Mental Health Nursing: Evidence-Based Concepts 5 –

Mental Health Nursing: Evidence-Based Concepts 5
Mental Health Nursing: Evidence-Based Concepts 5
the Psychiatric—Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices by Wanda K. Mohr.
the book to use for the assignment
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1) Type the definition of each of the KEY TERM from the 1st page of each of the 39 chapters from the Psychiatric—Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices by Wanda K. Mohr.
2) Cite the page in the textbook each key term is found.
3) Submit all the Key Terms in one document.
Discussion Topics, Mohr
Chapter 21, Forensic Psychiatric Nursing
 
Discussion Topics
Learning Objective
1. You have just graduated from nursing school and you are considering working in forensic nursing.
a. Explain the psychiatric nurse’s role in the forensic milieu.
b. What are your fears in dealing with people in correctional facilities?
c. What do you think would be most difficult about working with the forensic client?
d. Have you ever witnessed acting-out behavior in a client? What happened? How did it make you feel? What do you think about this situation now? Were there any clues that this behavior was imminent? Looking at this situation now, could it have been prevented?
1
2. You are interviewing a forensic nurse who works in a correctional facility. The nurse begins to discuss the issues associated with special populations.
a. Choose one of the special populations that forensic nurses may interact with (juvenile offenders, female offenders, older adult offenders, offenders with HIV/AIDS or hepatitis, or offenders with terminal illness). Discuss some of the issues that a forensic nurse faces when dealing with these special populations.
2Mental Health Nursing: Evidence-Based Concepts 5
3. While performing a clinical rotation in a hospital, you are assigned to a client that has been admitted from a local correctional facility. He was admitted with severe chest pain and it was confirmed that the client had a myocardial infarction. When assessing the client, you must be accompanied by a police officer and he must un-cuff the client from the bed so that you can perform a complete assessment. When you read the client’s chart, you find out that he is incarcerated for the attempted murder of a child.
a. Would you treat this client differently than any other client who was admitted with a myocardial infarction?
b. How is security for the forensic nurse incorporated into client care and what type of challenges does this present?
1, 2
4. You have just graduated from nursing school and started a job at the local correctional facility in the health clinic. Your first client is a female who has just been transferred to the correctional facility today. She has a diagnosis of terminal cancer. You learn she has three children and a husband that are devastated about her incarceration. The client reports being extremely worried about her family.
a. What are the potential blocks to the assessment process with this client?
b. What are potential nursing diagnoses for this client? What interventions could be used for each diagnosis (use the textbook for support)?
c. What strategies would you adopt when working with the client’s family? Provide examples of how you could implement these strategies.
3
Discussion Topics, Mohr
Chapter 22, Sleep Disorders
 
Discussion Topics
Learning Objective
1. After you’ve worked the 7 am to 7 pm day shift for three years, your place of employment requires that you work the night shift for one year.
a. Define the term sleep. Have you ever experienced sleep deprivation? If so, how did you feel physically? Emotionally?
b. How well do you feel you sleep at night? Do you feel rested when you awaken in the morning?
c. Do you participate in any routines or rituals before going to bed? If so, why?
d. Do you believe that your abilities as a nurse would be compromised if you were working with sleep deprivation? Why or why not?
1, 3, 4
2. Timothy is 52 years old and has just developed problems with sleeping. After conducting an interview with Timothy, it is determined that the use of alcohol, tobacco, and caffeine may be interfering with his sleep.
a. List the changes in sleep patterns that occur from infancy through the elderly years.
b. How does the use of alcohol, tobacco, and caffeine interfere with sleep? Mental Health Nursing: Evidence-Based Concepts 5
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3. After feeling down for several months and having difficulty sleeping, Chris decided to seek help from a healthcare provider. Chris was diagnosed with major depression and was placed on an antidepressant.
a. What effect does major depression have on sleep?
b. How can the different types of medications used to treat depression effect sleep?
3, 6, 7
4. Your 69 year old female patient is admitted for a sleep study. She complains of sleep difficulty nightly.
a. Explain the normal changes in sleep across the lifespan to the patient.
b. What diagnostic testing would you anticipate this patient having?
c. How can the nurse assess for sleep difficulty?
d. What are some recommendations you can make for good sleep hygiene?
e. What is an appropriate nursing diagnosis for this patient? What interventions would you use to assist the patient and why?
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