Author Question: A client diagnosed with paranoid schizophrenia has a history of aggravated assault. A nurse assigns ... (Read 93 times)

newyorker26 · **on:** Jul 19, 2018

A client diagnosed with paranoid schizophrenia has a history of aggravated assault. A nurse assigns Risk for other-directed violence as the client's priority nursing diagnosis.

Based on this diagnosis, which would be an appropriate, correctly written outcome for this client? A. The client will not verbalize anger or hit anyone.B. The client will verbalize anger rather than hit others.C. The client will not inflict harm on others during this shift.D. The client will be restrained if verbal or physical abuse is observed during this shift.

Question 2

For select clients, physical restraint is considered to be a beneficial intervention. This is based on which premise?

A. Clients with poor boundaries do not respond to verbal redirection, and they need firm and consistent limit setting.B. Clients with limited internal control over their behavior need external controls to prevent harm to themselves and others.C. Clients with antisocial tendencies need to submit to authority.D. Clients with behavioral dysfunction need behavioral interventions.

stano32 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Preventing injury to others is the appropriate outcome. Outcomes must be client centered, specific, realistic, and measureable and contain a time frame. Answer A does not contain a time frame.

Answer to Question 2

B
Restraints are used for clients who are unable to control their behavior in order to prevent harming themselves or others.