Exam (elaborations)
Clinical Modalities Exam 2 Questions With Complete Solution1
- Course
- Institution
Clinical Modalities Exam 2 Questions With Complete Solution1
[Show more]
Content preview
Clinical Modalities Exam 2 Questions With CompleteSolutions
- Continuous observation by nursing staff.
- Describe affects and behavior
- SAFTEY, highest in the first few days of admission & times of
staff rotation
- 1:1 nursing observation, arm's length at all times, chart clients
whereabouts and record mood, verbatim statements, and
behavior every 15 to 30 min as per protocol, meal trays no glass
or metal, hands should be in view when sleeping, observe
swallowing each dose of meds Correct Answer Milieu therapy
for suicidal client?
- Control of hyperactive behaviors during acute phase of BP-
antipsychotic drugs
- Seclusions or restraints may be indicated Correct Answer
Milieu therapy for bipolar disorder?
- Normalize eating patterns and begin to address the medical
family, and social issues raised by the illness
- Precise meal times, adherence to the selected menus,
observation during and after meals, and reg sched weightings,
monitoring bathroom trips Correct Answer Milieu therapy for
eating disorders?
,- protection from stressful or disruptive enviro
- structure in acute phase
- increase social competence & self esteem
- Develop boundaries for self and others
- Maximize safety, opportunities for learning skills, therapeutic
activities, access to resources, peer contact, support. practice
conflict resolution, stress reduction techniques, and dealing w/
sx
- Homicidally r/t delusions-reduce stimulations, supervision,
address paranoia, diversion outlets for physical energy Correct
Answer Milieu therapy for schizophrenia?
- Protection from suicidal acts and a supervised enviro.
- *Removed from stressful interpersonal situation increases
therapeutic value Correct Answer Milieu therapy for
depression?
- Provide safe environment is fundamental, rules of personal
contact, and limit setting
- Group setting to decrease isolations, improve growth. Learning
about anguish and pain personal violations have caused them
Correct Answer Milieu therapy for sex disorders: paraphilias?
,- seclusion provides comfort and relief to many clients who can
no longer control their own behaviors: Reduces overwhelming
enviro stimuli
- protects a client from injuring self/others/staff
- prevents destruction of personal property or property of others
- *Other measure must have failed-chemical restraints
- verbal -MD order
- document behavior leading up to the seclusion or restraint,
actions taken to provide least restrictive alternative, amount of
time, q15min behaviors/nursing care/ vitals, meds given re-
assessment
- One on one nursing care-brief instructions, reassurance that the
seclusion is only temporary measure once behavior is more
controlled Correct Answer Purpose for seclusion and
restraints?
- Therapeutic community-living, learning, working enviro
- Targets: psychotic children, psych hospital, drug abusers,
psych clients in hospital
- Security and comfort in the units' activities, rules, reality
orientation, enviro clients are in constant contact with their peers
and staff-helps the client engage and increase the sense of social
competence and worth
, - APRN assesses the mood of the unit (calm etc) and predicts
enviro risks Correct Answer Benefits of milieu therapy?
-be direct
-have the group respond
-limit time
-ask the group
(not a reason to terminate tx, opportunity for growth) Correct
Answer How to respond to non-therapeutic group members?
-Decreases social anxiety and improves social interaction
-Effectively reduce the number of psychiatric symptoms and
positive psychiatric symptoms Correct Answer Possible
outcomes for patients with schizophrenia when conducting a
symptom management group?
· "If its true in one case, it applies to any case that is even
slightly similar"
· Exposure of faulty logic
· Establish criteria of which cases are similar to what degree
Correct Answer Overgeneralization in therapy?
· 1. Modeling
a. In modeling, the nurse/therapist provides a role model for
specific identified behaviors, and the client learns through
imitation. The nurse/therapist may do the modeling, provide
another person to model the behaviors, or present a video for the
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now