Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
expand_more
expand_more
format_list_bulleted
Related questions
Question
Transcribed Image Text:Protected View Saved V
Search
View Help
it's safer to stay in Protected View. Enable Editing
Mental Health Case: David Carter, Part 1
Documentation Assignments
1. Document findings associated with David Carter's mental status examination.
2. Document David Carter's performance of activities of daily living and his intake and output for the
day.
3. Reconcile David Carter's medications prior to hospitalization.
4. Identify and document key nursing diagnoses for David Carter.
5. Referring to your feedback log, document all nursing care provided and David Carter's response to
this care.
6. Document your handoff report in the SBAR format to communicate the care plan for David Carter to
the nurse on the next shift.
Q Search
Transcribed Image Text:x +
thepoint.lww.com/titles/9781975198183/classes/687f62f6-68e7-4b65-aba0-460a00fb0baf/assignments
Location: Patient room on a locked mental health unit
Time: 1900
nts
cons
tab
lock
X x Sim Standalone
14
#
Report from day shift nurse:
Situation: David Carter, a 28-year-old male, was admitted 2 hours ago after he became violent with his mother and threw a table at her when she asked
him to take his medications. She then called the police, who brought him to the emergency room on an involuntary emergency detention
Q
A
Background: David Carter was diagnosed with schizophrenia 10 years ago, and he was stable on his medications until he recently stopped taking them.
He had a depressive episode 5 years ago that was successfully treated with venlafaxine. His mother reports that recently he has been talking about his food
being poisoned. His mother also reports that he has become more isolated, not going out and always sitting at his computer. She shares that he has been
posting some weird updates online. She suspects that he has stopped taking his medications, probably because he believes they are responsible for his
weight gain. The medications he has been prescribed for the last year include olanzapine 10 mg and venlafaxine XR 75 mg daily. During his admission, he
was alternately agitated and withdrawn, but he did answer questions, although at times inappropriately. He appears to have paranoid delusions, evidenced
by stating that he believes people are listening to his thoughts. He has auditory hallucinations telling him that he should not eat the hospital food because it
is poisoned. His speech has loose associations with some evidence of neologisms, and it is difficult to carry on a conversation with him. The patient's
behavior indicates a moderate risk of violence. Preventative measures should be taken. He is malodorous and appears disheveled. He has refused to take a
shower
Z
Assessment: I have finished most of David Carter's admission; I have taken his vital signs, recorded his history, and obtained the history of his present
illness from his mother. He is in his room, and his mother just left. He refused to eat his dinner but did drink a few sips of water from a water bottle he
unsealed himself. His vital signs are stable temperature 37.2°C (99°F), heart rate 90 beats/min, respiratory rate 16 breaths/min, blood pressure 134/84
mmHg, and SpO2 96% He appears tired. I did get him to take his medications with a great deal of coaxing.
2
Recommendation: Please complete a mental status examination, orient him to reality, offer food, and find ways to encourage him to eat it. Please also call
the charge nurse and provide an update when you have completed your assessment.
Schizophrenia
Diseases and Conditions
O
W
S
Drugs
X
#1
3
"L
E
D
$
4
R
5
F
**
%
5
P
G
LES HEALTH
6
B
Y
H
H
&
7
N
Lee
Nd
U
Q Search
J
Videbeck, S. (2023). Psychiatric-Mental Health Nursing, 9th Edition.
Schizophrenia, Chapter 16, pp. 254-281
8
Expert Clinical Content from Lippincott Advisor
Schizophrenia, long-term care
M
Expert Clinical Content from Lippincott Advisor
Olanzapine
munity
"de
1
(
9
K
<
4
O
L
>
O
>
P
:
B
alt
086
(
L
?
1
6905
"P
"
.
>
1
O
1
↑ shift
B
a
backspace
1
enter
ctrl
delete
C
C
home
end
A
B
JARO
▾▾
8
A
↑
end
5
insert
O
O
=
D
D
A A
D
D
2
+
9
O
300
D
Downloads
D
D
by up
2
Sim2.0 Menta
Open file
6
vSim2.0 Mentalk
Open file
vSim2.0 MentalHe
Open file
Step 1 Therapeutic
Open file
72331959869_1991.
Open file
A
str2tclp.png
Open file
vsim SGuide US Menta
Open file
Name Collette Cenatus2 (3)
Open file
Step 1 Introduction to the
Open file
Name Collette Cenatus2 (
Open e
Name Collette Cenatus2 (2)
Open file
Name Collette Cenatus2 (1) de
Open file
Name Collette Cenatus2.docx
Open fle
memo to students on local affilu
Open f
memo to students on local affiliad
Open Me
LIABILITY SYED.pdt
Open fle
LIABILITY RECEIPT SYED.pdf
Open file
LIABILITY RECEIPT.pdf
Open file
LIABILITY INSURANCE.pdf
3
Do dn
ener
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
This is a popular solution
Trending nowThis is a popular solution!
Step by stepSolved in 5 steps
Knowledge Booster
Similar questions
- A nurse is caring for a client who has schizophrenia in an inpatient facility. Exhibit 1 Medication Administration Record 0730: Clozapine 100 mg PO daily Aripiprazole 5 mg PO daily Multivitamin PO daily Exhibit 2 Laboratory Results 0730: Sodium 125 mEq/L (136 to 145 mEq/L) Potassium 3.5 mEq/L (3.5 to 5.0 mEq/L) Chloride 90 mEq/L (98 to 106 mEq/L) BUN 8 mg/dL (10 to 20 mg/dL) Magnesium 1.2 mEq/L (1.3 to 2.1 mEq/L) Exhibit 3 Vital Signs 1230: Temperature 37.6° C(99.7°F) Heart rate 98/min Respiratory rate 20/min Blood pressure 142/92 mm Hg Oxygen saturation 100% on room air 1500: Temperature 37.1° C(98.8° F) Heart rate 104/min Respiratory rate 24/min Blood pressure 150/90 mm Hg Oxygen saturation 100% on room air Exhibit 4 Nurses' Notes 0730: Client sleeping. Lungs clear to auscultation bilaterally. Hyperactive bowel sounds noted x 4. Abdomen soft and nontender. Small bruise noted on right hand. Family at bedside. Family states client is diagnosed with schizophrenia, and last doctor's…arrow_forwardDevelop a nursing care plan that includes all phases of the nursing process for patients taking adrenergic agonists.arrow_forward6. Describe assessments and priority interventions of the Spinal Cord Injury Assessment Intervention Respiratory Cardiovascular Fluid and Nutritional Bladder and Bowelarrow_forward
- BS Unit 2 Summative Test | Sch x urse/5199043408/assessments/5493982866 Matching 2/3 BS 212) Match the function to the correct region/structure in the brain. Hearing Temporal Lobe Complex Thought/ Happiness Cerebellum Complex Motor Coordination Frontal Lobe Vision Occipital Parietal Bodily Sensations Blood Pressure/ Breathing Brain Stem (Pons/ Medulla Oblongata) 2/2 04 Matching E D 40) end f12 O home num f6 f7 O f8 O f9 O f10 3 f4 O f5 O [7 8 %23 7 8 4.arrow_forwardEnhance the nurses’ knowledge of the differences between types of dementia and delirium.arrow_forward1. What is the drug classification of amiodarone and what is it used to treat? 2. A client is taking carvedilol. What will the nurse monitor to determine if the client is receiving a therapeutic effect from the medication? 3. A client has been given instructions about rifampin. What should the nurse reinforce about changes in bodily fluids when on this medication.arrow_forward
- Develop a teaching plan which aids in the prevention , and management of specific CV disorders including dietarrow_forwardList five from the nine “rights” of assisting with medications and provide explanation how you can observe the rights when assisting the clients/residents with the medications. 2. Provide three types of abuse. Explain and give detail examples of each identified abuse?arrow_forward1. Plan a health fair that a group of medical practices might produce for a community. Decide on a general theme or focus for the fair. Discuss what types of educational materials to display and distribute at the fair. 2. Discuss how overbooking or underbooking creates stress and wastes valuable time.arrow_forward
- A nurse is caring for a client in the emergency department (ED). Exhibit 1 Nurses' Notes 0600: Client presents with acute altered mental status. Client has a history of frequent ED visits for alcohol intoxication. Client states that they had an episode of binge drinking yesterday afternoon. Client awoke this morning on the living room floor trembling and flushed; remembers having intense dreams and was afraid they had a seizure so they called a family member to bring them to the ED. Client reports their average alcohol intake has been "two or three beers" after work each day and "more on the weekends" for the past 6 months. Client reports headache, nausea, agitation, and is noted to be diaphoretic. 0800: Client states "I've got bugs crawling on me. Get them off me!" Client tremulous and diaphoretic. Exhibit 2 History and Physical Alcohol use disorder Delirium tremens Nicotine use disorder Hypertension, diet and exercise controlled. Exhibit 3 Vital Signs 0600: Temperature 37°…arrow_forwardNursing A nurse is taking care of the patient who sustained a brain injury. 1. Describe a multi system assessment for this patient. 2. Discuss how the Glasgow Coma Scale is utilized in determining neurological status. Your answerarrow_forward2. A minister at your church approaches you to give a talk at a Tuesday Family Night gathering. You would like to do a health promotion talk but are unsure of the best topic. a. What assessment questions would you formulate to identify an important health promotion need?arrow_forward
arrow_back_ios
arrow_forward_ios
Recommended textbooks for you
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:Saunders
Fundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer, 
Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier Science
Study Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning
Phlebotomy Essentials
Nursing
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession...
Nursing
ISBN:9780323414425
Author:Robert J Hubert BS
Publisher:Saunders
Fundamentals Of Nursing
Nursing
ISBN:9781496362179
Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:Wolters Kluwer,
Fundamentals of Nursing, 9e
Nursing
ISBN:9780323327404
Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:Elsevier Science
Study Guide for Gould's Pathophysiology for the H...
Nursing
ISBN:9780323414142
Author:Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...
Nursing
ISBN:9781337406291
Author:Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:Cengage Learning