Anger and Aggression
Decreasing stress, improving coping skills and decreasing risk factors are primary prevention for what?
Abuse
includes: lack of empathy, feelings of entitlement, inflated view of self, sensitive to criticism. These clients are difficult to treat until they want to change.
Narcissistic
Alzheimer's medications do NOT stop progression of Alzheimer's. Instead they help control this.
Cognitive Symptoms
These things are included in what?
-meds, birth certificate, change of clothing, medical records, driver's license, and money
Safety plan for things to take in an emergency
This nurse IDs and assesses victims, creates treatment plans, collects, documents and reserves evidence, and follows up on referrals.
Forensic Nurse
What is the most common form of abuse occurring in the family?
Neglect
These clients are suspicious, hypervigilant, controlling in relationships - they can become violent.
Paranoid
What are the common side effects of Donepezil (there are 3)
GI upset / Diarrhea
Syncope
Bradycardia
These are types of what?
-clang associations, word salad, neologisms, and loose associations
alterations in speech
This nurse's role includes assessing the deceased through understanding, discovery, and preservation and use of evidence.
Nurse Coroner/Death Investigator
If using a chemical restraint - what are the most important steps for a nurse to do following administration of the chemical?
assessing the client and documenting the event
These clients have rigid standards; they are unaware that their thoughts are unreasonable; they focus on perfection.
Obsessive-Compulsive
Stimulants for ADD/ADHD have these side effects (there are 4)
insomnia (don't give this after 4 pm!)
Appetite suppression
headache
Abdominal pain
This is false perceptions of real stimuli (can be re-oriented to truth), these are visually related.
Illusions
This nurse cares for those with serious mental illness caught in cycles of homelessness, psych hospitalizations, and imprisonment
Correctional Nursing
Anger and aggression put clients at higher risk for what medical issues?
CVA (cerebrovascular accident), HTN, CVD (cerebrovascular disease), MI
These clients tend to play people against each other - we need to remind them that all staff provide good care; they often experience feelings of emptiness.
Borderline
True or False - all medications must be FDA approved
True
This is a false idea NOT based in reality (these clients cannot be convinced otherwise) and they are perceptually related.
Delusions
This nurse cares for pediatric or adult victims of sexual assault.
SANE nurse (sexual assault nurse assault)
These are characteristics of who?
-poor coping skills, use of harsh punishment, temper outbursts, and history of alcohol abuse
abusive perpetrators
Always assess your clients as these clients tend to exaggerate symptoms; they will use sexual acting out as ways to cope.
Histrionic
What do we worry about with antipsychotic meds?
neutropenia (agranulocytosis), LFTs, watch anything that might elevate WBCs (ex: sore throat)
We should never leave these clients items that they can harm themselves with as they can be very impulsive; these clients are also a huge risk for suicidal intent or self harm
borderline personality disorder
These are specific examples of what this type of nurse might be asked to do:
-nurse psychotherapist, competency evaluator, fact/expert witness, consultant, hostage negotiator, criminal profiler
Forensic Psychiatric Nurses