This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient who has been seen responding to auditory hallucinations earlier in the morning approaches ... (Read 54 times)

cherise1989

  • Hero Member
  • *****
  • Posts: 555
on: Jul 19, 2018
A patient who has been seen responding to auditory hallucinations earlier in the morning approaches the nurse and shakes his fist, saying, Back off, bitch and then goes into the day room. The nurse follows the patient into the day room.
 
  Which intervention would be best at this time? a. Stay between the patient and the door for easy exit.
  b. Stand out of range of possible assault by the patient.
  c. Position oneself about 28 inches from the patient.
  d. Sit down in a chair near the patient to convey interest.

Question 2

A patient with serious mental illness lives alone in a neighborhood. The patient receives monthly depot medication injections but lately has missed regular clinic appointments, saying, My life is so busy I couldn't find time to come in.
 
  To prevent decompensation and hospitalization, the community mental health nurse should arrange for:
  a. a psychosocial rehabilitation program.
  b. assertive community treatment (ACT).
  c. an appointment with a nurse in private practice.
  d. insurance authorization to change to daily oral medication.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Jordin Calloway

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jul 19, 2018
Answer to Question 1

B
When intervening with an agitated or potentially violent person, it is essential to stay far enough away that you are safe from a punch, kick, or other potential assault. Personal space needs increase when a person feels anxious, angry, or threatened. Standing between the patient and the door could be interpreted as confrontational or could cause the patient to feel trapped, increasing his fear and agitation. Standing within 28 inches places one within the patient's personal space and within range of being struck. Sitting would make it difficult to protect oneself from assault and is inadvisable until further assessment suggests the patient's aggression is abating.

Answer to Question 2

B
The assertive community treatment team could bring the patient's medication to her in her neighborhood. Depot medication is a strategy to reduce noncompliance and is often preferable to daily oral medication. The other distracters do not directly relate to the noncompliance problem.


cherise1989

  • Member
  • Posts: 555
Reply 2 on: Jul 19, 2018
:D TYSM

ricroger

  • Member
  • Posts: 352
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

There can actually be a 25-hour time difference between certain locations in the world. The International Date Line passes between the islands of Samoa and American Samoa. It is not a straight line, but "zig-zags" around various island chains. Therefore, Samoa and nearby islands have one date, while American Samoa and nearby islands are one day behind. Daylight saving time is used in some islands, but not in others—further shifting the hours out of sync with natural time.

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

Did you know?

A recent study has found that following a diet rich in berries may slow down the aging process of the brain. This diet apparently helps to keep dopamine levels much higher than are seen in normal individuals who do not eat berries as a regular part of their diet as they enter their later years.

Did you know?

Human neurons are so small that they require a microscope in order to be seen. However, some neurons can be up to 3 feet long, such as those that extend from the spinal cord to the toes.

Emphysema. (a) Illustration comparing normal lungs and emphysemic lungs. The inserts illustrate how Emphysema. (a) Illustration comparing normal lungs and emphysemic lungs. The inserts illustrate how
Positioning the Patient in the Fowler’s Position Positioning the Patient in the Fowler’s Position
Calipers being used to measure body fat on the triceps of a patient. Calipers being used to measure body fat on the triceps of a patient.
A physical therapist exercising the patient’s leg in a physical therapy department. A physical therapist exercising the patient’s leg in a physical therapy department.
How the Wernicke-Geschwind model works in a person who is responding to a heard question and reading ... How the Wernicke-Geschwind model works in a person who is responding to a heard question and reading ...
Video: The Lac Operon in E. Coli

For a complete list of videos, visit our video library