Date and time of last drink worst w hrs after last

date and time of last drink (worst withdrawal 24-48 hrs after last drink)
when client is unable to openly acknowledge nd express grief - disenfranchised grief
exxaggerated grief - distorted grief
what do you expect with masochism - fantasized being humiliated and bound
recurrent, sex urges of being beaten, bound, and humiliated
exhibitionism - exposing genitals to strangers
fetishism - sex fantasies about non living objects
frotteurism - urges to touch and rub against non consenting individuals
exaple of enmeshed boundaries - children taking care of their younger siblings
what do you say if a pt becomes verbally abuseive - i am leaving now but returning in a few minutes to
see if you are calmer

which label worries us with clozapine - WBC of 2500
intervention for patient with delerium - permit the client daily rituals to decrease anxiety
dont keep lighting dim (want to be able to see invironment)
dont give too man decisions because may get frustrated
teach about light therapy for SAD - wear sunglasses when go outside- bc light therapy can cause eye
strain and sensitivity to light
(dont need to increase fluids bc will not cause dehydration)
should you get a no suicide contract from a pt who recently attempted suicide and is angry over being
admitted - no- should wait til pt is no longer angry and you can develop rapport first
so what should you do with this patient (just attempted suicide and is angry about admission) -
administer adntidepressant
1 to 1 observation
a client says about ECT "I will be able to stop taking my antidepressants after the tx" - nope= sorry need
maintenacne
planning teaching about relapse prevention to a client who just began an outpatient substance use
disorder tx program- what should you teach at the beginning - simple rules and objectives or program (pt
still may have cog impairment RT detix)
teach about resperidone - 1. may cause high blood sugar
2. mestrual irregularities may occur while on this med
3. you make experience dizziness while taking this med
(no increase in hair or excess sexual desire)
how do you use simple restitution as a behavior managment technique for a child with conduct disorder
- make the child pick up books after he threw them all over the room
"Im not going to my family reunion because no one asked me to help plan it" - sign of uselessness is a
sign of depression
refer families to a grief counselor following suicide - tertiary
work with nurse to determine students at risk for suicide - primary (preventing suicide)
establish a telephone hotline for individuals experiencing a suicide crisis - secondary
review suicide precautions with nursing staff - secondary (involves treating a client during suicide crisis)

an impotant consideration in promoting client adherence to treatment regiment - providing care to a
clients physical health needs
teach about buspar - dont take with grapefruit bc will intensify effects
takes 3-4 weeks to work
will not cause withdrawal
early stage of grief= denial - "i think my labs got mixed up with someone elses"