This topic contains a solution. Click here to go to the answer

Author Question: A client with a history of violence is admitted to a psychiatric unit. The nurse observes the client ... (Read 421 times)

crazycityslicker

  • Hero Member
  • *****
  • Posts: 537
A client with a history of violence is admitted to a psychiatric unit. The nurse observes the client pacing the halls and speaking to other clients in a menacing way.
 
  The nurse is concerned that the client will become physically violent. The nurse should initially
 
  a. encourage the client to stop pacing and sit down.
  b. increase environmental stimuli by promoting more sensory input
  c. call the client by name using a low, calm tone of voice
  d. refrain from medicating the client

Question 2

When collecting assessment data, the nurse recognizes that a client might be more prone to violent behavior when having a history of which of the following? (Select all that apply.)
 
  a. Psychosis
  b. Childhood abuse
  c. Lack of impulsivity
  d. Mental retardation
  e. Delirium



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

djpooyouma

  • Sr. Member
  • ****
  • Posts: 325
Answer to Question 1

ANS: C
Deescalation tips for mental health emergencies:
 Use a nonthreatening stanceopen, but not vulnerable. Have them take a seat
 Eye contactnot constant, brief to show concern
 Commandsbrief, slow, with simple vocabulary, only as loud as needed, repeat as needed
 Movementnot sudden, announce actions when possible, keep hands where they can be seen
 Attitudecalm, interested, firm, patient, reassuring, respectful, truthful
 Acknowledge legitimacy of feelings, delusions, hallucinations as being real to the client (I understand you are seeing or feeling this, but I am not)
 Remove distractions, upsetting influences
 Keep the client talking/focused on the here and now
 Ignore, rather than argue with, provocative statements
 Allow verbal venting, within reason
 Be sensitive to personal space/comfort zone
 Remove client to a quiet space; remove others from immediate area (avoid the group spectators)
 Give some choices or options, if possible
 Set limits, if necessary
 Limit interaction to just one professional and let that person do the talking
 Avoid rushingslow things down
 Give yourself an out; don't put the client between yourself and the door

Answer to Question 2

ANS: A, B, D, E
A history of violence, childhood abuse, substance abuse, mental retardation, problems with impulse control, and psychosis, particularly when accompanied by command hallucinations, are common contributing factors to violent behavior. Problems with impulse control (not lack of impulsivity) is a common contributing factor to violent behavior.




crazycityslicker

  • Member
  • Posts: 537
Reply 2 on: Jul 8, 2018
:D TYSM


duy1981999

  • Member
  • Posts: 341
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

 

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

Patients who have been on total parenteral nutrition for more than a few days may need to have foods gradually reintroduced to give the digestive tract time to start working again.

Did you know?

According to the American College of Allergy, Asthma & Immunology, more than 50 million Americans have some kind of food allergy. Food allergies affect between 4 and 6% of children, and 4% of adults, according to the CDC. The most common food allergies include shellfish, peanuts, walnuts, fish, eggs, milk, and soy.

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

Did you know?

Signs and symptoms of a drug overdose include losing consciousness, fever or sweating, breathing problems, abnormal pulse, and changes in skin color.

For a complete list of videos, visit our video library