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Mental Health Remediation

What are expected findings in a client with alcohol use


disorder? What are withdrawal symptoms?

- A client with alcohol use disorder will have fine tremors of


both hands and restlessness. Alcohol withdrawal syndrome
may range from mild to physically dangerous, and may
include symptoms such as irritability, anxiety, agitation,
increased heart rate, high blood pressure, seizures and in
rarer cases, delirium tremens.

The nurse is discharging a client with dementia.


What teaching should the nurse provide to the family?

- Ensure a safe environment in the home


- Remove scatter rugs
- Install door locks that cannot be easily opened
- Lock water heater thermostat and turn water temperature
down to a safe level
- Provide good lighting, especially on stairs
- Install a handrail on stairs and mark step edges with colored
tape
- Place mattress on the floor
- Remove clutter, keeping clear, wide pathways for walking
through a room
- Secure electrical cords to baseboards
- Store cleaning supplies in locked cupboards
- Install handrails in bathroom

A nurse is providing client teaching to a victim of partner


violence. List three (3) strategies the nurse can teach the client
to prevent future occurrences of partner violence.

- Help client develop a safety plan


- Identify behaviors and situations that might trigger violence
- Provide information regarding safe places to live

Identify three (3) methods a nurse can use to determine a


client's cognition level during an assessment.
 
- Use touch to communicate caring as appropriate
- Include the family and significant others as appropriate
- Obtain a detailed medication history

Nursing Concept: Regressed clients that may appear helpless and dependent

- Regression refers to a defense mechanism characterized by reversion to thought


patterns and behaviors appropriate to an earlier stage of development.
- Avoid fostering dependency and reinforcing childlike attitudes

Nursing Concept: Nursing Interventions for a client with anorexia nervosa

- Weigh the client daily for the first week, then three times per week
- Measure the client’s vital signs twice daily until stable. After stabilization, measure the
client’s vital signs once daily.
- Do not negotiate weight with the client or reweigh the client
- Avoid conversations with the client that have a food theme during mealtimes
- Stay with the client during meals and for 1 hr afterward
- Provide the client with small meals frequently
- Give the client liquid supplements as prescribed

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