Three Faces of Eve
Misinterpret innocent physical sensations as evidence of a serious illness.
What is Illness Anxiety Disorder (Hypochondriasis)?
Ineffective Impulse Control, Risk for Self- Directed Violence and Risk for Other- Directed Violence
What are primary nursing diagnoses for patient who is violent?
Mandatory for nurses
What is reporting suspected abuse in children?
Surgery, drugs, urinary tract infections, pneumonia, cerebrovascular disease, and congestive heart failure
What are common cause of delirium?
To counter-act the feelings from cocaine, you could use this
What is a CNS depressant?
Sudden, unexpected travel away from the customary locale and inability to recall one’s identity and information about some or all of the past.
What is dissociative fugue?
Providing space, keeping at least one arm’s length away, awareness of panic buttons and exit strategies, avoid wearing dangling items (badges, necklaces, ponytails), set limits
What are examples of ensuring safety?
Important piece of information when diagnosing a child with a mental illness
What is their developmental stage?
Provide these when a client is misinterpreting reality
What are glasses/hearing aids?
Seizures, paralysis, abnormal gait, anesthesia, blindness, and deafness.
What are common examples of conversion disorder?
Somatoform disorder still would require this
What are medical findings/diagnostics ruling out medical conditions?
Rationale for assessing everyone in regards to domestic violence?
What is because victims are unlikely to self-report?
Failure to treat injury promptly
Injury inconsistent with story
Injury inconsistent with developmental stage
What are possible indications of physical child abuse?
When the patient demands to leave because they need to get home for an appointment
What is reorient them to time/place, and let them know they are safe?
Key for relapse prevention?
Identifying triggers
Highest priority for a client with Body Dysmorphic Disorder?
What is assessing for suicidal ideation/risk?
A client declines treatment after sexual assault, the nurse would still need to
What is provide the client with referral and follow-up care information?
Proof is not required for reporting
What is child abuse?
Consider this nursing diagnosis as a priority
What is at risk for injury?
Patient looks angry, best response
What is, “You seem to be upset.”
Benefits derived from the symptoms alone; for example, in the sick role, the patient is not able to perform the usual family, work, and social functions, and receives extra attention from loved ones.
What are secondary gains?
Could potentially increase risk for violence
What are command hallucinations or paranoid delusions?
Constant criticism • Insults • Harsh demands • Threats and yelling • Ignoring the child • Denying child opportunities to receive positive reinforcement
What are examples of emotional abuse?
Use these judiciously to help with behavioral problems
What are antipsychotics and benzodiazepines?
Requires a doctors order, time-frame, close monitoring
What are restraints?