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My home My courses RN ATI Capstone 2017 RN ATI Capstone Content Review Schelske_B Oct 7 - Oct 13 Weekly Tips Weekly Tips ATI Capstone Content Review Tips of the Week Mental Health tips: All clients should have a Mental Status Exam , which includes: Level of consciousness Physical appearance Behavior Cognitive and intellectual abilities The nurse conducts the MSE as part of his or her routine and ongoing assessment of the client. Changes in Mental Status should be investigated further and the provider notified. There are two types of mental health hospitalizations: Voluntary commitment and involuntary or civil commitment. Involuntary commitment is against the client’s will. Despite that, unless proven otherwise, clients are still considered competent and have the right to refuse treatment. Use the following communication tips when answering questions on NCLEX: * If the client is anxious or depressed – use open-ended, supportive statements * If the client is suicidal – use direct, yes or no questions to assess suicide risk * If the client is panicked – use gentle guidance and direction * If the client is confused – provide reality orientation * If the client has delusions / hallucinations / paranoia – acknowledge these, but don’t reinforce * If the client has obsessive / compulsive behavior – communicate AFTER the compulsive behavior * If the client has a personality or cognitive disorder – be calm and matter-of-fact NAVIGATION Your class access expires in 8 days You are logged in as Tiana Robinson ( Log out )
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Treatment for mental health illnesses and disorders can include medications, talk and behavior therapy, and / or brain stimulation. Clients undergoing care for mental health disorders may feel pressure to deny behavior or issues to appear ‘normal’. The nurse should always carefully assess each individual to ensure optimal response to therapies. The most common type of brain stimulation therapy is electronconvulsive therapy or ECT. ECT is generally performed for major depressive disorders, schizophrenia or acute manic disorders. Most clients receive therapy three times a week for two to three weeks. Prior to ECT, carefully screen the client for any home medication use. Lithium, MAOIs and all seizure threshold medications should be discontinued two weeks prior to ECT. After therapy, reorient the client as short term memory loss is common. Anxiety disorders are common mental health disorders. Generalized Anxiety Disorder, Panic Disorder, Phobias, Obsessive Compulsive Disorder, and Posttraumatic stress disorder (PTSD) are all considered types of anxiety disorders. Assess the client for risk factors, triggers and responses. A classic symptom of depression is change in sleep patterns, indecisiveness, decreased concentration, or change in body weight. Any client who shows these signs or symptoms should be asked if they have suicidal ideation. Teach clients to never discontinue anti-depressants suddenly.
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