ATI RN Mental Health Proctored Exam NGN Version 11 With Answers (24 Solved Questions)

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VERSION 11Psychotic Disorders: Initial Plan of Care for a Client Who Has Schizophrenia (RN QSEN-Patient-centered Care, Active Learning Template-System Disorder, RM MH RN 10.0 Chp 15)•Provide a structured, safe environment (milieu) for the client to decrease anxiety and todistract the client from constant thinking about hallucinations

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•Promote therapeutic communication to lower anxiety, decrease defensive patterns, andencourage participation in the milieu.•Program of assertive community treatment (PACT): Intensive case management andinterprofessional team approach to assist clients with community‑living needs.Depressive Disorders: Priority Findings to Share with Treatment Team (RN QSEN-Teamwork and Collaboration, Active Learning Template-System Disorder, RM MH RN10.0 Chp 13)•Suicide risk: Assess the client’s risk for suicide and implement appropriate safetyprecautions.•Self‑care:Monitor the client’s ability to perform activities of daily living and encourageindependence as much aspossible.•Communication:Make observations rather than asking direct questions, which cancause anxiety in the client. For example, the nurse might say, “I noticed that youattended the unit group meeting today,” rather than asking, “Did you enjoy the groupmeetingLegal and Ethical Issues: Right to Refuse Treatment (RN QSEN-Patient-centered Care,Active Learning Template-Basic Concept, RM MH RN 10.0 Chp 2)•Freedom from harm related to physical or pharmacological restraint, seclusion, and anyphysical or mental abuse or neglect•A psychiatric advance directive that includes the client’s treatment preferences if aninvoluntary admission is necessary•Provision of care with the least restrictive interventions necessary to meet the client’sneeds without allowing him to be a threat to himself or othersSexual Assault: Communicating with a Client (RN QSEN-Safety , Active LearningTemplate-Basic Concept, RM MH RN 10.0 Chp 33)•Perform a self‑assessment. It is vital that the nurse who works with the client who hasbeen sexually assaulted be empathetic, objective, and nonjudgmental. If the nurse feelsemotional about the assault due to some event or person in his own past, it can bebetter to allow another nurse to care for the client.•Perform an initial and ongoing assessment of the client’s level of anxiety, copingmechanisms, and available support systems. The nurse should also assess for indicationsof emotional and/or physical trauma.•Provide a private environment for an examination with a specially trainednurse‑advocate, if available. A sexual assault nurse examiner (SANE) is a speciallytrained nurse who performs such examinations and collects forensic evidence.

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