Author Question: A 24-year-old woman comes to the emergency department, stating I feel restless. Everything I look ... (Read 37 times)

mwit1967 · **on:** Jul 19, 2018

A 24-year-old woman comes to the emergency department, stating I feel restless. Everything I look
at wavers. Sometimes I am outside my body looking at myself. I can hear colors. I think I am losing
my mind..

Vital signs are slightly elevated. The nurse should suspect
a. a schizophrenic episode.
b. cocaine overdose.
c. PCP intoxication.
d. LSD ingestion.

Question 2

A child of 11 years, diagnosed with oppositional defiant disorder, becomes angry and defiant over
the rules of the day treatment program. The nurse at whom the child is shouting might defuse the
situation by

a. suggesting that B go to the gym and shoot baskets.
b. placing B in a basket hold.
c. calling staff to seclude B.
d. providing as-needed anxiolytic medication.

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

Answer to Question 1

D
The client who is high on lysergic acid diethylamide (LSD) often experiences synesthesia (visions in
sound), depersonalization, and concerns about going crazy.. Option A: Synesthesia is not common
in schizophrenia. Option B: CNS stimulant overdose more commonly involves elevated vital signs
and assaultive, grandiose behaviors. Option C: Phencyclidine (PCP) use commonly causes bizarre or
violent behavior, nystagmus, elevated vital signs, and repetitive jerking movements.

Answer to Question 2

A
Redirecting the expression of feelings into nondestructive, age-appropriate behaviors such as a
physical activity helps the child learn how to modulate the expression of feelings and exert
self-control. This is the least restrictive alternative of those listed and should be tried before
resorting to more restrictive measures.