A nurse is admitting a new client on the mental health unit. During the conversation the nurse should
be aware that countertransference can occur if the
... [Show More] nurse display what feeling?
Countertransference occurs when a health care team member displaces characteristics of people in her
past onto a client. The nurse overly identifies with the client, competes with the client, and argues with a
client.
A client on the mental health unit is being discharge to a community base program referred to as
Assertive Community Treatment. (ACT) What should the nurse explain to the client about this
program?
This program includes nontraditional case management and treatment by an interprofessional team for
clients who have severe mental illness and are noncompliant with traditional treatment. ACT helps to
reduce reoccurrences of hospitalizations and provides crisis intervention, assistance with independent
living, and information regarding resources for necessary support services.
A nurse is caring for a client in the manic phase of bipolar disorder. Identify five (5) clinical
manifestations associated with this phase of the bipolar disorder.
During the manic phase of a bipolar disorder, the patient may present with an elevated mood, the
decreased need for sleep, racing thoughts, difficulty maintaining attention, and excessive involvement n
pleasurable activities.
A nurse is completing a physical assessment on a child. What are three (3) potential signs of neglect?
Unusual weight loss, malnutrition, dehydration. Untreated physical problem, Being left dirty or
unbathed. Unsuitable clothing or covering for the weather.
A nurse is facilitating group therapy and the group is currently in the working phase of group
development. What is the primary focus during this phase?
The primary focus during the working phase is to promote problem-solving skills to facilitate behavioral
changes. One should know that power and control issues could dominate during this phase.
A nurse is caring for an adolescent client with Autism Spectrum Disorder. Define Autism Spectrum
Disorder. What are common manifestations of Autism Spectrum Disorder?
A nurse is caring for an adolescent client with Autism Spectrum Disorder. Define Autism Spectrum
Disorder. What are common manifestations of Autism Spectrum Disorder?Autism Spectrum Disorder is a
neurodevelopment disorder that is genetic with behaviors affecting and individual’s ability to
communicate and interact with others. Cognitive and language development are delayed. Manifestations
of this are inability to maintain eye contact, repetitive actions, and strict observance of routines. Physical
difficulties can be experiences such as sensory integration dysfunction, sleep disorders, digestive
disorders, feeding disorders, epilepsy, and/or allergies.
A nurse is caring for a client with delirium. What is the onset and clinical manifestations of this
disorder?
The onset for delirium is rapid over a short period of time. The manifestation of delirium is impaired
memory, judgment, and ability to focus/calculate. Confusion and disorientation are worse early morning
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and night. LOC is altered and fluctuate rapidly. Personality change rapidly. Anxiety, restlessness,
fluctuation moods, and motor agitation are common. Change can cause anger, panic and fear. Vital signs
become unstable and require intervention. Perceptual disturbance can be present, such as illusions and
hallucinations. Four types of delirium: hypoactive with quietness and apathy; hyperactive with
restlessness and agitation; combination of hypoactive and hyperactive manifestation (mixed);
unclassified because their manifestation does not classify into other categories.
A nurse is caring for a client with attention seeking behaviors. Describe attention seeking behaviors
commonly noted in clients diagnosed with histrionic personality disorder.
Patients diagnosed with histrionic personality disorder tend to present provocative behavior, and [Show Less]