A client was admitted after police brought him to the hospital after a fight with his roommate at a
community residence.
The client tells the nurse that he had been suspicious for several days, then
noted his roommate was casting a spell on him by looking at him intently, so he hit the roommate
with his fists. The client admits he stopped taking his antipsychotic medication a week ago when the
prescription needed to be refilled. Which outcome should the nurse working in a managed
behavioral health inpatient unit select for this client?
a. Symptoms will be stabilized with medication within 48 hours.
b. A trusting relationship with the nurse will be developed within 5 days.
c. A high level of ease with other clients will be reported within 1 week.
d. The client will agree to placement in a new residence within 3 weeks.
Question 2
For the nurse managing the therapeutic milieu, the most heavily weighted factor in determining
whether a client should receive a prn dose of neuroleptic medication is whether
a. the client is willing to accept the medication.
b. less-restrictive alternatives have been tried without success.
c. the client's behavior indicates possible danger to self, others, or the environment.
d. administration of the medication will make the work of the staff easier or safer.
The nurse cares for the postop client in the postanesthesia care unit (PACU).
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Testing the Achilles tendon reflex with client in a sitting position