bold and add to glossary

clozapine should be in the chart

the glossary definition is "motor restlessness" What is in parenthesis makes it look more like neurological issues rather than motor issues.

the following negative symptoms:

Either link to the chapter or just list the early signs here.

disoriented

perhaps add each personality disorder here as well.

cluster B drag and drop- add an age to the description for antisocial personality disorder. Remove "as" from each description for cluster A,B, & C- it doesn't make sense with the sentences. I really like all of these activities.

prescribed? beneficial?

and include

change to AMB per new guidelines for "at risk" dx.

spacing

I like how this breaks down the dx according to cluster. It would be a helpful recap to put the actual personality disorder in parenthesis next to the cluster type.

designate this as "off-label use"

move to just above image

bold and add to glossary

move to just above image

bold and add to glossary

move to just above image

bold and add to glossary

move to just above image

bold and add to glossary

move to just above image

bold and add to glossary

move to just above image.

bold and add to glossary

bold and add to glossary

bold and add to glossary

bold and add to glossary

bold and add to glossary

An individual's

It would be helpful to insert a small unfolding case study throughout this section to show the student how to apply the nursing process with an actual patient scenario. Also, there is no spotlight application for this chapter.

Link to chapter here.

There is no transition into this paragraph. At least give an introductory sentence for better flow.

Threat is misspelled on the anxiety card. The anxiety types activity is good- I noticed that the sentences are in order from least to most anxiety so switching them up would make this activity a little more difficult.

delete comma

crowds

at lease link to a definition if it is mentioned here.

restart

taking an antidepressant medication

risks to the fetus (or baby)

such as...

providing therapeutic presence

link to this section

to avoid constipation or fecal impaction. Constipation is probably more likely initially.

soften stools

or more often as warranted.

Is it necessary to write out the words along with the abbreviation for the first time each chapter or section?

bold this as it is a critical item.

disorders other than depression

such as lithium

or periodically on an outpatient basis.

This chart is great- especially the bolded "immediately notify provider" info with rationales and not to leave pts alone!

or injury to others (homicidal ideation)

define & link to glossary

insert link to chapter 1

This has not been used prior to here?

delete "these"

Serotonin syndrome is...

I would also include a delirium risk assessment nurses perform such as CAM ICU scale as this is an important part of identifying delirium early so it can be treated as soon as possible for better outcomes. https://www.mnhospitals.org/Portals/0/Documents/ptsafety/LEAPT%20Delirium/Confusion%20Assessment%20Method%20-%20CAM.pdf

caution students that opioids can also cause delirium

Dementia is progressive and irreversible so this is a little misleading.

Can also link to Fundies OER here.

include why

...lead to a progressive, irreversible decline... (also change in glossary.)

This is good info. Perhaps a chart would be more helpful for students to distinguish grief from depression.

and/or

should each of these headings be added to the glossary?

which

While it's good this chapter links to another chapter, it is not in itself very helpful. Minimal detail is given. Perhaps include a bit more information for this section in addition to the links- it can be frustrating to be assigned a chapter that basically just says to read another chapter.

To better align with the rest of this section, this heading should be "Atypical Antipsychotics"

(such as with a high fever, head injury, or illicit drug use)

state why for clarity.

It's great to list poison control here but if someone is overdosing, it would be more appropriate to call 911 in the outpatient setting or Rapid Response in the inpatient setting.

It's great to list poison control here but if someone is overdosing, it would be more appropriate to call 911 in the outpatient setting or Rapid Response in the inpatient setting.

a medical emergency defined by...

Delete this as it is mentioned below.

as a smoking cessation agent to help people stop smoking.

The heading size seems messed up here.

not just combining meds, but too high a dose of one med as well.

Severe cases can result in death if not recognized, and require intensive care...

with drug initiation or dosage increases or in general?

add space

recommend changing bupropion to it's specific class as all other examples given are classes and not specific drugs. Bupropion is an NDRI (norepinephrine and dopamine reuptake inhibitor)

certain antidepressant medications compared to others...

each antidepressant medication works relatively equally to improve...

expand on these unique properties?

pain, reward, and addictive

which

pluralize

National Library of Medicine

this last part sounds odd- nurses must report diversion if it affects humane nursing treatment is how I read it. Nurses must report it because it is illegal/unethical and as such affects humane nursing treatment.

specialized

If used for these reasons wouldn't it be false imprisonment? Giving these examples make it seem to the student that we put patients in seclusion because it is easier for the nurse versus being used "only for the management of violent or self-destructive behavior.'. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3298214/#:~:text=Seclusion%20is%20the%20involuntary%20confinement,violent%20or%20self%2Ddestructive%20behavior.

Elaborate on this. Give example that medications such as benzos or antipsychotics used as standard treatment for x disorder would not be considered a chemical restraint whereas ...

a chemical restraint, or defines chemical restraints as drugs...

PADs

of

delete and- just use a comma here and after "breached that duty.

delete this phrase

where

delete this and just have "the Health Insurance...."

government agencies

social justice or just justice?

rumination card has a spelling error in the definition. For the picture activities, it would be helpful to provide instructions. For the first picture, left check mark, it talks about comparing this photo to the photo before objects were removed but I do not see a before picture. For the bottom picture, when clicking the +, the text has some errors toward the bottom with complete sentences.

link to scale

delete comma

Perhaps link to the Fundies OER evaluation section somewhere in this section.

this is vague

also document provider notification/ orders rec'd.

is this holding meds in their cheek?

perhaps for clarity put psychotherapy before integrative in this paragraph since psychotherapy is part of the integrative therapy definition and has not previously been defined.

client-centered

plan of care.

Delegation should be according to right person, task, etc.

members with implementation of the plan of care

add "as necessary"

The case study is short enough, I think it would be beneficial to just copy/paste here rather than make the student to to a different page to review the case study. Including it here makes it more cohesive, like an unfolding case study.

link back to this document for reference.

Per new guidelines, at risk dx should be risk for...amb... rather than r/t.

I would also say meds, imbalanced nutrition, or poor intake would be applicable here as well.

collection

effective?

This definition should be expanded on. For example... Maslow's Hierarchy of Needs is based on the theory that people are motivated by five categories of needs: physiological, safety, love, esteem, and self-actualization. Lower level (physiological) needs must be met before focusing on higher level needs. https://www.thoughtco.com/maslows-hierarchy-of-needs-4582571

prioritizing specific needs of the patient.

to?

bold and add to glossary

bold and add to glossary

either delete or include "prior to the age of 18 years.

is this worded correctly? If Freud's ideas are not supported by research etc, is it correct to say that his theory does support... or is it more appropriate to say something to the effect of modern research/psychologists do support Freud's theory that ones personality...

either attend family concerns or tend to family concerns.

conducting/ completing. performing is used a lot throughout this chapter.

themself

The way this is worded gives the client power over the examiner. The examiner is responsible for their feelings toward the client. Perhaps reword to "Examining (or assessing) the client sometimes results in the nurse developing subtle and easily overlooked feelings toward the client."

injure **change in glossary as well.

this last part doesn't read right.

Add definitions for some of these terms- students are not going to know what many of these terms mean. I see they're defined in the paragraphs below- perhaps it would be better to move the chart to the bottom of the paragraphs so students will already have exposure to these terms?

definition in glossary should include "acute"

memory?

Don't know if this is applicable here, but in the Fundies text we bolded critical abnormal assessment findings to make them stand out as a need to notify the provider immediately.

performing is the only verb used through these paragraphs. Maybe change it up a little here and there- conducting, completing, etc.

comma

delete comma

Examples of objective data collected... I think adding objective will help distinguish between the two types of data collected.

one of the

should be in caps

should be in caps

may be helpful to link to these documents.

This sounds kind of snarky.

for the nurses safety should the patient become violent.

Nonverbal strategies each are separated by rows. Verbal strategies should match for aesthetics. There is not an example for empathetic inquiry.

Should this be below the table as throughout the rest of text?

delete

progression through the phases...

beliefs, supports, and...

These charts are great!

Illness or injury- think car accident, etc resulting in broken bones. not necessarily an illness but definitely an injury.

often extend... This sentence reads funny to me without often thrown in there.

may be anticipated sounds better here.

imbalance

un or sub?

sub or unconsciously?

unconscious vs subconscious?

if we're starting with their should maintain consistency.

which can cause

Maybe link to some resources on mindfulness meditation and how it is done? Not sure if this infographic can be used but may be more helpful than the photo provided. https://www.garrisoninstitute.org/blog/10-steps-to-mindfulness-meditation/

include actions, series of actions, or thought processes. Or change it to "A coping strategy is..."to make it grammatically correct.

Should this be added to the glossary?

link back to ch 1.

which

too many "ands" here.

Telehealth is missing.

The question at the bottom with "focusing" as an answer has an incomplete sentence in the stem.

paired

recovery?

Challenging (confronting) can be therapeutic- confronting is listed in the therapeutic chart.

avoid what. "You seem upset. Tell me more about that."

both why and what questions cause defensiveness.

although the nurse may nod or use other non-verbal communication... I'm not sure about smiling- best to remain neutral.

If this is changed per recommendations earlier in the chapter remember to change it here.

These activities are great! I noticed that with some the drag and drop works and others it is necessary to click the term then click the empty box.

delete comma, add "that"

deemed

located on a separate floor of the hospital with the purpose of maintaining...

delete

who or that are at risk?

free, low cost, or sliding scale cost based on income

seems like there should be more to this phrase... education, strategies, etc?

Write out what this means.

this sounds funny.

an in-depth

maybe list a few examples such as cords, monitor cables, sharps, etc.

or with

and

delete this and just state ...studies from the United States, Austrailia....

maybe "among nurses" or something else. these two sentences sound pretty similar.

i.e resilience

i.e resilience

Trauma

Perhaps break up this sentence. It looks like it is saying traumatic experiences can overwhelm a communities resources to stimulate the fight, flight or freeze rxn.