A client who self-mutilates is confined in the forensic psychiatric facility. The client has lately become very secretive about acts of cutting and hides them from nurses and other staff.
The nurse accidentally finds out that more cutting is occurring and brings the escalation of the client's behaviors for consideration to the interdisciplinary team. Another team member makes this remark about the client, I say we restrict her privileges, we taught her all sorts of alternatives to stop the behaviors and it has not worked.. What should the nurse reply? A) We can restrict her privileges and increase our teaching about non-harmful coping strategies..
B) Right, everything we have tried has not worked and our primary goal must be to keep her from injuring
herself..
C) We should do more than restrict her privileges; we should put her on one-to-one because she might
accidentally kill herself..
D) The answer is not punishment; we must get her to trust us again, reduce her shame, and find ways to
make her feel more self-confident..
Question 2
A client states that his mother controls everything in his life, even the things he says, the things he thinks, the things he eats, and how much he sleeps. The nurse notices that the client is talking faster and is beginning to tremble.
What responses should the nurse make? Select all that apply. A) That must be frightening for you. I want you to take a deep breath and try to relax right now..
B) Let's talk about that later. Let's walk down the hall and I'll show you the day room..
C) If these thoughts keep troubling you, it's okay to come and tell someone..
D) Do you think it's possible for other people to put thoughts in your head?
E) Can you tell me more about your relationship with your mother?
Sample client goals from the Wellness Massage Pyramid.
Client files are kept in alphabetical order in locked file cabinets.
Positioning the client
Testing client’s ability to identify sharp sensations
Approaching the client for the ophthalmoscopic exam
Positioning of client