Author Question: A client admitted on an involuntary basis is being treated for an acute exacerbation of paranoid ... (Read 46 times)

misspop · **on:** Jul 19, 2018

A client admitted on an involuntary basis is being treated for an acute exacerbation of paranoid schizophrenia. He refuses his morning dose of fluphenazine (Prolixin). The most appropriate ini-tial nursing response would be:

1. If you do not take your medication, you will be placed in seclusion.
2. Involuntarily committed clients cannot refuse medications.
3. Let's discuss why you do not want to take your medication.
4. If you do not take your medication, I must give you an injection.

Question 2

A hospitalized client who has schizoaffective disorder is being treated with lithium carbonate. He repeatedly states he is a prisoner and is being poisoned by the pills the staff is giving him. He states his tremors are proof of the poisoning.

The nurse analyzes this data as an indication that the client:
1. Is manipulative
2. Needs information about his medication's side effects
3. Is experiencing symptoms of withdrawal
4. Needs an increase in medication dose because of continuing delusions

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

Answer to Question 1

ANS: 3
Option 2: Clients, whether admitted voluntarily or involuntarily committed, have the right to re-fuse medication. The priority nursing action is to learn the client's reason for refusing. Options 1 and 4: Threats are never appropriate.

Answer to Question 2

ANS: 2
Interpreting client communication helps to determine the need for teaching about medication side effects and prevent client refusal of medication.