Author Question: During a manic episode a newly admitted client who is displaying hyperactive, restless, and ... (Read 54 times)

mydiamond · **on:** Jul 19, 2018

During a manic episode a newly admitted client who is displaying hyperactive, restless, and
disorganized behavior goes into the dining room and begins to throw food and dishes. Verbal
intervention is ineffective.

The client's behavior is determined to pose a substantial risk of harm to
others. Seclusion is instituted for the primary purpose of
a. maintaining a safe milieu for other clients.
b. reducing environmental stimuli that negatively affect the client.
c. reinforcing limit setting, enabling the client to learn to follow unit rules.
d. protecting the client's biological integrity until medication can take effect.

Question 2

A client with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy
flexibility. The client's needs of priority importance are

a. physical.
b. psychosocial.
c. safety and security.
d. self-actualization.

cupcake16 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Seclusion is used when less restrictive measures have failed to help the client maintain control. One
of its benefits is to reduce overwhelming environmental stimuli affecting an extremely distractible
individual.

Answer to Question 2

A
Physical needs must be met to preserve life. A client who is semistuporous must be fed by hand or
tube, toileted, given range-of-motion exercises, and so forth to preserve physiological integrity.
Safety needs rank second to physical needs. Higher level needs are of lesser concern.