A nurse prepares to administer a scheduled injection of ...

[jlmhmf]

A nurse prepares to administer a scheduled injection of haloperidol decanoate (Haldol depot) to an outpatient with schizophrenia. As the nurse swabs the site, the patient shouts, Stop I don't want to take that medicine anymore. I hate the side effects.
 
  Select the nurse's best action.
 
  a. Assemble other staff for a show of force and proceed with the injection, using restraint if necessary.
  b. Stop the medication administration procedure and say to the patient, Tell me more about the side effects you've been having.
  c. Proceed with the injection but explain to the patient that there are medications that will help reduce the unpleasant side effects.
  d. Say to the patient, Since I've already drawn the medication in the syringe, I'm required to give it, but let's talk to the doctor about delaying next month's dose.

Question 2

Which patient meets criteria for involuntary hospitalization for psychiatric treatment? The patient who:
 
  a. is noncompliant with the treatment regimen.
  b. fraudulently files for bankruptcy.
  c. sold and distributed illegal drugs.
  d. threatens to harm self and others.

[courtney_bruh]

Answer to Question 1

ANS: B
Patients with mental illness retain their civil rights unless there is clear, cogent, and convincing evidence of dangerousness. The patient in this situation presents no evidence of dangerousness. The nurse, as an advocate and educator, should seek more information about the patient's decision and not force the medication.

Answer to Question 2

ANS: D
Involuntary hospitalization protects patients who are dangerous to themselves or others and cannot care for their own basic needs. Involuntary commitment also protects other individuals in society. The behaviors described in the other options are not sufficient to require involuntary hospitalization.

[jlmhmf]

Excellent

[Dnite]

TYSM