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alogia
bold and add to glossary
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Atypical) Common
clozapine should be in the chart
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agitation, distress, and restlessness)
the glossary definition is "motor restlessness" What is in parenthesis makes it look more like neurological issues rather than motor issues.
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these
the following negative symptoms:
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See “Early Signs of Psychosis” in the previous section.)
Either link to the chapter or just list the early signs here.
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disorientated,
disoriented
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Glossary
perhaps add each personality disorder here as well.
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10.6 Learning
cluster B drag and drop- add an age to the description for antisocial personality disorder. Remove "as" from each description for cluster A,B, & C- it doesn't make sense with the sentences. I really like all of these activities.
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described
prescribed? beneficial?
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are
and include
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r/t
change to AMB per new guidelines for "at risk" dx.
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spacing
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A
I like how this breaks down the dx according to cluster. It would be a helpful recap to put the actual personality disorder in parenthesis next to the cluster type.
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expert opinion and
designate this as "off-label use"
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See Figure 10.10[32] for a word cloud image representing obsessive-compulsive personality disorder.
move to just above image
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obsessive-compulsive personality disorder
bold and add to glossary
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See Figure 10.9[29] for a word cloud image representing dependent personality disorder.
move to just above image
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dependent personality disorder
bold and add to glossary
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See Figure 10.8[26] for a word cloud image representing avoidant personality disorders.
move to just above image
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avoidant personality disorder
bold and add to glossary
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See Figure 10.7[23] for a word cloud image representing narcissistic personality disorder
move to just above image
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narcissistic personality disorder
bold and add to glossary
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See Figure 10.6[20] for a word cloud image representing histrionic personality disorder.
move to just above image
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histrionic personality disorder
bold and add to glossary
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See Figure 10.5[17] for a word cloud image representing borderline personality disorder.
move to just above image.
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borderline personality disorder
bold and add to glossary
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antisocial personality disorder
bold and add to glossary
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schizotypal personality disorder
bold and add to glossary
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paranoid personality disorder
bold and add to glossary
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schizoid personality disorder
bold and add to glossary
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A person’s
An individual's
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Applyin
It would be helpful to insert a small unfolding case study throughout this section to show the student how to apply the nursing process with an actual patient scenario. Also, there is no spotlight application for this chapter.
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Personality Disorders
Link to chapter here.
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An example
There is no transition into this paragraph. At least give an introductory sentence for better flow.
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Learning
Threat is misspelled on the anxiety card. The anxiety types activity is good- I noticed that the sentences are in order from least to most anxiety so switching them up would make this activity a little more difficult.
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l,
delete comma
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crows
crowds
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agoraphobia
at lease link to a definition if it is mentioned here.
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get back on
restart
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a medication,
taking an antidepressant medication
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risks
risks to the fetus (or baby)
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side effects
such as...
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this time
providing therapeutic presence
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Treatments for Depression”
link to this section
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fecal impaction
to avoid constipation or fecal impaction. Constipation is probably more likely initially.
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soft stools
soften stools
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hour
or more often as warranted.
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ANPA
Is it necessary to write out the words along with the abbreviation for the first time each chapter or section?
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*Note: Clients with depression are at higher risk of suicide when experiencing sudden euphoric recovery from major depression.
bold this as it is a critical item.
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other disorders than depression
disorders other than depression
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medications
such as lithium
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previous admission.
or periodically on an outpatient basis.
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Common Fin
This chart is great- especially the bolded "immediately notify provider" info with rationales and not to leave pts alone!
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self-injury
or injury to others (homicidal ideation)
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Poverty of content.
define & link to glossary
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Chapter 1.
insert link to chapter 1
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Clinical Icon:
This has not been used prior to here?
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these
delete "these"
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A medical emergency that can occur in clients taking medications that affect serotonin levels is serotonin syndrome.
Serotonin syndrome is...
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n managing d
I would also include a delirium risk assessment nurses perform such as CAM ICU scale as this is an important part of identifying delirium early so it can be treated as soon as possible for better outcomes. https://www.mnhospitals.org/Portals/0/Documents/ptsafety/LEAPT%20Delirium/Confusion%20Assessment%20Method%20-%20CAM.pdf
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pain relievers
caution students that opioids can also cause delirium
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The symptoms are stable and may last for months or years
Dementia is progressive and irreversible so this is a little misleading.
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Read
Can also link to Fundies OER here.
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particularly susceptible to depression
include why
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to a decline
...lead to a progressive, irreversible decline... (also change in glossary.)
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According to the Am
This is good info. Perhaps a chart would be more helpful for students to distinguish grief from depression.
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an
and/or
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Major Depressive Disorder:
should each of these headings be added to the glossary?
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and
which
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6.8 Psychoactiv
While it's good this chapter links to another chapter, it is not in itself very helpful. Minimal detail is given. Perhaps include a bit more information for this section in addition to the links- it can be frustrating to be assigned a chapter that basically just says to read another chapter.
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Clozapine
To better align with the rest of this section, this heading should be "Atypical Antipsychotics"
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physical condition
(such as with a high fever, head injury, or illicit drug use)
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asthma or diabetes.
state why for clarity.
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If overdose occurs
It's great to list poison control here but if someone is overdosing, it would be more appropriate to call 911 in the outpatient setting or Rapid Response in the inpatient setting.
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If overdose occurs,
It's great to list poison control here but if someone is overdosing, it would be more appropriate to call 911 in the outpatient setting or Rapid Response in the inpatient setting.
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defined
a medical emergency defined by...
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A significant disadvantage to MAOIs is their potential to cause a hypertensive crisis when taken with stimulant medications or foods containing tyramine.
Delete this as it is mentioned below.
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help people stop smoking
as a smoking cessation agent to help people stop smoking.
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Classes of Antidepressants Selective Serotonin Reuptake Inhibitors
The heading size seems messed up here.
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Combining medications
not just combining meds, but too high a dose of one med as well.
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Severe cases
Severe cases can result in death if not recognized, and require intensive care...
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suicide.
with drug initiation or dosage increases or in general?
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is
add space
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bupropion
recommend changing bupropion to it's specific class as all other examples given are classes and not specific drugs. Bupropion is an NDRI (norepinephrine and dopamine reuptake inhibitor)
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some
certain antidepressant medications compared to others...
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all antidepressant medications work about as well as each other to improve symptoms
each antidepressant medication works relatively equally to improve...
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It also possesses unique antisuicidal properties that sets it apart from other agents
expand on these unique properties?
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pain and reward and addictiv
pain, reward, and addictive
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that
which
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.
pluralize
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Library of Medicine
National Library of Medicine
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that affects humane patient treatment
this last part sounds odd- nurses must report diversion if it affects humane nursing treatment is how I read it. Nurses must report it because it is illegal/unethical and as such affects humane nursing treatment.
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specialty
specialized
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discipline, convenience, or coercion
If used for these reasons wouldn't it be false imprisonment? Giving these examples make it seem to the student that we put patients in seclusion because it is easier for the nurse versus being used "only for the management of violent or self-destructive behavior.'. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3298214/#:~:text=Seclusion%20is%20the%20involuntary%20confinement,violent%20or%20self%2Ddestructive%20behavior.
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patient’s condition.”
Elaborate on this. Give example that medications such as benzos or antipsychotics used as standard treatment for x disorder would not be considered a chemical restraint whereas ...
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c
a chemical restraint, or defines chemical restraints as drugs...
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PAD
PADs
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e p
of
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and
delete and- just use a comma here and after "breached that duty.
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that elements of prosecution must be proven
delete this phrase
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in which
where
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federal regulations called the
delete this and just have "the Health Insurance...."
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agencies
government agencies
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social justice
social justice or just justice?
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Activities
rumination card has a spelling error in the definition. For the picture activities, it would be helpful to provide instructions. For the first picture, left check mark, it talks about comparing this photo to the photo before objects were removed but I do not see a before picture. For the bottom picture, when clicking the +, the text has some errors toward the bottom with complete sentences.
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Columbia Suicide Severity Rating Scale
link to scale
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,
delete comma
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Are diffe
Perhaps link to the Fundies OER evaluation section somewhere in this section.
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other data and information resources and benchmarks
this is vague
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This decision and supporting assessment findings
also document provider notification/ orders rec'd.
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cheeking
is this holding meds in their cheek?
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Psychotherapy interventions i
perhaps for clarity put psychotherapy before integrative in this paragraph since psychotherapy is part of the integrative therapy definition and has not previously been defined.
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person
client-centered
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plan
plan of care.
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Delegates according to the health, safety, and welfare of the health care consumer.
Delegation should be according to right person, task, etc.
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partners in implementation of the plan t
members with implementation of the plan of care
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station
add "as necessary"
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Review Sample Case A
The case study is short enough, I think it would be beneficial to just copy/paste here rather than make the student to to a different page to review the case study. Including it here makes it more cohesive, like an unfolding case study.
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Columbia Suicide Severity Rating Scale
link back to this document for reference.
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related to
Per new guidelines, at risk dx should be risk for...amb... rather than r/t.
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depression
I would also say meds, imbalanced nutrition, or poor intake would be applicable here as well.
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constellation
collection
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valid
effective?
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Maslow’s Hierarchy of Needs is commonly used to prioritize the most urgent patient needs.
This definition should be expanded on. For example... Maslow's Hierarchy of Needs is based on the theory that people are motivated by five categories of needs: physiological, safety, love, esteem, and self-actualization. Lower level (physiological) needs must be met before focusing on higher level needs. https://www.thoughtco.com/maslows-hierarchy-of-needs-4582571
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prioritization according to the specific
prioritizing specific needs of the patient.
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for
to?
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Inclusiveness
bold and add to glossary
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Cultural humility
bold and add to glossary
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the
either delete or include "prior to the age of 18 years.
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Freud’s theory does support that one’s personality is shaped, in some part, by childhood experiences.[52]
is this worded correctly? If Freud's ideas are not supported by research etc, is it correct to say that his theory does support... or is it more appropriate to say something to the effect of modern research/psychologists do support Freud's theory that ones personality...
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attend to
either attend family concerns or tend to family concerns.
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performing
conducting/ completing. performing is used a lot throughout this chapter.
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themselves
themself
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The feelings aroused in the examiner by the client are sometimes subtle and easily overlooked
The way this is worded gives the client power over the examiner. The examiner is responsible for their feelings toward the client. Perhaps reword to "Examining (or assessing) the client sometimes results in the nurse developing subtle and easily overlooked feelings toward the client."
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injury
injure **change in glossary as well.
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even when a caregiver reassures them they are based in reality
this last part doesn't read right.
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Loose associations Clang associations
Add definitions for some of these terms- students are not going to know what many of these terms mean. I see they're defined in the paragraphs below- perhaps it would be better to move the chart to the bottom of the paragraphs so students will already have exposure to these terms?
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i. Delirium
definition in glossary should include "acute"
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storage
memory?
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Difficulty breathing
Don't know if this is applicable here, but in the Fundies text we bolded critical abnormal assessment findings to make them stand out as a need to notify the provider immediately.
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performing
performing is the only verb used through these paragraphs. Maybe change it up a little here and there- conducting, completing, etc.
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t
comma
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,
delete comma
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of
Examples of objective data collected... I think adding objective will help distinguish between the two types of data collected.
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the
one of the
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dvanced practice registered nurse specialists
should be in caps
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psychiatric-mental health registered nurse specialists
should be in caps
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Psychiatric-Mental Health Nursing: Scope and Standards of Practice resource in alignment with the second edition of the ANA’s Nursing: Scope and Standard of Practice Nursing. The Psychiatric-Mental Health Nursing: Scope and Standards of Practice
may be helpful to link to these documents.
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but please don’t repeatedly ring the call button like that and give me a chance to get to your room.”
This sounds kind of snarky.
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for the nurses safety should the patient become violent.
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Strategies Examples
Nonverbal strategies each are separated by rows. Verbal strategies should match for aesthetics. There is not an example for empathetic inquiry.
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Table 3.5c Phase 1 & 2 Early Crisis Intervention Strategies[
Should this be below the table as throughout the rest of text?
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,
delete
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the developing
progression through the phases...
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beliefs and supports
beliefs, supports, and...
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s of Crise
These charts are great!
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Illness
Illness or injury- think car accident, etc resulting in broken bones. not necessarily an illness but definitely an injury.
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extend
often extend... This sentence reads funny to me without often thrown in there.
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may not be unanticipated
may be anticipated sounds better here.
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un
imbalance
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un
un or sub?
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unconsciously
sub or unconsciously?
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unconsciously
unconscious vs subconscious?
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her
if we're starting with their should maintain consistency.
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causing s
which can cause
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Mindfulness meditation
Maybe link to some resources on mindfulness meditation and how it is done? Not sure if this infographic can be used but may be more helpful than the photo provided. https://www.garrisoninstitute.org/blog/10-steps-to-mindfulness-meditation/
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are an action, a series of actions, or a thought process
include actions, series of actions, or thought processes. Or change it to "A coping strategy is..."to make it grammatically correct.
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Mindfulness
Should this be added to the glossary?
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Chapter 1,
link back to ch 1.
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that
which
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and signs and symptoms of stress and
too many "ands" here.
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ossary
Telehealth is missing.
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arni
The question at the bottom with "focusing" as an answer has an incomplete sentence in the stem.
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pair
paired
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remission
recovery?
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Challenging
Challenging (confronting) can be therapeutic- confronting is listed in the therapeutic chart.
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What’
avoid what. "You seem upset. Tell me more about that."
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Why”
both why and what questions cause defensiveness.
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although may nod or a
although the nurse may nod or use other non-verbal communication... I'm not sure about smiling- best to remain neutral.
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we want and don’t want
If this is changed per recommendations earlier in the chapter remember to change it here.
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ing Activit
These activities are great! I noticed that with some the drag and drop works and others it is necessary to click the term then click the empty box.
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,
delete comma, add "that"
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judged
deemed
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on a separate floor of the hospital to
located on a separate floor of the hospital with the purpose of maintaining...
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s
delete
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are
who or that are at risk?
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low-cost sliding scale
free, low cost, or sliding scale cost based on income
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Provide health promotion and maintenance
seems like there should be more to this phrase... education, strategies, etc?
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PMH-BC or RN-BC
Write out what this means.
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anyone can use with anyone,
this sounds funny.
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In-
an in-depth
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physical environment features
maybe list a few examples such as cords, monitor cables, sharps, etc.
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or c
or with
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in
and
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a variety of countries (
delete this and just state ...studies from the United States, Austrailia....
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in the nursing profession.
maybe "among nurses" or something else. these two sentences sound pretty similar.
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referred to as
i.e resilience
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referred to as
i.e resilience
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It
Trauma
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It can overwhelm an individual’s or community’s resources to cope and stimulate the “fight, flight, or freeze” stress reaction.
Perhaps break up this sentence. It looks like it is saying traumatic experiences can overwhelm a communities resources to stimulate the fight, flight or freeze rxn.
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