NUR 326 Final 4

NUR 326 Final 4
with nursing peers, physicians, and behavioral technicians.
2. Pharmacological support
Providing education on medication purpose, adverse effects, and compliance. Support patients
during medication adjustments or transi- tions.
3. Theraputic communication
creaste a safe space, encourage patient to com- municate, suicide/self harm precautions, support
resourses (therapy, pharm, impa- tient), enhase socilization.
4. Enviroment saftey
prevent violence to self and others, safe space to re- flect/calm, nothing that can be used for self
harm or suicide, things to heart others, millue setting, calm theraputic setting, behavior changes
(strucutred activity)
5. Treatment
cognitive behavioral therapy, transcranial magnetic stimulation, vagus nerve stimulation, group
therapy, light therapy, exercise, and pharm.
6. Recognize clinical manifestations of depression
MMD
depressed mood, ex- cess or lacking sleep, indecisiveness, inability to concentrate, SI,
increase/decrease motor activity, unable to feel pleasure, increase/decrease weight, impact of
previous functioning, and feelings of sadness, dispairm or pessimism.
Other
Anhedonia, anergia,somatic complaints, flat/blunted affect, alogia, avolition, disorganized
speech, behavior, and attention.
7. Identify priority assessments to identify whether a client is at risk for sui- cide
Risk assesment
potentional for self harm, violence, or suicide, C-SSRS (co- lumbia-suicide severity rating
scale), contextual risk factors, psychiatric disorders, alcohol or substance use disorders, male
gender, increasing age, race (caucation), religon, marrigae instibility, stressful profession,
physical health,suicide familt histo- ry, low seriotonin levels.
Ask the patient directly! Do you have thoughts of harming yourself orsuicde? Do you have a plan?
Do you have the means to carry out your plan? 

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