HI CAN YOU PLEASE HELP IN THE FOLLOWING: TOPIC:CHCMHS013 Implement…

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Question Answered step-by-step HI CAN YOU PLEASE HELP IN THE FOLLOWING: TOPIC:CHCMHS013 Implement… HI CAN YOU PLEASE HELP IN THE FOLLOWING:TOPIC:CHCMHS013 Implement trauma informed careQuestion 25 – Read the following case study then answer the question: Thomas’s Story Thomas presented at his local hospital Emergency Department (ED), concerned about his level of anger towards one of his children and his thoughts about harming himself and his family. Thomas underwent a psychiatric assessment at the ED, where his level of distress was given a context: a history of torture and trauma as a political prisoner in another country. Thomas and his family had migrated to Australia many years ago, however his medical notes indicated that he recently experienced depression following victimisation and bullying in his workplace. Following his voluntary admission to the hospital’s psychiatric inpatient unit, Thomas underwent further assessment. According to his medical notes, “last evening [Thomas] became very upset and lost his temper … and felt out of control. So he packed his bags with the intention of getting away so that he would not harm anyone. He had no intention of harming anyone. He went into the Emergency Department because he felt he needed help.” The medical notes at every stage of Thomas’s admission indicated the risk of harm to himself and to others as “significant” and made a further alert that he was “homicidal/suicidal”. Thomas was seen by a psychiatrist who recommended he see a social worker and be linked to counselling services. At no stage did Thomas receive information about his rights as a voluntary patient. He was not provided with services for his preexisting diabetes, nor was he checked for ‘sharps’ or any other dangerous goods despite being noted as “homicidal/suicidal”. Nursing staff noted that Thomas had a poor appetite, however there were no notes indicating referral to a dietician. Of greater concern was the food he was provided with, which was inappropriate for his religious background. After some time, Thomas became concerned that his ‘treatment’ involved nothing more than medication and did not include any referral to a social worker, psychologist, or community counselling service, despite this being recommended by a psychiatrist. These concerns were expressed to both a hospital doctor and nurse. When no action was forthcoming, Thomas informed the hospital of his intention to discharge himself, which was his right as a voluntary patient. Thomas was not told at this time that if he attempted to leave, or refused his prescribed medication, then his patient status would change to ‘involuntary’. Not confident about his standard of treatment, Thomas refused medication and attempted to leave the ward. According to his medical notes, he was “aggressive and argumentative”. Thomas was consequently reclassified as an involuntary patient and put into seclusion. The Approval of/Authority for Seclusion form indicated the view that Thomas was secluded in part because he was an absconding risk. Thomas spent 6 ½ hours in seclusion. Thomas was stripped of his clothing and woke up in seclusion clothed only in his underpants. No consideration was given to Thomas’s past history of political imprisonment and torture, or his religious beliefs regarding the removal of clothing. Thomas was not provided with an explanation of his change of patient status (voluntary to involuntary) nor why he was being placed in seclusion. He did not receive a debriefing session after his seclusion experience. Having supposedly met the criteria for involuntary admission throughout the time he was secluded, Thomas was then found to be well enough to be discharged as a voluntary patient the next day without any followupplanned. Thomas’s seclusion suggests it was used as a punishment rather than a ‘therapeutic intervention’. As a result of his involuntary seclusion, Thomas now experiences insomnia, nightmares, stress, tension, pain and a lack of trust in the public mental health care service. He continues to have flashbacks of torture, flashbacks of hospitalisation and now has chronic depression. Thomas says his life has “stood still” since his hospitalisation. Ref: National Mental Health Consumer & Carer Forum (NMHCCF) Working Group on Seclusion & Restraint. How has the traumatic events in Thomas’ experience with seclusion and restraint impacted his life? Question 26 – A trigger is a stimulus that sets off a memory of a trauma or a specific portion of a traumatic experience. A trigger can be any sensory reminder of the traumatic event: a noise, smell, temperature, other physical sensation, or visual scene. Triggers can generalize to any characteristic, no matter how remote, that resembles or represents a previous trauma, such as revisiting the location where the trauma occurred, being alone, having your children reach the same age that you were when you experienced the trauma, seeing the same breed of dog that bit you, or hearing loud voices. Triggers are often associated with the time of day, season, holiday, or anniversary of the event. A flashback is re-experiencing a previous traumatic experience as if it were actually happening in that moment. It includes reactions that often resemble the client’s reactions during the trauma. Flashback experiences are very brief and typically last only a few seconds, but the emotional after effects linger for hours or longer. A trigger commonly initiates flashbacks. Your role will be important to help consumers identify potential triggers, draw a connection between strong emotional reactions and triggers, and develop coping strategies to manage those moments when a flashback occurs resulting from a trigger. Identify a minimum of FIVE ways in which you can help the consumer with managing their triggers and flashbacks: Question 27 – Self-advocacy is when a person acts on their own behalf, in their own interests rather than being represented by someone else. Self-advocacy is pivotal to self-empowerment as it enables the individual to feel they are in control and autonomous. Encouraging and promoting self-advocacy is important to their recovery, one of the ways in which you can support self-advocacy is by linking the person to appropriate resources that will be conducive to their needs. Identify a minimum of FOUR resources and/or referral options that may be beneficial for the consumer: Question 28 – In no more than one paragraph explain why you think behaviours such as suicidality and selfharm are prevalent in people who have experienced interpersonal trauma in their lifetime? Question 29 – Upon review of this article http://www.healthline.com/health/traumatic-events#overview1 explain the definition of a traumatic event and provide a minimum of SIX examples of events that may cause people to experience trauma Question 30 – What is intergenerational trauma?PLEASE PROVIDE DETAILS OF REFERENCES USED Health Science Science Nursing HEALTH MISC Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step 1. A nurse is accidentally administers the wrong medication to a... 1. A nurse is accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?a.Malpracticeb.Abusec.Batteryd.Assault 2. A nurse receives a client care assignment from the charge nurse that he believes is unfair. The nurse voices his concern to the charge nurse. The nurse is using which level of communication at this time?a.Interpersonalb.Transpersonalc.Publicd.Intrapersonal 3. A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)(SATA).a. Review a low-sodium diet for a client who has hypertensionb. Assist a client to ambulate using a gait beltc. Explain oral hygiene to a client receiving chemotherapyc. Feed a client who had a stroke 3 months agoe. Bathe a client who had an amputation 2 days ago 4. A nurse enters an older adult client's room to insert a saline lock. The client asks the nurse, "Why do I need that? I am drinking plenty of fluids." Which of the following responses should the nurse provide?a-"We administer all medications intravenously to clients in this unit"b-"It is quicker to administer medications intravenously in the hospital"c-"Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours"d-"Clients over the age of 65 must have a saline lock according to facility policy" 5. A nurse is caring for several clients who are at various developmental stages. The nurse should explain that, according to Erikson, acceptance of death is a primary task of which of the following stages of psychosocial development?a-Identity vs role diffusionb-Generativity vs stagnationc-Autonomy vs shame and doubtd-Integrity vs despair 6. A nurse is preparing to discontinue a client's indwelling urinary catheter. Which of the following actions should the nurse take first?a-Deflate the catheter balloon using a sterile syringeb-Remove the tape or device securing the catheter to the client's thighc-Measure and document the urine in the drainage bagd-Position the client supine 7. A nurse is providing care to a client who is on strict bed rest following surgery. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. Which of the following types of torts has the nurse committed?a-Invasion of privacyb-Negligencec-Assaultd-Battery8. A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical-surgical unit with an NG tube in place to low gastric suction. The client is reporting anxiety, discomfort, and a feeling of bloating. Which of the following actions is the nurse's priority?a-Request a prescription for a medication to ease the client's anxietyb-Check to see if the suction equipment is workingc-Remove and reinsert the NG tubed-Irrigate the NG tube with 100 mL of sterile water 9. A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. Which of the following should the nurse include as a criterion for applying restraints?a-The nurse has already considered alternatives to restraintsb-The client must understand the need for the restraintsc-The restraints should promote the client's safety and prevent injuriesd-The provider must renew a restraint prescription every 8hr 10. A nurse is completing an 8hr I&O record for a client who consumed 4oz juice, 6oz hot tea, 100mL ice chips, an IV bolus of 150mL, and 8oz broth. The nurse should record how many mL of intake on the client's record?a-790mL b-709mlc-880ml11. A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?a-Maskb-Face shieldc-Glovesd-Gown 12. A nurse is giving a presentation about client confidentially to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?a-Reporting laboratory findings to a member of the client's familyb-Discussing a client's surgical procedure with the nurse managerc-Notifying the provider of physical examination findingd-Identifying the client by name when making a referral for home health services 13. A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of the following clients should the nurse assign to the room closest to the nurses' station?a-A client who sustained a head injury and is having periods of confusionb-A client who reports a severe migraine headachec-A client who has a history of atrial fibrillation and is on continuous ECG monitoringd-A client who has a suspected diagnosis of tuberculosis (TB) 14. A nurse is preparing to remove an NG tube from a client. Which of the following actions should the nurse take first?Verify the provider's prescription to discontinue the tubea-Perform hand hygieneb-Disconnect the tube from the wall suctionc-Provide mouth care to the client    15. A nurse is preparing to administer oral medications to a client. Which of the following should the nurse recognize as an acceptable client identifier? (SATA)Partner's full namea.Facility-assigned identification numberb.Client's full namec.Provider's named.Facility room number  Health Science Science Nursing NURS 318 Share QuestionEmailCopy link Comments (0)
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