Which patient meets the criteria for psychiatric homebound care? ...

[joesmith1212]

Which patient meets the criteria for psychiatric homebound care? (Select all that apply.)
 
  a. A 68-year-old whose moderate Alzheimer disease (AD) symptoms are progressing
  b. A 19-year-old who refuses to leave his room because of paranoid delusions
  c. A 45-year-old who is so persistently depressed she rarely gets out of bed
  d. A 50-year-old alcoholic who has developed cirrhosis of the liver
  e. A 35-year-old who washes his hands 25 to 35 times a day

Question 2

Which nursing intervention would be most therapeutic for a newly admitted patient diagnosed with obsessive-compulsive disorder (OCD) who is busily cleaning and straightening a bedroom?
 
  a. I've inspected the room, and it's very clean..
  b. Tell me why your clothes and room need to be cleaned..
  c. You will not be allowed in your room if you cannot control your cleaning behaviors..
  d. I can see how uncomfortable you are, but I would like you to take a short walk so I can show you the unit..

[annierak]

Answer to Question 1

A, B, E
Psychiatric homebound status criteria is met by individuals who are confused and/or disoriented, immobilized by depression, and experiencing paranoid delusions that interfere with safety. The other options depict individuals who are not necessarily made homebound by their symptomatology.

Answer to Question 2

D
This remark acknowledges the patient's feelings but addresses the newly admitted patient's need to know important areas of the unit.