Download PRN 1562 Exam 1 (New Update 2024/2025) Mental Health Nursing Review with Verified Q&A and more Exams Nursing in PDF only on Docsity! PRN1562/ PRN 1562 Exam 1 (New Update 2024/2025) Mental Health Nursing Review with Questions and Verified Answers 100% Correct A Grade – Rasmussen PRN 1562 Exam 1 QUESTION Involuntary admission criteria Answer: person presents a danger to self or others, is in need of treatment, or cannot meet their own basic needs. 72 hours before court involvement for an involuntary hold. QUESTION Clarifying leads Answer: State what the client has said as you understand it. Asking for more information or details. Ex: am i correct in understanding you're feeling scared? Extract, clarify, reinstate. QUESTION Tarasoff Case/ Duty to warn Answer: a therapist who has reason to believe that a client is dangerous to someone must warn the endangered person or take other steps to prevent harm. QUESTION False Imprisonment (Intentional Tort) Answer: the intentional confinement or restraint of another person's activities without justification. QUESTION Assessing cognition Answer: It puts clients on the defensive! QUESTION Involuntary hold Answer: 72 hours- court involved QUESTION Recovery Answer: Is life long QUESTION mental status exam Answer: appearance and behavior, thought processes, mood and affect, intellectual functioning, perception. QUESTION appearance Answer: How the client presents, level of hygiene, grooming, or dress. QUESTION Behavior Answer: everything we do that can be directly observed, movements and eye contact. QUESTION thought process Answer: how the client is able to verbalize their thinking pattern. Is it organized and coherent. QUESTION Perceptual Disturbances Answer: hallucinations and illusions QUESTION Affect and mood Answer: - Affect is the emotional state as it appears to others. - Mood is the emotional state as described by the patient. - Observe the patient's facial expression. - No part of the body is as expressive as the face. - Feelings of joy, sadness, fear, surprise, anger, and disgust are conveyed by facial expression. - Facial expressions generally are not consciously controlled. QUESTION What medications are given to stop the withdrawal symptoms; ex : hallucinations? Answer: Barbiturates- lithium, vailum QUESTION Therapeutic response to - My mother spanked me all the time. Answer: So your mother was a disciplinaria QUESTION On Involuntary holds what rights do clients retain? Answer: All EXCEPT - Right to refuse QUESTION Education for substance abuse clients Answer: Individual therapy Group or family therapy 12 step recovery program Intensive outpatient programs Residential programs QUESTION Timetable of Alcohol withdrawal Answer: Symptoms tend to peak 24-48 hrs after con- sumption has stopped. QUESTION Offering Self (therapeutic) Answer: QUESTION Non-maleficence Answer: duty to do no harm QUESTION Autonomy Answer: A clients rights to make their own decisions. QUESTION Fidelity Answer: faithfulness; loyalty, commitment to client. QUESTION Beneficence Answer: Doing good or causing good to be done; kindly action. QUESTION Signs and symptoms of active withdrawal Answer: Anxious, agitated, diaphoretic, N/V, hallucinations, headaches, tremors. Paranoid delusions. QUESTION Signs and symptoms of acute withdrawal Answer: Elevated BP, and HR QUESTION Definition of dual diagnosis Answer: Multiple disorders. QUESTION CAGE questionnaire Answer: Asks questions of clients to determine how they perceive their current alcohol use. QUESTION Effects of Antabuse (disulfiram) Answer: A drug that interferes with the metabolization of alcohol, making the drinker violently ill. QUESTION Disulfiram (Antabuse) - Nursing Answer: Monitor LFTs baseline and periodically. ( example of aversion therapy ) Acamprosate (Campral) - Nursing Answer: QUESTION Monitor BUN, creatine and creatinine clearance. QUESTION Therapeutic Milieu Answer: A safe and secure structured environment, with a daily schedule, rules, regulations, expectations, and boundaries. QUESTION Therapeutic Boundaries Answer: Boundaries are set in place to ensure the focus remains on the client.