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NR 548 Week 6 Exam Review; Mental Status Exam

Chamberlain University Nursing NR 548 Psychiatric Assessment for Psychiatric-Mental Health Nurse Practitioner Anna Nicole Smith 4 pages
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or suicide?" A: "Yes, I do have thoughts like that sometimes." How would you respond to that o Provide repetition and reinforcement of key concepts. o Tailor the discussion to the client’s current level of insight and cognitive ability. o Use visual aids or written summaries if needed. o Maintain a collaborative and respectful tone, not didactic. • Purpose of written material in education o Reinforce verbal teaching. o Provide a reference for clients after sessions. o Help clients retain information, especially those with memory or attention issues. o Empower clients to become more active in managing their illness. • Client involvement in treatment plan o Enhances buy-in and adherence. o Promotes a sense of control and autonomy. o Encourages clients to share concerns, preferences, and goals. o Increases the likelihood of success when clients are co-creators of the plan. • Negotiation strategies with treatment plan o Present options and explain pros/cons. o Use motivational interviewing techniques to explore ambivalence. o Be flexible but firm, ensuring safety while respecting the client’s voice. o Seek common ground (e.g., “Let’s try this for 2 weeks and then reassess.”) • Strategies for keeping client engaged o Use open-ended questions and active listening. o Validate the client’s feelings and experiences. o Set small, achievable goals to show progress. o Be consistent and predictable in sessions. o Encourage participation through shared decision-making. • Strategies for dealing with medication trials o Educate clients on what to expect (onset, side effects, duration). o Monitor closely and schedule frequent check-ins early on. o Frame medication trials as experiments, not commitments. o Encourage honest feedback about effects or concerns. o Prepare clients for the possibility of adjustments or changes.

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