Early Signs of Anger

8/3/2019 Early Signs of Anger

1/10

Early Signs of Anger Muscular tension: clenched fist Face: furled brow, glaring eyes, tense mouth, clenched teeth, flushed face

Voice: raised or loweredIf anger is not identified and recognized at the preassaultive tension state, it can progress to aggressive behavior.

Anger Management Techniques

Remain calm Help client recognize anger

Find an outlet: verbal (talking) or physical (exercise) Help client accept angry feelings; not acceptable to act on them Do not touch an angry client Medication may be needed

Signs of Anger Escalation Verbal/physical threats

Pacing/appears agitated Throwing objects Appears suspicious/disproportionate anger

Acts of violence/hitting

Anger Management Techniques Speak in short command sentences: Joe, calm down.

Never allow yourself to be cornered with an angry client; always have an escape route (open door behind you) Request assistance of other staff Medication may be needed; offer voluntarily first

Restraints and/or seclusion may be needed (see Use of Restraints in Basics tab) Continue to assess/reassess (ongoing) When stabilized, help client identify early signs/triggers of anger and alternatives to prevent future anger/escalation


2/10

TOP PRIORITY TOPICS FOR DECEMBER 2011 NLE

(PLEASE MAKE A STUDY NOTES FOR FOLLOWING TOP PRIORITY TOPICS)

NURSING PRACTICE TEST I

The levels of prevention, what constitutes primary, secondary and tertiary level and its examples

Week Talk

TPNNursing process

CPE Units

MedicationsDifferent management styles and where they are applicable (autocratic, ultra liberal, democratic)Patterns of nursing careNursing research : steps of research process and how to identify dependent and independent variable , also the qualitative and quantitative

research designRepublic Act 9173, be very very very familiar with itDelegation : what to and what not to delegate

Pattern of communication (who reports to whom) and documentationTherapeutic communication (as always, pay attention to statements with the words : you seem, tell me more, etc)Blood transfusionEnema

CatheterizationNutrition

Colostomy and tracheostomy care (including mga cleaning materials)Vital signs (how it is done and normal values)3 way bottle system chest tube drainage and chest tubes

Management of constipation

Complications of immobilityIV therapy complications and their management

Nurse Code of ethics and ethical principles (veracity, prudence etc)Patients Bill of Rights

IV TherapyEXPECT THAT FUNDAMENTALS OF NURSING QUESTIONS WILL APPEAR IN ALL 5 EXAM SETS

FOR TEST 2 : COMMUNICABLE DISEASE NURSING, COMMUNITY HEALTH NURSING, OB NURSING AND PEDIATRIC NURSING

RN heals

NARS Program

EntrepreNurseUnang Yakap ( Essentatial New Born Care)

DengueWorld Health AssemblyRH Bill

Immunization schedule Hepatitis b Swine flu (Mexico, Influenza A, H1N1, fever etc etc pointers)TB and TB regimen

COPARAbruptio placenta and Placenta previa Stages of labor, expect madaming MCHN

IMCI and Melamine poisoning Integrated Management of Adolescent and Adult illnessesLeopolds maneuver, amniocentesis and ultrasound

Breastfeeding (correct attachment)

DMM (malaria, measles and diarrhea)Ung table of Child development sa PilliteriPIH and GDM

LeukemiaDOH 2009-2010,2011 Health programs

FOR TEST 3 and 4: MEDICAL SURGICAL NURSING

Fluids and electrolytes, lalo na cause, manifestations and management of hypo and hyperkalemia, hypo and hypercalcemia

Snake bites, Bee sting, Ingestions of corrosives. Review the nursing interventions and first aid.

Burns : classification, electrolyte imbalances, pain management, drugs used, burn care, nursing diagnosisMI : ECG changes, cardinal signs, meds and management

Pharmacologic and non pharmacologic pain management, WHO pain ladder scaleDiabetes mellitus : manifestations, insulin therapy, complications, managementBreast cancer : prevention, detection, treatment and rehabilitationTesticular cancer : detection, management


3/10

PneumoniaSurgery/Operating room nursing OPERATING ROOM TECHNIQUEINSTRUCTIONAL MANUAL Phases of surgery, monitoring of client before, during and after surgery

Duties of the OR personnelComplications of SurgerySymbols and Color Coding

Hypo and hyperthyroidism

Emergency and Disaster Osteoporosis

Dialysis and renal failureTractions, fractures, osteoarthritis, rheumatoid arthritis, gouty arthritisChemotherapy: Drugs against cancer PACO (prednisone, adriamycin, cytoxan, oncovin) and their respective side effectsRadiation therapy

Cancer diagnostic examinations (TSE, BSE, pap smear etc)My lecture on Geriatric Nursing

VA/stroke

Cane walking and crutch walking

FOR PSYCHIATRIC AND NEUROLOGIC NURSING : TEST 5

Neuro dIisorder like menieres disease, Bells palsy, tic Doloreux/trigeminal neuralgiaPsychiatric signs and symptoms : delusions, types of delusions, hallucinations, word salad, echolalia, palilalia, catatonia stupor and excitement,obsessions and compulsions, etc and their management Schizophrenia

Mania and Depression, bipolarAnxiety disorders lalo na OCD, hypochondriasis, panic attack, GAD, phobia lalo na agoraphobia Levels of anxiety

PSYCHOPHARMACOLOGY, (Antimanics, Antipsychotics, Anxiolytics, Antidepressants, lalo na lithium, tofranil, valium, haloperidol, buspar,elavil, anafranil, mellarilPersonality Disorders : Schizoid, Antisocial, Borderline, Paranoid, OCPD

Eating disorders : anorexia and bulimia

Defense mechanisms : definitions and examplesECT : meds and side effects

Diet, activities and Nursing diagnosis for mania, depression, dementia and

alzheimersSuicidal client managementTherapies for each disorder

MENTAL RETARDATION, ADHD autism Glaucoma including medsCataracts and Retinal detachment

Substance abuse and alcoholism

REVIEW OUTLINE FOR DECEMBER 2011 NLE

FOUNDATION OF NURSING PRACTICE

1. PROFESSIONAL NURSING

A. Historical perspectives in nursingB. Nursing as a profession

C. Theories in nursingD. Health care delivery system

2. HEALTH AND ILLNESS BEHAVIOR

A. Man as a biopsycho-socio - cultural- spiritual being

B. Factors influencing health and illnessC. Risk factorsD. Adaptation to stress and anxiety

E. Life span, cycle and development

3. INTERACTIVE PROCESS

A. Nurse client relationship

B. Teaching learning processC. Documentation/recording

D. Communication


4/10

E. Therapeutic use of self

4. SAFETY, COMFORT AND HYGIENE

A. Safety

B. Management of painC. Hygiene

D. Mobility and immobilityE. Skin integrity

F. Sensory alterationG. Substance abuse

5. BASIC PHYSIOLOGIC NEEDS

A. OxygenationB. Nutrition

C. Rest and sleepD. Fluid and electrolyte balance

E. Urinary elimination

F. Bowel eliminationG. Activity and exercise

6. BASIC PYSCHOSOCIAL NEEDS

A. Safety and security

B. Love and belonging

C. Spiritual needsD. Sexuality and sexual needsE. Self concept

F. Death, grief and grieving

G. Sensory deprivation and body imageH. Crisis intervention

7. BASIC NURSING SKILLS

A. Nursing process

B. Admission and dischargeC. Vital signs

D. Physical examination and health assessment

E. Administration of medicationsF. Asepsis and infection control

G. Emergency measuresH. Wound careI. Care of the dying and the deadJ. Perioperative careK. Others

8. ETHICO-LEGAL ASPECTS

A. Nursing ethicsB. Legal aspects in the practice of nursingC. The Philippine Nursing Law

D. Related laws affecting the practice of nursing

E. Continuing education for nursesF. Professional organizations of nursing

9. MMANAGEMENT AND LEADERSHIP

A. Theories and principles of management

B. Standards of nursing practiceC. Elements of administration and management/functions of managementD. Leadership style

E. Organization

F. StaffingG. Patient Care Classification System

H. Patterns/modalities of nursing care


5/10

10. BASIC RESEARCH

A. Ethics and scientific research

B. The scientific approachC. Research processD. Research design/methodology

E. Steps in doing research

MATERNAL AND CHILD HEALTH NURSING

1. FOUNDATION OF MATERNAL AND CHILD NURSING PRACTICE/BIOPHYSICAL ASPECTS OF HUMAN REPRODUCTION

A. Philosophy, goalsB. Concepts, theories, principles and standards of care

C. Anatomy and physiologyD. Sexuality

E. Menstrual cycleF. Responsible parenthood

G. Theories and principles of growth and development

2. PREGNANCY-ANTEPARTUM

A. Stages of fetal developmentB. Signs and symptoms of pregnancyC. Nursing careD. Birth setting and alternative methods of delivery

E. Physiological and psychological changes of pregnancy

F. Needs of pregnant womenG. Danger signs and symptoms

H. Complications of pregnancy

3. PREGNANCY-INTRAPARTUM

A. Theories of labor

B. Components of labor: 3 P-sC. Nursing care during laborD. Analgesia and anesthesia of labor and delivery

E. Complications of labor and delivery

4. POSTPARTUM AND NEWBORN

A. Placental stageB. Nursing care of the mother

C. Nursing care of the newborn

D. Breast feeding/rooming-inE. Complications of postpartum

5. PUERPERIUM AND INFANCY

A. Involution

B. Care of the motherC. Physical, motor, cognitive, psycho-social and language developmentD. Well-baby careE. Nutrition, immunization, play activities

F. Common problems/disorders of infancy

6. TODDLER

A. Physical, motor, cognitive, psycho-social, language and moral developmentB. Toilet trainingC. Well-baby care


6/10

D. Nutrition, immunization, play activities

E. Common problems/disorders of toddlers

7. PRE-SCHOOLER/SCHOOLER

A. Physical, cognitive, psycho-social and moral developmentB. Sibling rivalry

C. Play activitiesD. Sex education

E. Common problems/disorders of pre-schooler/schooler

8. PRE-ADOLESCENT/ADOLESCENT

A. Physical, psycho-social and moral developmentB. Sex characteristics

C. Needs and tasksD. Common problems/disorders of pre-adolescent/adolescent

9. PPROBLEMS IN CHILDREN

A. Prematurity

B. Congenital malformationsC. Nephrotic SyndromeD. Metabolic disturbances

F. Infectious diseases

10. PPROBLEM DISORDERS IN MOTHERS INCLUDING GYNECOLOGIC DISORDERS

A. High risk maternal conditions

B. Pregrancy related conditions

C. Metabolic, cardiac, hematologic aberrations in pregrancyD. Menopause

E. Cellular aberrations of the reproductive organs

F. Degenerative disorders of women

COMMUNITY HEALTH NURSINGAND COMMUNICABLE DISEASE NURSING .

THE PHILIPPINE HEALTH CARE DELIVERY SYSTEM

A. National Health PlanB. Health scenarios

2. LEGISLATION AFFECTING COMMUNITY NURSING PRACTICE

A. LawsB. Executive orders and letters of instructions

C. DOH Circulars/Memoranda

3. PRIMARY HEALTH CARE

A. Definition

B. Conceptual framework

C. Essential elementsD. Types of PHC workers

4. HEALTH POGRAMS SERVICES STRATEGIES

A. Maternal and child health


7/10

B. Nutrition

C. Dental hygienceD. Environmental sanitation

E. Vital and health statisticsF. Occupational healthG. Health education

5. CARE OF OLDER PERSONS

A. Needs of older persons

B. Issues and concerns

C. Common diseases affecting older personsD. Nursing functions and responsibilities

6. COMMUNITY EALTH NURSING

A. Definition and concepts

B. Philosophy, goals and objectives

C. Principles and processD. Levels of care

7. ROLES, FUNCTIONS AND RESPONSIBILITIES OF THE COMMUNIT HEALTH NURSE

A. Nursing process

B. Nursing procedures

C. Nursing managementD. Nursing researchE. Personal and professional development

8. NURSING CARE OF CLIENTS WITH COMMUNICABLE DISEASES

A. General principles and techniquesB. Epidemiology

C. Prevention and control

D. Nursing functions and responsibilities

9. NURSING CARE OF CLIENTS WITH NON-COMMUNICABLE DISEASES

A. PrevalenceB. Risk Factors

C. Prevention and control

D. Nursing functions and responsibilities

10. RESEARCH IN COMMUNITY HEALTH NURSING

A. Applied researchB. Utilization of research findings

C. Records and reports Field Health Services and Information System

NURSING CARE OF ADOLESCENTS,ADULTS AND AGED

CONCEPTS OF STRESS AND ILLNESS

A. Health-illness continuumB. Epidemiology of illnessC. Stress modelsD. Response to s tress


8/10

2. NURSING INTERVENTIONS IN ILLNESS

A. Holistic approach in different stages of development stages

1. Biophysical2. Psychosocial

B. Pharmacological therapeutics

C. Patients in surgeryD. Patients in pain

E. The dying process

3. CARE OF PATIENTS WITH SPECIFIC DISTURBANCES

A. Oxygenation

B. Fluids and electrolytesC . Metabolism

D. Inflammatory and immunologic responses

E. Perception and coordinationF. Cellular aberrations

4. CARE OF CLIENTS WITH PERIPHERAL VASCULAR DISORDERS

A. Structure, function and assessmentB. Arterial disordersC. Venous and lymphatic disorders

D. Diagnostic procedures

5. CARE OF PATIENTS WITH URINARY DISORDERS

A. Structures, function and assessment

B. Renal disorders

C. Diagnostic procedures

6. CCARE OF PATIENTS WITH INTEGUMENTARY DISORDERS

A. Structure, function and assessmentB. Protection of the skin, hair and nailC. Restoring skin structure and function

7. CCARE OF PATIENTS WITH HEMATOLOGIC DISORDERS

A. Basic concepts of hematology assessmentB. Blood transfusion

C. Erythrocytes disorders

D. Diagnostic procedures

8. CARE OF PATIENTS WITH NEUROLOGIC DISORDERS

A. Structure, function and assessmentB. Head and spinal injury

C. Diagnostic procedures

9. CARE OF PATIENTS EXPERIENCING DISORDERS OF THE LIVER, BILLIARY TRAT AND PANCREAS


9/10

A. Structure, functions and assessment

B. Evaluation and managementC. Diagnostic procedures

10. NNURSES ROLE IN

A. Infection controlB. I.V. therapy

C. Emergency and disaster situationsD. Life threatening conditions

MENTAL HEALTH AND PSYCHIATRIC NURSING

I. DESCRIPTION Principles, concepts and theories underlying psychiatric nursing care to individuals, families and communities in a variety of

settings.

PERSONALITY DEVELOPMENT AND PRINCIPLES OF MENTAL HEALTH

A. Mental health as a conceptB. Principles of Psychiatric NursingC. Nursing process in Psychiatric Nursing

D. Research as a tool in improving psychiatric nursing care.

2. CRISIS AND CRISI INTERVENTION

A. Crisis intervention

B. Common crises situations

3. AANXIETY RESPONSE AND ANXIETY DISORDERS

A. Etiological theories of anxietyB. Levels of anxiety

C. Ego defense mechanisms

D. Anxiety related disorders

4. ANXIETY DISORDERS IN CHILDHOOD AND ADOLESCENCE

A. ChildhoodB. Adolescence

5. PSYCHOLOGIC DISORDERS

A. Theories of psychophysiologic disorders

B. Predisposing factorsC. Common organ systems affected by psychological factorsD. Nursing care and psychopharmacology

6. PERSONALITY DISORDERS

A. Psychodynamics of personality disordersB. Predisposing factorsC. Types of personality disordersD. Nursing care and psychopharmacology

7. EMOTIONAL RESPONSES AND MOOD DISORDERS

A. Psychodynamics of mood disorders

B. Predisposing factorsC. Alterations in moodD. Treatment modalities, psychopharmacology and nursing care

8. THOUGHT DISORDERS,SCHIZOPHRENIA AND PYSCHOTIC DISORDERS


10/10

A. Theories of etiology of schizophrenia

B. Types of schizophreniaC. Primary and secondary symptoms of schizophrenia

D. Treatment modalities, psychopharmacology and nursing care

9. SUBSTANCE ABUSE AND RELATED DISORDERS

A. AlcoholismB. Drug abuse and dependence

C. Treatment modalities, psychopharmacology and nursing care

10. ORGANIC MENTAL SYNDROME DISORDERS

A. Etiology

B. Fundamental principles in the care of cognitively impaired personC. Organic mental syndrome

D. Organic mental disorders

E. Treatment modalities, psychopharmacology and nursing care

Documents

Early Signs of Anger