Author Question: A client with severe anxiety who has been pacing the hall suddenly begins to run, shouting I'm ... (Read 72 times)

stevenposner · **on:** Jul 19, 2018

A client with severe anxiety who has been pacing the hall suddenly begins to run, shouting I'm
going to explode over and over. The nurse who has been walking with him should

a. run after the client and call out for the client to stop running.
b. capture him in a basket hold when he runs back up the hall.
c. ask I'm not sure what you mean. Give me an example..
d. assemble a show of force and state We will help you regain control..

Question 2

The advanced practice nurse is assigned to be case manager for a client with newly diagnosed
bipolar disorder who is participating in a multiple family therapy group led by the nurse.

Discharge
planning for the client included return to independent living with the family, attendance at a day
hospital program, and maintenance medication. The responsibilities appropriate for the nurse to
assume would be (more than one option may be correct)
A. providing medication psychoeducation.
B. providing ongoing assessment of family strengths.
C. coordinating services the client will receive.
D. referring the family to the National Alliance for the Mentally Ill for support.
E. planning family mobilization if relapse occurs.
F. supporting client and family as they deal with loss.

uniquea123 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
Safety needs of the client and other clients are a priority. The client is less likely to hurt himself or
others when several staff take responsibility for providing limits. The explanation given the client
should be simple and neutral. Simply being told that others can provide the control he is losing may
be sufficient to help the client regain control. Option A: Running after the client will increase his
anxiety. Option B: More than one staff member will be needed to provide physical limits if they
become necessary. Option C would be futile; a client in panic processes information poorly.

Answer to Question 2

A, B, C, D, E, F
Rationale: The nurse will be filling roles of case manager as well as family therapist; thus all the
tasks listed in the options would be appropriate for the nurse to undertake.