ATI RN COMMUNITY HEALH PROCTORED: FOCUS STUDY GUIDE
Care of specific populations
Planning care for a pt who has antisocial personality disorder
o Antisocial personality disorder, borderline, histrionic, and narcissistic
are part of cluster B
o and is characterized by disregard of others with exploitations, repeat
unlawful actions, deceit, and failure to accept personality
responsibility. They have impulsive behavior, lack of remorse and fail
to empathize, they get easily agitated and aggressive or controlling
o Nurse needs to set limits with clients who have maladaptive behavior
o Behavioral therapy through Operant conditioning would change the
client behavior to refrain from manipulating others to earn dining
room privileges
Prior Action for a client who is homeless
o Refer those who have underlying mental health disorders to therapy
and counseling
o Enhance parenting skills that can prevent young people from feeling
the need to run away
o Alleviate the existing homeless by making referrals for financial
assistance, food supplements, and health services
o Assist homeless clients in locating temporary shelte, and finding ways
to meet long-term shelter
o If homeless shelters are not provided in the community work with
government officials to develop shelter programs
o To prevent reoccurrence of poverty, homeless and health problems
advocate and provide effort toward political activity to provide needed
services for people who have mental health disorders and are
homeless
o Make referrals for employee assistance and educational programs to
allow clients who are homeless to eliminate the factors contributing to
their homelessness
o Families with children are the fasting-growing segment of the
homeless population
Identifying risk factors for child abuse
, o Unexplained injury
o Unusual fear of the nurse and others
o Injuries or wound not mentioned in history
o Fractures, including older healed fractures
o Presence of injuries in various stages of healing
o Subdural hematomas, trauma to genitalia
o Malnourishment or dehydration
o General poor hygiene or inappropriate dress for weather conditions
o Parents consider the child a bad kid.
Teaching about alcohol withdrawal
o Irritability
o Tremors
o Nausea and vomit
o Headache
o Diaphoresis(sweating)
o Anxiety
o Sleep disturbances
o Tachycardia
o Elevated BP
o Medication for alcohol withdrawal: benzodiazepines
o Is important to asses last drink to accurately asses for signs of
withdrawal
communicable diseases, disasters and bioterrorism
Priority action for infectious diarrhea
Reporting infectious prenatal conditions
o HIV; is transmitted from mother to neonate prenatally through the
placenta and postnatal through breast milk
o HIV: laboratory testing recommended in the 3rd trimester for patients
who are at increased risk, ask for informed consent, test begins with
antibody screening test such as enzyme immunoassay, confirmation of
positive results if confirmed by western blot test or
immunofluorescence assay.
Care of specific populations
Planning care for a pt who has antisocial personality disorder
o Antisocial personality disorder, borderline, histrionic, and narcissistic
are part of cluster B
o and is characterized by disregard of others with exploitations, repeat
unlawful actions, deceit, and failure to accept personality
responsibility. They have impulsive behavior, lack of remorse and fail
to empathize, they get easily agitated and aggressive or controlling
o Nurse needs to set limits with clients who have maladaptive behavior
o Behavioral therapy through Operant conditioning would change the
client behavior to refrain from manipulating others to earn dining
room privileges
Prior Action for a client who is homeless
o Refer those who have underlying mental health disorders to therapy
and counseling
o Enhance parenting skills that can prevent young people from feeling
the need to run away
o Alleviate the existing homeless by making referrals for financial
assistance, food supplements, and health services
o Assist homeless clients in locating temporary shelte, and finding ways
to meet long-term shelter
o If homeless shelters are not provided in the community work with
government officials to develop shelter programs
o To prevent reoccurrence of poverty, homeless and health problems
advocate and provide effort toward political activity to provide needed
services for people who have mental health disorders and are
homeless
o Make referrals for employee assistance and educational programs to
allow clients who are homeless to eliminate the factors contributing to
their homelessness
o Families with children are the fasting-growing segment of the
homeless population
Identifying risk factors for child abuse
, o Unexplained injury
o Unusual fear of the nurse and others
o Injuries or wound not mentioned in history
o Fractures, including older healed fractures
o Presence of injuries in various stages of healing
o Subdural hematomas, trauma to genitalia
o Malnourishment or dehydration
o General poor hygiene or inappropriate dress for weather conditions
o Parents consider the child a bad kid.
Teaching about alcohol withdrawal
o Irritability
o Tremors
o Nausea and vomit
o Headache
o Diaphoresis(sweating)
o Anxiety
o Sleep disturbances
o Tachycardia
o Elevated BP
o Medication for alcohol withdrawal: benzodiazepines
o Is important to asses last drink to accurately asses for signs of
withdrawal
communicable diseases, disasters and bioterrorism
Priority action for infectious diarrhea
Reporting infectious prenatal conditions
o HIV; is transmitted from mother to neonate prenatally through the
placenta and postnatal through breast milk
o HIV: laboratory testing recommended in the 3rd trimester for patients
who are at increased risk, ask for informed consent, test begins with
antibody screening test such as enzyme immunoassay, confirmation of
positive results if confirmed by western blot test or
immunofluorescence assay.
