Author Question: A newly admitted acutely psychotic client is a private client of the chief of staff and a ... (Read 31 times)

ashley · **on:** Jul 19, 2018

A newly admitted acutely psychotic client is a private client of the chief of staff and a private-pay
client. To whom does the psychiatric nurse caring for the client owe the duty of care?

a. Physician
b. Hospital
c. Client
d. Profession

Question 2

When a client displaying acute mania is admitted to a psychiatric unit, what initial nursing
intervention should be planned?

a. Allowing the client to act out feelings because a safe environment can be
provided
b. Providing verbal instructions to the client to try to remain calm
c. Being accessible to set limits on client behavior as necessary
d. Restraining the client to reduce hyperactivity and aggression

izzat · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
Although the nurse is accountable to the physician, the agency, the client, and the profession, the
duty of care is owed to the client.

Answer to Question 2

C
This intervention provides support through the nurse's presence and provides structure as necessary
while the client's control is tenuous. Option A: Acting out may lead to loss of behavioral control.
Option B: Client will probably be unable to focus on instruction and comply. Option D: Restraint is
used only after other interventions have proved ineffective.