A nurse is providing psychiatric home care to a mentally ...

[cherise1989]

A nurse is providing psychiatric home care to a mentally disordered client. What personal safety measures should the home care nurse consider?
 
  A) Use leather restraints during treatment.
  B) Carry cell phone and travel in pairs.
  C) Lock such clients in their rooms.
  D) Make use of doors with locks.

Question 2

A nurse is caring for a 25-year-old client admitted to the mental healthcare unit with a severe mental disorder. Which of the following measures should the nurse consider first whenever a client is admitted to the mental healthcare unit?
 
  A) Consider the possibility of withdrawal from alcohol or drugs.
  B) Document any unusual occurrences, such as injuries or altercations.
  C) Check for overuse of defense mechanisms in the client.
  D) Observe if the person has unprovoked bursts of temper.

[diesoon]

Answer to Question 1

B
Feedback:
The nurse making home visits, particularly to mentally disordered clients, should carry a cell phone and travel with another nurse. The nurse working in home care must be alert to his or her own personal safety. Use of leather restraints and locking clients in their rooms is done as a last resort after all measures have been attempted. Clients who are brought to the hospital from a jail or prison are kept behind locked doors.

Answer to Question 2

A
Feedback:
Whenever a client is admitted to a mental healthcare unit, the nurse should consider the possibility of withdrawal from alcohol or drugs. The use of these substances is very common in this population, and withdrawal can be life threatening. People with no previous psychosis may experience psychiatric symptoms during withdrawal from alcohol or drugs. Documenting any unusual occurrences, such as injuries or altercations, checking for overuse of defense mechanisms in the client, and observing if the person has unprovoked bursts of temper are not the first thing to consider when the client is admitted to a mental healthcare unit.

[cherise1989]

Excellent

[bblaney]

TYSM