Excellent job Chanell.
Please complete the following remediation activities for your Mental Health
assessment:
1. Complete an ATI Focused Review®
2.
... [Show More] Answer the following questions and review the suggested learning
activities. Send me your answers here
What should a client's lithium level be during initial treatment of a manic
episode? What is a maintenance level range for this medication therapy?
What plasma levels could result in toxicity?
Suggested Mental Health Learning Activities: Psychopharmacology and
Psychopharmotherapy
During the initial treatment of a manic episode levels of lithium should be at .8 –
1.4. The maintenance level range of lithium is between .4 to 1.0. Plasma levels
that would result in toxicity are greater than 1.5.
What is electroconvulsive therapy (ECT) used to treat? How does a nurse
prepare a client for ECT and what are some common side effects of ECT?
Suggested Mental Health Learning Activity: Brain Stimulation
ECT delivers an electrical current that produces a grand mal seizure. One theory
suggests that ECT may enhance the effects of neurotransmitters (serotonin,
dopamine, and norepinephrine) in the brain. The typical course of ECT treatment is
three times a week for a total of 6-12 treatments.
Any meds that affect the client's seizure threshold must be decreased or
discontinued several days before the ECT procedure.
MAOIs and lithium should be discontinued 2 weeks before the ECT procedure.
A short period of hypertension occurs immediately after the ECT procedure.
30 minutes prior to the beginning of the procedure, an IM injection of atropine
sulfate or robinul (Glycopyrrolate) is given to decrease secretions and counteract
any vagal stimulation.
What are manifestations of anger that might lead a nurse to believe that
a client's anger will progress to violence?
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Denied or suppressed anger can manifest as physical or psychological
findings, such as headaches, coronary artery disease, hypertension, gastric
ulcers, depression, or low self-esteem.
When violence begins with threats or verbal or physical minor assaults, and
eventually tension building to greater threats and physical abused. [Show Less]