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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.

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.

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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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: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
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
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
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