A patient with a longstanding diagnosis of schizophrenia has been ...

[yoroshambo]

A patient with a longstanding diagnosis of schizophrenia has been admitted to a psychiatric-mental health facility. The patient's symptoms have escalated and he is angry, defensive, and paranoid. Which of the following is the nurse's highest priority?
 
  A) Ensuring client and personal safety
  B) Determining the source of the client's anger and paranoia
  C) Ensuring the client that medication will correct his problems
  D) Determining the client's willingness to be admitted

Question 2

A homeless man who is addicted to drugs and alcohol has been brought to the emergency department by ambulance. Which of the following settings would be best for an individual in need of detoxification from drugs and alcohol?
 
  A) Long-term hospitalization
  B) Acute care hospital
  C) Partial hospitalization program
  D) Outpatient care

[matt]

Answer to Question 1

Ans: A
Feedback:
When clients are admitted to inpatient psychiatric settings, nurses often are the first health care providers whom they meet. Clients may be frightened, angry, defensive, paranoid, anxious, or despondent. Giving reminders to clients that they are safe is a nursing priority. Another priority is ensuring the safety of other clients and staff.

Answer to Question 2

Ans: B
Feedback:
Acute care hospitals provide a highly structured setting (the milieu) that optimizes safety. Clients experiencing suicidal or homicidal ideation, acute psychoses, confusion, or disorientation, and those in need of acute detoxification are all candidates for acute care admission.

[yoroshambo]

TYSM

[bblaney]

Excellent