEALTH NURSING NU 2740 DATE: 08/16/2014 REVIEW ON TEST #3 UNIT 10 EXAM 3:
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CLOUDED SENSORIUM 1). The patient’s clouded sensorium, sensory perceptual distortions, and poor judgment predispose a risk for injury. Safety is the nurse’s priority. REF: Text Pages: 413 – 415 Table 22-1.
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1:1 SUPERVISION 2. One-on-one supervision is necessary to promote physical safety until sedation reduces the patient’s feelings of terror. Checks every 15 minutes would not be sufficient to provide for safety. REF:Text Pages: 413-415
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BLOOD ALCOHOL LEVEL REF:Text Pages: 414 - 418
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DENIAL REF: Text Page: 413
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DRUG ADDICT NURSE 5. The drug addict nurse usually divert drugs for personal use and sometimes attempts to isolate self from peers and may manipulate others to gain access to medications cart. Appearance often deteriorates, and errors are blamed on others. REF:Text Pages: 424-427 Table 22-9
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INTOXICATED PATIENT 6 If a pt comes to his/her therapy appt. Drunk the nurse cannot conduct meaningful therapy with an intoxicated patient. The nurse is setting reasonable limits. The patient should be taken or escorted home and then make another appointment. Page 423 Table 22-8
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REF:Text Pages:422-423
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LYSERGIC ACID DIETHYLAMIDE (LSD) 8. The patient who is high on lysergic acid diethylamide (LSD) often experiences synesthesia (visions in sound), depersonalization, and concerns about going “crazy.” CNS stimulant overdose more commonly involves elevated vital signs and assaultive, grandiose behaviors. REF:Text Pages: 414-416
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FLUNITRAZEPAM 9. Flunitrazepam is also known as the "date rape drug" because it produces disinhibition and relaxation of voluntary muscles as well as anterograde amnesia for events that occur. REF: Text Page: 413-415
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DETOXIFICATION 10. The key refers to the need for ongoing treatment after detoxification and is the best goal related to controlling relapse. A trusting relationship, while desirable, would not help the patient maintain sobriety. REF:Text Page: 415- 416
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PATIENT SAFETY
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