Social/Emotional/Legal
True or False: If a client is not a danger to him/herself, they can refuse treatment (and/or medication).
What is true?
IF a child cowers when an adult approaches them, the nurse may suspect the child is a victim of this.
What is physical abuse?
This medication, often prescribed to children dx with ADHD, has a known side effect of a decreased appetite.
What is methylphenidate (Ritalin)?
A client with antisocial personality disorder is irritable, impulsive and verbally aggressive. Should the nurse be more concerned about self-harm or violence towards others?
What is violence towards others?
This is a syndrome (or illness) characterized by symptoms and/or impairment in functioning.
What is mental illness?
When making a discharge plan with the interdisciplinary team of a client on the inpatient BHU, what type of d/c environment is the goal of the team.
What is the least restrictive environment?
Power and Control are central to the dynamic of this type of violence.
What is domestic violence?
When caring for a child suspected of having anxiety, why is it important to include a thorough family history when gathering data.
What is because research studies show that there is a hereditary influence (family link) in the development of anxiety?
From the following, this type of pt is at highest risk for violence towards others:
1. depressed
2. paranoid
3. pt with OCD
What is 2, paranoid pt?
This is the therapeutic range via serum lab value for Lithium Levels in a pt who is taking Lithium for bipolar disorder.
What is 0.6-1.2mmol/L?
You are caring for a child who is in the PICU after being physically abused and critically injured by one of their parents. The parent arrives at the PICU demanding on seeing their child. This is the nurse's priority action.
What is protect the child and call an Emergency Response Team Code so correct personnel (such as security) can secure a safe environment and remove the parent?
This type of specialty certification demonstrates a high level of knowledge and expertise in conducting medial forensic exams, and is crucial when providing care to clients who have been raped.
What is SANE (Sexual Assault Nurse Examiner)?
A child with Conduct Disorder is beginning to escalate. Which is the nurse's priority:
1. modify the environment to decrease stimulation
2. provide positive feedback in an attempt to get the child to change their behavior
3. early recognition of escalation and intervene before violence occurs
What is 3, early recognition and intervene before violence occurs?
Yes or No:
If a pt is being manipulative, the nurse's plan and intervention should be to institute consequences for their behavior.
What is yes? The nurse should not bargain with pt and also should provide pt with choices so they feel like they have control of their care.
A client reports "I feel bugs crawling inside my feet." The nurse reports this as what type of delusion.
What is somatic delusion?
What is move the other clients to a safe area?
This type of violence may be perpetuated from one generation to the next through role modeling and social learning.
What is family violence?
As a school nurse, you notice a child who consistently begs and steals food from others in the cafeteria. The nurse may suspect the child is a victim of this.
What is neglect?
When providing direction to a pt with schizophrenia who is functioning below their baseline, the nurse provides what type of communication.
What is clear directions with small steps?
If a voluntarily admitted pt is not a danger to themselves or others requesting d/c from a BHU, and the facility fails to comply, they could be charged with this tort.
What is false imprisonment?
If a client is treated without informed consent, the facility and/or provider can be charged with this tort.
What is medical battery?
An adult daughter brings her father to his PCP for a routine physical and the nurse notices bruises on the father of all stages of healing and suspects physical abuse. The nurse wants to gather subjective data from the patient himself. How should the nurse proceed before gathering this information.
What is ask the patient privately (without the daughter being present)?
Use of anatomically correct dolls may be a useful tool for the healthcare team when collecting subjective data from a child suspected of being a victim of this.
What is sexual assault?
True or False: Absence of symptoms is the goal when caring for a client with mental illness.
Dry mouth, N/V/D, lack of coordination, dizziness, slurred speech, and increasing tremors are all indicators of moderate toxicity of this medication.
What is Lithium?