Chapter 5 care of specific populations

 Planning care for a pt who has antisocial personality disorder

o Antisocial personality disorder, borderline, histrionic, and narcissistic are

part of cluster B

o 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

o Nurse needs to set limits with clients who have maladaptive behavior

o 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

o Refer those who have underlying mental health disorders to therapy and

counseling

o Enhance parenting skills that can prevent young people from feeling the need

to run away

o Alleviate the existing homeless by making referrals for financial assistance,

food supplements, and health services

o Assist homeless clients in locating temporary shelte, and finding ways to

meet long-term shelter

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

government officials to develop shelter programs

o 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

o Make referrals for employee assistance and educational programs to allow

clients who are homeless to eliminate the factors contributing to their

homelessness

o Families with children are the fasting-growing segment of the homeless

population

 Identifying risk factors for child abuse

o Unexplained injury

o Unusual fear of the nurse and others

o Injuries or wound not mentioned in history

o Fractures, including older healed fractures

o Presence of injuries in various stages of healing

o Subdural hematomas, trauma to genitalia

o Malnourishment or dehydration

o General poor hygiene or inappropriate dress for weather conditions