A client being treated for compartment syndrome has been ...

[Pineapplelove6]

A client being treated for compartment syndrome has been hospitalized for 4 days.
 
  He has no history
  of psychiatric disorder but is described by his family as being a difficult person who finds fault
  with others.. From the day of admission he has verbally abused the nurses for their inability to
  provide care that keeps him pain free and comfortable. Nursing interventions that should be
  introduced include (multiple answers may be correct)
  A. providing activities that distract or entertain.
  B. clarifying actions the nurse can take.
  C. providing medication on schedule.
  D. meeting requests only when politely verbalized.
  E. establishing penalties for inappropriate behavior.
  F. encouraging the client to plan with nurse.

Question 2

In which case would the psychiatric forensic nurse assess the alleged perpetrator as competent to
  proceed? The individual
 
  a. believes the FBI has paid assassins to kill him.
  b. hears voices commanding him to kill the president of the United States.
  c. is developmentally disabled with a mental age of 5 years.
  d. is able to understand the legal proceedings and assist in his defense.

[sarahccccc]

Answer to Question 1

A, B, C, F
Rationale: Option A: Helping the client focus on things other than his discomfort can reduce anxiety.
Option B: Clients who externalize discomfort and blame expect relief to come from external sources.
They often have unrealistic beliefs about what a nurse can do. Careful explanation that clarifies can
reduce unrealistic expectations. Option F: When the client takes responsibility for planning with
staff, the client will have a greater investment in outcomes and will usually agree to modify
behaviors in support of having needs met. Option C: Providing medications and treatment according
to a schedule, rather than on an as-needed basis, helps the client establish trust that the staff will
meet his needs sooner rather than later. Option D: The nurse must respond to certain client needs,
whether articulated politely or not. Option E: Establishing penalties would not be an independent
nursing intervention.

Answer to Question 2

D
Competence to proceed is determined by the defendant's thinking in the future, that is, at the time of
trial, and is determined by the defendant's capacity to assist the attorney and understand the legal
proceedings. The other options suggest mental incapacity.

[Pineapplelove6]

Thanks for the timely response, appreciate it

[ricroger]

Gracias!