Page 2221 - Saunders Comprehensive Review For NCLEX-RN

Introduction

Pyramid to Success

The Pyramid to Success focuses on the therapeutic nurse–client relationship, client
rights, the ethical and legal issues related to the care of a client with a mental health
problem, and grief and loss. Pyramid Points also focus on the use of restraints
(security devices), seclusion, and electroconvulsive therapy. Care for a client with an
addiction, such as an eating disorder, substance abuse disorder, or gambling
disorder, is another focus area. Additional areas of focus include anxiety, depression,
suicide, abuse and neglect, violence, rape crisis interventions, post-traumatic stress
disorders, obsessive-compulsive disorders, schizophrenia, and bipolar disorders.
Pyramid Points also address the use of medications prescribed for a client with a
mental health problem.

Client Needs: Learning Objectives

Safe and Effective Care Environment

Ensuring client advocacy
Ensuring that informed consent related to treatments, such as restraints
(security devices), seclusion, and electroconvulsive therapy, has been
obtained
Implementing legal responsibilities related to reporting incidences of abuse,
neglect, or violence
Maintaining confidentiality
Providing psychiatric consultations and other interprofessional referrals
Providing safety to the client and others
Upholding client rights
Using restraints (security devices) and seclusion appropriately and safely

Health Promotion and Maintenance

Identifying community resources for the client
Identifying individual lifestyle choices
Performing psychosocial assessment techniques
Providing health promotion programs related to addictions

Psychosocial Integrity

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