Initially a mental examination should be performed, identifying the present symptomatology, such as delusions, hallucinations, disorganization and negative symptomatology. In order for an adequate evaluation to be performed, the nurse must know the characteristic behaviours of this disorder.
For which of the following situations should the nurse complete an incident report?
The rule of thumb is that any time a patient makes a complaint, a medication error occurs, a medical device malfunctions, or anyone—patient, staff member, or visitor—is injured or involved in a situation with the potential for injury, an incident report is required.
Which of the following actions should the nurse take first following a violent episode on a psychiatric unit?
(The greatest risk is injury to the client and others. Therefore, the first action the nurse should take is to call for assistance to prevent further injury to themselves or others.) A nurse is planning care for a client who has bipolar disorder and is experiencing mania.
What is the best assessment for schizophrenia?
Brief Psychiatric Rating Scale (BPRS) It’s one of the most common tests that psychiatrists use when they want to check how severe someone’s schizophrenia is. The test looks at 18 symptoms or behaviors, such as hostility, disorientation, and hallucination.
Which assessment should a nurse initially perform for a client with schizophrenia Related Questions
How do you assess a schizophrenic patient?
Delusions. Hallucinations. Disorganized speech (e.g. frequent derailment or incoherence). Grossly disorganized or catatonic behavior. Negative symptoms (i.e. diminished emotional expression or avolition).
What are 3 things you would report to the nurse immediately?
A CNA/Nurse Aide is legally obligated to immediately report to a licensed nurse any observation or incident for which the facility or organization might be liable. They can include injuries, such as needle sticks, falls, dropping residents, or any accidental injury to a visitor.
What are 3 actions by the nurse should take during the assessment and data collection steps?
During the assessment phase, the nurse collects objective and subjective data using proven methods to assess the patient. The most common methods for collecting data are the patient interview, physical examination, and observation.
Which of the following should be included in an incident report?
The form should include the date and time of the incident, as well as the names of all those involved. The form should also list the sequence of events, and describe any injuries and damage sustained, only the essential information of the incident happened.
What is the first thing a nurse should do in a crisis situation?
Identifying the Client in Crisis The first step of the nursing process, assessment, is done by collecting primary and secondary data, objective and subjective data about the client and their possible potential for violence.
Which characteristics are likely to be demonstrated by a client with a diagnosis of schizophrenia?
Schizophrenia is a complex, chronic mental health disorder characterized by an array of symptoms, including delusions, hallucinations, disorganized speech or behavior, and impaired cognitive ability.
What is the first thing you should do after a patient makes a threat?
Mental health professionals must make a reasonable effort to communicate, in timely manner, the threat to the victim and notify the law enforcement agency closest to the patient’s or victim’s residence and supply a requesting law enforcement agency with any information concerning the threat.
What are the most important initial interventions in treating schizophrenia?
Antipsychotics. Antipsychotics are usually recommended as the initial treatment for the symptoms of an acute schizophrenic episode. They work by blocking the effect of the chemical dopamine, or other chemicals on the brain.
What is the first line of treatment for schizophrenia?
ANTIPSYCHOTICS. Antipsychotic agents are the first-line treatment for patients with schizophrenia. There are two general types of antipsychotic drugs: first-generation (typical) and second-generation (atypical) agents.
What is nursing management of schizophrenia?
Establish trust and rapport. Maximize level of functioning. Promote social skills. Ensure safety. Ensure adequate nutrition. Keep it real. Deal with hallucinations by presenting reality. Promote compliance and monitor drug therapy.
What should be included in a nurse assessment of the patient with schizophrenia?
Assessment includes interviewing the client, observing verbal and nonverbal behaviors, and completing a mental status examination and a psychosocial assessment. Common findings during a mental status examination for a client with schizophrenia experiencing an acute psychotic episode are described in Table 11.4a.
What tool is used to assess a schizophrenic patient?
The CGI-SCH scale is a valid reliable instrument for evaluating severity and treatment response in schizophrenia.
What is the observation of patient with schizophrenia?
Persons with schizophrenia may display strange and poorly understood behaviors. These include drinking water to the point of intoxication, staring at themselves in the mirror, performing stereotyped activities, hoarding useless objects, and mutilating themselves. Their wake-sleep cycle may be disturbed.
What do you think are the 4 most important things that nurses need to know to provide culturally competent care?
Culturally competent care consists of four components: awareness of one’s cultural worldview, attitudes toward cultural differences, knowledge of different cultural practices and worldviews, and cross-cultural skills.
What are the 3 nursing interventions?
There are three types of nursing interventions: independent, dependent, and collaborative.
What are four actions the nurse could take to assess and provide care?
Assessment. Assessment is the first step and involves critical thinking skills and data collection; subjective and objective. Diagnosis. Maslow’s Hierarchy of Needs. Planning. Implementation. Evaluation.