In what significant way should the therapeutic environment differ ...

[eruditmonkey@yahoo.com]

In what significant way should the therapeutic environment differ for a client who has ingested LSD
  from that of a client who has ingested PCP?
 
  a. For LSD ingestion, have one person stay with the client and provide verbal
  support. For PCP ingestion, maintain a regimen of limited contact with one staff
  member accompanied by two or more staff.
  b. For PCP ingestion, place client on one-on-one intensive supervision. For LSD
  ingestion, maintain a regimen of limited interaction and minimal verbal
  stimulation.
  c. For LSD ingestion, provide continual midlevel stimulation involving as many
  senses as possible. For PCP ingestion, provide continual high-level stimulation.
  d. For LSD ingestion, place the client in restraints. For PCP ingestion, place the
  client on seizure precautions.

Question 2

If an elderly client must be physically restrained, who is responsible for the safety of the client
  during the duration of restraint use? The
 
  a. physician who ordered the application of restraint.
  b. nurse assigned to care for the client.
  c. nursing assistant who applies the restraint.
  d. family member who agrees to the application of the restraint.

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Answer to Question 1

A
Clients who have ingested LSD respond well to being talked down by a supportive person. Clients
who have ingested PCP are very stimulation sensitive and display frequent, unpredictable, violent
behavior. While one person should perform care and talk gently to the client, no one should be alone
in the room with the client. Take adequate staff to manage violent behavior if it occurs.

Answer to Question 2

B
Although restraint is ordered by a physician, the restraint is a measure carried out by nursing staff.
The nurse assigned to care for the client is ultimately responsible for safe application of restraining
devices and for providing safe care while the client is restrained. Nurses may delegate the
application of restraining devices and the care of the client in restraint but, as delegators, remain
responsible for outcomes. Option D: Even when family agree to restraint, nurses are responsible for
providing safe outcomes.

[eruditmonkey@yahoo.com]

Excellent

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Gracias!