Nurs 406 test 3 Questions and Answers Latest
Update 2024-2025
suicide & nonsuicidal self injury
ch 25 mental health ANS✔✔ • Suicide is a significant public health problem
in the United States and should be approached as a "never event."
• Specific biological, psychosocial, and cultural factors increase the risk of
suicide.
• Treating the coexisting psychiatric disorder may help most patients with
suicidal ideation.
• Certain health conditions and psychiatric diagnoses are associated with
increased risk for suicide.
• Every suicide attempt must be taken seriously even if the person has a
history of multiple attempts.
• Nursing care of the patient who is suicidal is challenging but rewarding.
Patients' desperate feelings evoke intense reactions in staff, but most
people with suicidal behaviors respond to treatment and do not complete
suicide.
, Solution 2024/2025
Pepper
• If a patient completes suicide, family, friends, and healthcare workers are
traumatized and need postvention in terms of support, possibly including
referrals for psychiatric treatment.
• Nonsuicidal self-injury is a problem that is becoming increasingly
important, especially among young people.
• Treatment of patients with suicidal and nonsuicidal self-injury behaviors
involves an interdisciplinary team working together to implement plans of
care developed with support of the patient's family and friends.
ch 11 childhood and neurodevelopmental disorders
pg 171-190, 566-583 ANS✔✔ • One in five children and adolescents in the
United States suffers from a major mental illness that causes significant
impairments at home, at school, with peers, and in the community.
• Factors known to affect the development of mental and emotional
problems in children and adolescents include genetic influences,
biochemical (prenatal and postnatal) factors, temperament, psychosocial
developmental factors, social and environmental factors, and cultural
influences.
• The characteristics of a resilient child include an adaptable temperament,
the ability to form nurturing relationships with surrogate parental figures,
the ability to distance the self from emotional chaos in parents and family,
good social intelligence, the ability to perceive a future, and problem-
solving skills.
, Solution 2024/2025
Pepper
• Use seclusion and restraint as last resorts after less restrictive
interventions have failed and only in the case of dangerous behavior toward
self or others. Seclusion and restraint require continuous monitoring by
trained staff and must not be used as a punishment. Notify
parents/guardians if such measures are used.
• Communication disorders are a deficit in language skills acquisition that
creates impairments in academic achievement, socialization, or getting self-
care.
• Motor disorders are manifested by impairments in gross and fine motor
skill acquisition. They can range from mild to profound in severity.
Purposeless, repetitive movements that interfere with daily living activities
characterize stereotypic movement disorders.
• Tics are sudden, nonrhythmic, and rapid motor movements or
vocalizations. Tic disorders vary in severity and degree of interference with
the child's social and academic functioning.
• Learning disorders may be in the areas of reading, mathematics, or
written expression with performance in those areas below
older adult behavioral health
ch 31 mental health ANS✔✔ • The older adult population is increasing
exponentially.
, Solution 2024/2025
Pepper
• The increase in the number of older adults poses a challenge not only to
nurses but also to the entire healthcare system to respond to the special
needs of this population.
• Attitudes toward older adults are often negative, reflecting ageism—a bias
against older adults based solely on age. Ageism occurs at all levels of
society and even among healthcare providers, which affects the way we
render care to our older patients.
• Maintaining a positive regard that demonstrates respect will improve
interactions with older adults.
• Nurses who care for older adults in various settings may function at
different levels. All should be knowledgeable about the process of aging and
be aware of the differences between normal and abnormal aging changes.
• The Patient Self-Determination Act established guidelines and a
philosophy of care that call for patients to be free from unnecessary use of
drugs and physical restraints.
• The use of more than five medications doubles the risk of an adverse
reaction.
• Accurate pain assessment is important, and the nurse must remember
that older adults tend to understate their pain.
• Nurses working with older adult patients with concurrent mental health
problems should be knowledgeable about psychotherapeutic approaches
relevant for the older adult.
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