Passpoint: Psychosocial integrity

Date level achieved: 9/13/2022

Level needed to achieve full credit: 7

The level achieved on the exam: 7

The number of quizzes taken to achieve the level: 10

Mental health Remediation

Management of Care
1. Legal and Ethical Issues: Priority Action for Client Refusing Treatment
• Clients have the right to refuse treatment and informed consent
• The clients right to make their own decisions is autonomy but the client must accept the
consequence of those decisions and respect the decisions of others.
• Clients under involuntary commitment can still refuse treat if considered competent and if
incompetent the client has a temporary guardian.

Safety and Infection Control

2. Legal and Ethical Issues: Use of Restraints on a School-Age Child
• Time limits for seclusion or restraints are based on the age of a client: for age 18 years and
older 4 hours age 9 to 17 years two hours age 8 and younger one hour
• Nurse has tried all other less restrictive means to prevent client a client from harming self or
others
• The nurse should never use seclusion or restraint for convenience, punishment, client who
extremely physically or mentally unstable
• Clients who cannot tolerate the decreased stimulation of a seclusion room
3. Legal and Ethical Issues: Caring for a Client Who Is in Restraints
• Nurse should follow how to care for the client based on the facility’s protocols
• Assessed for safety and physical needs and client’s behavior, client will be offered food and
fluid, monitor VS and pain an toileted
• Complete documentation every 14 to 30 includes a description of the following:
precipitating event and behaviors, Alternative actions taken to avoid seclusion, Time
treatment began, client’s current behavior and what foods or fluids were offered and taken.
4. Legal and Ethical Issues: Guidelines for the Use of Mechanical Restraint
• Clients need to be assessed for safety and physical needs and clients behavior and offer food
and fluid monitor vs and pain and toileted
• Complete documentation every 15 to 30 includes a description of the following:
precipitating event and behaviors, Alternative actions taken to avoid seclusion, Time
treatment began, client’s current behavior and what foods or fluids were offered and taken.
• If mechanical restraint is needed the provider must reassess the client and rewrite the
prescription specifying the type of restraint every 24 hours or the frequency of time
Health Promotion and Maintenance
5. Neurocognitive Disorders: Identifying Risk Factors for Alzheimer's Disease
• Neurodegenerative resulting in the gradual impairment of cognitive function. And most
common type of major
• Depression in older adults can mimic early stages of Alzheimer’s disease
• Risk factors include advanced age, prior head trauma, cardiovascular disease, lifestyle
factors, family history of AD and strong genetic link in early onset familial AD.
6. Older Adults (65 Years and Older): Teaching About Expected Age-Related Changes
• Decreased skin turgor, subcutaneous fat, dry and transparent skin, thickening of fingernails and
toenails
• Decreased chest wall movement, vital capacity and cilia increasing the risk for respiratory infections,
reduced cardiac output increased blood pressure
• Slowed neurotransmission vascular circulation impairment disease states poor nutrition and
structural brain changes can result in the cognitive disorders

Psychosocial Integrity
7. Eating Disorders: Planning Care for a Client Who Has Anorexia Nervosa
• Persistent energy intake restriction leading to significantly low body weight in context of
age, sex, developmental path and physical health
• They fear of gaining weight or becoming fat, they also have a disturbance in self perceived
weight or shape
• Characterized by refusal to eat preoccupied with food and rituals when eating, onset can be
associated with a stressful life event such as college. Binge eating and purging type have higher rates
of impulsivity and are more likely to abuse drugs and alcohol
8. Group and Family Therapy: Recognizing Boundaries
• Components of therapy sessions include use of open and clear communication,
cohesiveness, and guidelines for the therapy session, direction towards a particular goal,
encouragement of the client to maximize positive interactions.
• Health families have distinguishable boundaries between family roles. Clear boundaries
define roles of each member and are understood by all. Each family member is to function
appropriately
• Two types of dysfunctional families: enmeshed families- roles in the family are unclear
because thoughts, roles, and feelings blend so much and Rigid boundaries Rule and roles
are completely inflexible. These families tend to have members that isolate themselves and
members do not share thoughts or feelings.

Pharmacological and Parenteral Therapies

9. Medications for Substance Use Disorders: Managing Alcohol Withdrawal
• Refer to medication template
10. Medications for Substance Use Disorders: Adverse Effects of Disulfiram
• Refer to medication template
11. Substance Use and Addictive Disorders: Teaching About Disulfiram
• Refer to Medication template