Debbie asked that I post some of my answers to the study guide. I don't mind at all, but if the answers are not correct, don't kill me.....Also, I am still unable to answer #16 so if anyone chould share that (or even just where it was found in the book) I would be very grateful!

6. What is the difference between a DSM-IV-TR diagnosis and a nursing diagnosis?
DSM-IV-TR Diagnosis – used to diagnosis a psychiatric disorder
Nursing Diagnosis – provides the framework for identifying appropriate nursing interventions for with the phenomena a client with mental health disorder

7. What is the effect on a neurotransmitter when the reuptake of that neurotransmitter is blocked?
It increases the concentration of the transmitter in the synaptic space and presumably on the post-synaptic cell. This is the process of tricyclic antidepressants. They block the reuptake of norepinephrine and a little of serotonin in the pre-synaptic cell. (pp. 71)

9. What part does spiritual care play in mental health? Is it an approved therapeutic intervention per JACHO?
Research concludes that as attendance at religious services increased, alcohol and drug abuse decreased. Prayer or religion or spiritual practices are an important part of the quality of life and gives hope, comfort & support in healing. JACHO encourages spiritual care and assesses hospitals to whether they are providing this support

15. What communication techniques would a nurse employ while interviewing a patient who is severely anxious?
· Firm, short and simple statements are useful.
· Maintain calm manner.
· Use a low-pitched voice & speak slowly
· Listen for themes in communication

27. A patient with suicidal ideation is admitted. What is a priority intervention?
Client safety must be upheld.
· Remove all items that could be used as weapons (belts, ties, shoelaces, razors, plastic bags)
· Assess immediate degree of suicidal risk and ask client if he is thinking of killing himself
· Check client every 15 min. and keep him in view at all times
· Make a “no suicide contract”
· Spend time with client for 15 minutes 3x a day
· Encourage client to express feelings
· Encourage client to engage in unit activities even though he may resist
· Document all assessments, interactions, and interventions