Is this too long for the previous line?

as above, refer the reader to the section on ACEs

environment (such as ACEs)

suggest referring to the content on ACEs in a previous section

Why does this word have quotation marks around it? I would delete it unless you had a specific reason.

these sound more like examples. symptoms of having obsessions would be emotional and physical, such as racing heart rate.

to line up with the intro to compulsions, consider: Common obsessions are as follows:

reword as "self or others"

poor grammar

this comma is not needed

is the bolded content really needed?

...short periods of time, especially in older adults, people who have ....

Keeping this word doesn't sound grammatically correct.

and

This sentence confuses me, how is culture related to tinnitus soreness headaches screaming and crying? Need further clarification as to what is meant by culture specific symptoms

This depicts anxiety? Where? In their faces, the sky?

refer the reader to the chapter where ACEs is defined and explained

good depiction of anxiety, illustrations are a good way to illustrate a condition

Not convinced this image depicts anxiety

I would delete this, it is already represented this continent is related to 1:1

In my practice anyone in seclusion required 1:1 supervision from a technician. Patients would not be left alone for any period of time. I highly suggest mentioning this as nurses are ultimately responsible for patients who are restrained and secluded and around

Such as chemical or physical

I'm not a fan of pronouns. Instead:

Medications are known as a “chemical restraint.”

Also, if you are referring to chemical restraint, you may also want to discuss the use of physical restraints that may be used with seclusion

risk of injury

This is a very long sentence, I suggest breaking it up

Is this about use or drinking too much? Are you trying to say that clients should avoid using alcohol and drugs? If so, I suggest replacing misusing with using

I would re-organize this part, keeping a routine for sleeping may be reworded as:

...routine for eating, getting enough sleep, and exercise.

Add: from a manic episode. There is very little expectation there will be recovery from bipolar without medication and psychotherapy.

Instead: begin

Delete

Isn't this understood? I would delete

Add a comma after this word

increased

I suggest referring to these approaches as sleep hygiene

https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.html

sleep hygiene

This sounds more like monitoring lab work, is that the intent? If so I suggest referring to lab work results

Do you want to move us up after the slash above?

below

control can improve

Listen to and act on legitimate complaint.

This sounds completely unrealistic. I worked at a psychiatric hospital for many years, this will offer a little benefit. In fact, I experienced a patient becoming more aggressive and tried to attack me when I told him I was putting him in the seclusion room.

Adherence is it better concept to use, it is the patient-centered approach, as compliance refers to complying with a orders compared to adhering to a plan the client agreed to follow

it has been noted that there are multiple medications with therapeutic levels and toxic levels

Observe for signs of toxicity, such as lithium.

Looking for some nursing actions that include interprofessional communication and collaboration amongst the care team. "coordination of care" do not include any action words related to coordinating care, such as noted above, between acute and community care, medical provider to mental health care provider, etc.

If this column is intended to explain some examples of what the nurse will do, share some examples of safety precautions for self harm, suicide, etc.

mental health care settings.

Four hours of sleep does not sound like a healthy goal, and knowing this number would be based upon the current number of hours of sleep per night, I suggest making note of that when sharing this example.

All of these examples are for inpatient settings, I suggest sharing examples and community health settings

Was this content covered to a point where the reader could affectively answer this question?

Suggest reevaluating the organization of laboratory testing content. You have laboratory testing and both sets of these bullet points. May be worthwhile to combine the laboratory testing in one section, makes it easier to follow.

Consider deleting ideation for suicidal and homicidal

May exhibit suicidal, homicidal, or violence ideation.

Remove this from the parentheses

Just a formatting comment, do you want to delete the space below this paragraph and the one below?

Add a colon

I suggest sharing data on the high rate of suicide.

this webpage cites an open access article published in 2020 that The standardized mortality ratio for suicide with BD reaches 20-times above general-population rates, and exceeds rates with other major psychiatric disorders.

This sounds like every time a person has a manic symptom they are hospitalized. Well this may be true for some, it is not for others. I suggest modifying this sentence to

"Manic symptoms can be so severe that the person often requires hospitalization.

In previous exerpts of this book, you hyperlink the section you want the reader to access, is there a reason you did not hyperlink this one?

Where does not fit, not needed, I would delete

Add a comma after exercise and Pilates

I suggest putting this information into the next column for clarity

There are a number of considerations with this medication. I suggest referring the reader to the psychotropic medication section for more information.

If there is a concern for hyponatremia, do you want to add laboratory considerations and the other column? Such as electrolytes

Plural

Will students know the meaning of dyscrasias? Maybe helpful to share an example and parentheses

Plural

Plural

If bradycardia is the only cardiac arrhythmia, I suggest revising cardiac arrhythmia to be singular. If there is more than one type of cardiac arrhythmia, I suggest sharing in the parentheses such as bradycardia.

Add a hyphen

changing diapers?

establishing healthy sleep hygiene routines

patient’s nutrition status

spelling, weigh

delete? seems too wordy

does it matter than months 10 and 11 are not included? are they part of phase 2?

plans seems unrealistic, esp. when this statement sounds like an inpatient setting, when an acute event could be quite recent.

how about interest in the future, spending time with friends and family

?? is this needed?

as with other citations, the commas are distracting and not needed

move up the table below this section. it wouldn't belong below the outcome section, it is referring to its own image

appears these bullet points would be added to the list above

switch: disorders other than depression

awkward, possibly possible drug use

instead, "injury of self and/or others"

I suggest defining this concept as you have others.

many depressed clients are orientated x 3, not sure how this would be considered common findings. I also don't see a citation for this table, so wonder if this is the author's knowledge

'have some health risks, including....

this is awkward and odd, I would delete or reword

hyphen needed here and below in this list as well. also in the para below when these concepts are used

delete, as this is already listed last post-ECT

I would delete

this heading is under potential adverse effects. how does this fit?

can you remove the commas after each one? it looks very odd

I believe this sentence would sound better if it started with this, followed by the definition

why is this content here? the table below explains the content. I would delete

looks like these are common side effects, need a statement explaining these bullet points

also, share more details about 'reduced' sexual function. it doesn't explain enough, such as impotence

missing spaces between the words/punctuation

space this content down

delete

I would delete this. these are essential parts of treatment

Specify whether you are referring to the mental health or physical examination

instead, such as a ....

examination should be performed

need citations for most if not all of this content

unclear how this is an illustration of an individual experiencing depression, looks like a person looking down

how about reference to relationships with friends and family instead?

I realize this illustration came from NIH, but it does not depict depression, instead a mom and baby. what part of the image shows the mother is depressed?

suggest adding a citation, this is not common knowledge

of substance withdrawal ??

I've not heard of this word, consider 'lack of coordination' as used in the next section

this was just mentioned above, is this sentence needed?

I suggest adding some examples, such as cheese

I suggest putting in parentheses a couple examples, such as impotence.

add period at the end of this sentence

and some types of mental illnesses in children, such as xxxxx

move this line up with previous

the first link takes the reader to the site that lists the meds, the second link does not, but the sentence format implies mental health med info can be found at that link, which is a different part of the NAMI website.

needed?

is this referring to the individuals who are being targeted?

grammar, sentence structure. is this last part of the sentence needed?

this sounds awkward. does this have to be written as a "goal-directed" activity? Having goal in the sentence twice is the issue.

emphasize works better here

workup? exam?

since there is just one bullet point that applies, I suggest moving this content to that bullet point below

would the average nursing student know what this means? I don't.

suggest a brief definition

this sentence is awkward. esp. 'a shared caseload among team members", this is a 'key element'?

this link brings the reader to a Q & A page, rather than to a page that describes the RAISE. consider this link instead: Description

consider referring to a patient- and family-centered approach

multi-family (add hyphen)

"adherence" is a better option

recovery from the dx of schizophrenia? not sure what recovery means, eradication of psychosis?

how about "verbal expression"?

this artwork is ambiguous, maybe that's why it was selected for an example for hallucinations? it just looks like an odd drawing, does not depict hallucinations that the average reader could interpret

Remaining with the patient

awkward:

past influences impact behavior?

last time I'll write this comment, this sentence really doesn't fit here

parentheses start but don't end, should it be after 'oneself'?

as with all these references to the word cloud, they don't fit in the middle of the paragraph, better just above the image.

evidence works better here

hyphen needed

describe

somewhere it should be written the nurse should have quick access to the door, never have the patient between the nurse and the door

hyphen needed

or risky sexual behavior

other images state 'fair use', does that not apply here?

approaches, strategies?

hyphen needed, non-consensual

would this be and/or?

plural, behaviors

the infographic is about elder abuse

... signs of elder abuse...

"The following....

this needs to be introduced earlier when PNS is first mentioned, per my previous comment

add this to the end of the sentence, just before the illustration

PNS has not be abbreviated yet, I believe this is the first time the abbreviation has been introduced. You may need to define/explain it first

consider substituting triggering with this concept throughout, to stay consistent

triggering?

move this sentence below the bullet points

"the researchers" examined....

large is subjective, suggest sharing the actual size of this study

do you want to consider referring to previous knowledge about social determinants of health? this is an important concept for students to read about throughout their education.

what is higher than a college degree?

what is the difference between these two words?

delete

suggest deleting this word, appears twice in this bullet

needs a citation or is this entire sentence from [4]?

why not potassium?

patient (comma) Mr. Daniels (comma) was

seems this concept is interchangeable with interdisciplinary

delete

suggest breaking up this long paragraph

awkward, meet again? review feedback?

one word

there is an extra space here

not sure what this means. team members are staff, I'm confused

do you mean signage on the wall?

add a hyphen

their

this is an example of incivility. I really hope you emphasize incivility more, it needs it's own chapter!

I realize this is cited, but this part is completely unrealistic. strikes me as something that a student would disregard because the follow up is something they would not do. the nurse understands the need for the alarm, it was just forgotten, reminding someone of the reason it's being used will not solve the problem, I feel it would anger them further.

I highly suggest sharing other common terms, such as incivility, lateral violence, bullying. Is horizontal aggression the new concept? I've not heard of it before now, and I've been practicing for almost 4 decades! I thought incivility was the official concept.

there is much more to discuss about this concept, sometimes it's not an outward, obvious behavior, it can also be very subtle, feeling even more destructive. I think it's important to add the behavior is intended to control, belittle or devalue others. write about the impact on patients, etc.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357576/

a more gentler way:

would be helpful

statements

as below... unless this is how TS writes it?

add hyphen

I understand why you would share this statement but it is entirely unrealistic a staff member would go to this length, esp. with giving them a CDC handout, of which is also unrealistic to have them on every unit.

suggest thinking of a more realistic statement, maybe a different focus

another questionable saying that can confuse some students

why are all the words capitalized here but not in S and T?

ESL students may not know what this means, and while you have defined it clearly, this can be confusing to some.

these may occur during but also occur at the start of the shift, similar to the brief above.

use the same citation number when referencing the same source. found throughout the book

among all team members

awkward, reword

I know this comes from a source but a 'culture of safety' sounds better

there is no way to tell these are four different professionals.

medications that have been administered

or something similar

this does not match the wording under the image

assessing versus documenting

remove 'yet'

concise, and thorough documentation...

I generally don't like the wording in this box, it's too wishy washy

I don't see how phrases like this fit in with communicating with others when it's about assessing. one can be pleasant, but the assessment is not optional, as if please is used to encourage the person to agree...

delete please and change 'look'

Assess the patient at ...

why is OK here?

does not match interprofessional communication from narrative above.

the image does not depict these individuals communicating.

post discharge

(SW)

isn't this the same for NP? consider adding this above.

this description is very brief compared to the NP, which they perform similar duties. I suggest adding a more robust description

it's more than advice, it's guidance based on evidence