Author Question: A client being admitted to the inpatient unit suddenly removes a knife from his coat pocket and ... (Read 26 times)

Awilson837 · **on:** Jul 19, 2018

A client being admitted to the inpatient unit suddenly removes a knife from his coat pocket and
threatens to kill himself or anyone who tries to take him into a room.

A psychiatric emergency code
is called and the client is safely disarmed and placed in seclusion. The rationale for use of seclusion
was that the client
a. clearly evidenced a thought disorder, rendering him incapable of rational
decision.
b. presented a clear and present danger to self and others.
c. presented a clear escape risk.
d. was psychotic.

Question 2

Several children are seen in the emergency department for treatment of illnesses and injuries daily.
The situation that would create a high index of suspicion of child abuse is a child

a. who has repeated middle ear infections.
b. who has severe colic.
c. who has bite marks.
d. who has croup.

tennis14576 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
The client's threat to kill himself or others with the knife he possessed constituted a clear and
present danger to self and others. The other three options are not considered sufficient reasons for
seclusion.

Answer to Question 2

C
Injuries such as immersion or cigarette burns, facial fractures, whiplash, bite marks, traumatic
injuries, bruises, and fractures in various stages of healing suggest the possibility of abuse. In older
children, vague complaints such as back pain may also be suspicious. Ear infections, colic, and
croup are not problems that have been induced by violence.