Addiction
What is loss of control of substance ingestion known as?
Addiction
What are the 4 stages of anxiety?
mild, moderate, severe, panic
What are some therapeutic responses the nurse could use when working with a client who is demonstrating maladaptive behaviors?
use silence, use general leads or broad openings, clarify, reflect
(avoid closed-ended questions, arguing, and "why" questions)
Who do nurses report suspicions of abuse to?
child/adult protective services
What is a defense mechanism?
An unconscious reaction to stress that is used to protect a person's self-esteem, avoid conflict or anxiety
Needing to drink more to experience the same effect is called what?
Tolerance
Which stage of anxiety can have a positive effect?
Mild- It can motivate learning and growth and facilitate problem-solving
What are 3 signs that a client may be experiencing depression?
Easily frustrated/angry with themselves or others, sleep disturbances, changes in weight, pessimistic in thinking, lose the sense of pleasure from activities used to enjoy, lack of energy, may feel like a burden or hopeless
What are 3 things the nurse should be alert for when assessing for abuse?
injuries, delay in seeking treatment, explanation of injury that doesn't make sense, changes in story, mental health problems, substance abuse, eating disorders, suicidal ideation, partner's behavior at the health care visit, client demeanor
A client with persistent difficulties discarding or parting with possessions regardless of their actual value may suffer from which disorder?
Hoarding disorder
What are some ways to help prevent relapse?
Education, promote coping skills, a supportive living environment, provide resources to help with life changes, connections with other people who are recovering, set realistic goals, abstinence
What are two nursing interventions for anxiety?
use short simple sentences, convey a calm demeanor, determine the level of anxiety, help implement previously used successful coping mechanisms to keep it at a manageable level (if they don't have one or it is maladaptive help them find one that is adaptive), involve a support system when able, encourage the client to verbalize signs of increasing anxiety, keep environment stressess/stimuli low, set goals with client
What is the number one concern if a client is having suicidal thoughts?
Their safety
What is the goal of interventions implemented for an abuse victim?
Interventions aim to promote safety and enable the victim to gain control of life.
What are two nursing interventions that could be implemented for a client in the triggering phase of the aggression cycle?
Approach the client in a non-threatening calm manner, convey empathy, listen, use clear, simple, short statements, measures to decrease stimulation, physical activity, offer PRN medications if ordered
What are 4 signs that a client is experiencing alcohol withdrawal?
Signs of alcohol withdrawal include hand tremors, shakiness, sweating, restlessness, elevated heart rate and blood pressure, insomnia, anxiety, hallucinations, nausea, vomiting, seizures, delirium
What are the three stages of separation anxiety?
Protest, despair, detachment
What are 3 nursing interventions for a client who is experiencing depression?
safety, implement suicide precautions if necessary, establish a therapeutic relationship, offer independent decision-making opportunities, promote sleep and adequate nutrition, encourage the client to verbalize feelings, engage the client in activities, encourage the client to generate their own solutions
What are 3 interventions for abuse?
provide support/ask how you can help, connect them with resources, offer a safety plan, document, educate them on the cycle of violence, and reassure them it is not their fault
What are two nursing interventions for a client experiencing mania?
Provide for the client’s physical safety and those around them. Set limits on the client’s behavior when needed. Remind the client to respect distances between self and others. Use short, simple sentences to communicate. Frequently provide finger foods that are high in calories and protein. Promote rest and sleep. Protect the client’s dignity when inappropriate behavior occurs. Channel the client’s need for movement into socially acceptable motor activities.
What are two nursing interventions that can be provided to a client experiencing withdrawal symptoms?
Some interventions include decreasing stimulation in the environment, rounding and orienting the client frequently, educating, reassuring, offering frequent small amounts of water, seizure precautions
If a client presents with a choking sensation, palpations, is diaphoretic, and has a feeling of impending doom which stage of anxiety are they most likely in?
Panic
May also experience difficulty communicating, agitation, trembling, poor motor control, sensory changes, tachycardia, hyperventilation, dyspnea, chest pain, dread and terror, increased physical activity, loss of rational thought, inability to learn, and regress to less appropriate behaviors. (This level of anxiety can lead to exhaustion and death)
What are 3 interventions for someone with suicidal thoughts?
Implement a safety plan, assume an authoritative role to help the client stay safe, remove potentially dangerous items from the environment, provide reassurance, help the client create a support system list, and support the client's family as able.
Prevention, early detection, and treatment are important!
Injuries to themselves and the fetus, depression-self-blame, panic/ anxiety disorder, fetal and maternal deaths, miscarriage/stillbirth, poor nutrition, insomnia placental abruption, uterine rupture, excessive weight gain or loss, smoking and substance abuse, delayed or no prenatal care, preterm labor, vaginitis, STIs, urinary tract infections, premature and low–birth-weight infant
What are 3 signs of substance abuse?
interference with role performance, high-risk behaviors, legal problems, drug tolerance, withdrawal symptoms, inability to cut down/stop, withdrawal from family friends