HESI RN COMMUNITY HEALTH PROCTORED EXAM



HESI RN COMMUNITY HEALTH PROCTORED EXAM

VERSION 12

Care of specific populations

 Planning care for a pt who has antisocial personality disorder

• Antisocial personality disorder, borderline, histrionic, and

narcissistic are part of cluster B

• and is characterized by disregard of others with exploitations,

repeat unlawful actions, deceit, and failure to accept personality responsibility. They have impulsive behavior, lack of remorse and fail to empathize, they get easily agitated and aggressive or controlling

• Nurse needs to set limits with clients who have maladaptive

behavior

• Behavioral therapy through Operant conditioning would change the

client behavior to refrain from manipulating others to earn dining room privileges

 Prior Action for a client who is homeless

• Refer those who have underlying mental health disorders to

therapy and counseling

• Enhance parenting skills that can prevent young people from

feeling the need to run away

• Alleviate the existing homeless by making referrals for financial

assistance, food supplements, and health services 1 / 2

• Assist homeless clients in locating temporary shelte, and finding

ways to meet long-term shelter

• If homeless shelters are not provided in the community work with

government officials to develop shelter programs

• To prevent reoccurrence of poverty, homeless and health problems

advocate and provide effort toward political activity to provide needed services for people who have mental health disorders and are homeless

• Make referrals for employee assistance and educational programs

to allow clients who are homeless to eliminate the factors contributing to their homelessness

• Families with children are the fasting-growing segment of the

homeless population

 Identifying risk factors for child abuse

• Unexplained injury
• Unusual fear of the nurse and others
• Injuries or wound not mentioned in history
• Fractures, including older healed fractures
• Presence of injuries in various stages of healing
• Subdural hematomas, trauma to genitalia
• Malnourishment or dehydration
• General poor hygiene or inappropriate dress for weather conditions
• Parents consider the child a bad kid.

 Teaching about alcohol withdrawal

• Irritability
• Tremors
• Nausea and vomit
• Headache
• Diaphoresis(sweating)
• Anxiety
• Sleep disturbances
• Tachycardia
• Elevated BP

o Medication for alcohol withdrawal: benzodiazepines

• Is important to asses last drink to accurately asses for signs of

withdrawal

• / 2