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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 griefexxaggerated grief - distorted griefwhat do you expect with masochism - fantasized being humiliated and boundrecurrent, sex urges of being beaten, bound, and humiliatedexhibitionism - exposing genitals to strangersfetishism - sex fantasies about non living objectsfrotteurism - urges to touch and rub against non consenting individualsexaple of enmeshed boundaries - children taking care of their younger siblingswhat 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 2500intervention for patient with delerium - permit the client daily rituals to decrease anxietydont keep lighting dim (want to be able to see invironment)dont give too man decisions because may get frustratedteach 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 firstso what should you do with this patient (just attempted suicide and is angry about admission) - administer adntidepressant1 to 1 observationa client says about ECT "I will be able to stop taking my antidepressants after the tx" - nope= sorry need maintenacneplanning 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 (ptstill may have cog impairment RT detix)teach about resperidone - 1. may cause high blood sugar2. mestrual irregularities may occur while on this med3. 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 depressionrefer families to a grief counselor following suicide - tertiarywork with nurse to determine students at risk for suicide - primary (preventing suicide)establish a telephone hotline for individuals experiencing a suicide crisis - secondaryreview 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 needsteach about buspar - dont take with grapefruit bc will intensify effectstakes 3-4 weeks to workwill not cause withdrawalearly stage of grief= denial - "i think my labs got mixed up with someone elses"