Author Question: An adult patient assaulted another patient and was then restrained. One hour later, which statement ... (Read 42 times)

naturalchemist · **on:** Jul 19, 2018

An adult patient assaulted another patient and was then restrained. One hour later, which statement by the restrained patient requires the nurse's immediate attention?

a. I hate all of you
b. My fingers are tingly.
c. You wait until I tell my lawyer.
d. The other patient started the fight.

Question 2

An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refused to leave the dayroom. The nurse should enter the day room:

a. and say, Would you like to come to your room and take some medication your health care provider prescribed for you?
b. accompanied by 3 staff members and say, Please come to your room so I can give you some medication that will help you regain control.
c. and place the patient in a basket-hold and then say, I am going to take you to your room to give you an injection of medication to calm you.
d. accompanied by a male security guard and tell the patient, Come to your room willingly so I can give you this medication, or the guard and I will take you there.

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

Answer to Question 1

ANS: B
The correct response indicates impaired circulation and necessitates the nurse's immediate attention. The incorrect responses indicate the patient has continued aggressiveness and agitation.

Answer to Question 2

ANS: B
A patient gains feelings of security if he or she sees others are present to help with control. The nurse gives a simple direction, honestly states what is going to happen, and reassures the patient that the intervention will be helpful. This positive approach assumes the patient can act responsibly and will maintain control. Physical control measures are used only as a last resort.