A client diagnosed with major NCD is exhibiting behavioral ...

[codyclark]

A client diagnosed with major NCD is exhibiting behavioral problems on a daily basis. At change of shift, the client's behavior escalates from pacing to screaming and flailing. Which action should be a nursing priority?
 
  1. Consult the psychologist regarding behavior-modification techniques.
  2. Medicate the client with prn antianxiety medications.
  3. Assess environmental triggers and potential unmet needs.
  4. Anticipate the behavior and restrain when pacing begins.

Question 2

A male client with a diagnosis of schizophrenia refuses to take his medication because of his paranoia that the medication may be poisoned. Frequent inpatient readmissions to the facility occur as a result.
 
  Which term is given to repeated inpatient admissions? a. Milieu
  b. Chronicity
  c. Noncompliance
  d. Recidivism

[vickybb89]

Answer to Question 1

2
Rationale: The priority nursing action is to first medicate the client to avoid injury to self or others. It is important to assess environmental triggers and potential unmet needs in order to address these problems in the future, but interventions to ensure safety must take priority. Because of the cognitive decline experienced in clients diagnosed with this disorder, communication skills and orientation may limit assessment and teaching interventions.

Answer to Question 2

D
Recidivism often occurs as a result of noncompliance with prescribed therapy, as in the case of this client who is not taking his medications. Adequate community resources help to prevent recidivism. Milieu refers to the mental health care environment; chronicity refers to a long duration, such as occurs with a chronic illness such as schizophrenia; and noncompliance describes a situation in which the client does not follow the prescribed plan of care, often resulting in recidivism.