A female client is placed on one-to-one observation, and as the nurse follows her into the bathroom, she objects strongly, yelling, "I'm sick of being followed around and watched like a small child who can't be trusted."
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A female client is placed on one-to-one observation, and as the nurse follows her into the bathroom, she objects strongly, yelling, "I'm sick of being followed around and watched like a small child who can't be trusted." The best response for the nurse would be:
"I understand you are angry, but I must be able to see you at all times to make sure you are safe."
"Stop yelling at me! I can't change the rules for clients who talk about suicide as you have done."
"Well, you are better; I'll wait outside the bathroom, and you can close the door until you are finished."
"You should stop being angry and uncooperative and focus on happy things." - Answer>>> "I understand you are angry, but I must be able to see you at all times to make sure you are safe."
A client has a diagnosis of bipolar disorder. He is currently in a manic state. He is losing weight and the treatment team has decided on a nursing diagnosis of imbalanced nutrition: less than body requirements. Which of the following would be an appropriate intervention to ensure the client receives adequate nutrition?
Restrain the client at mealtime, so that he must remain at the table and eat his food.
Offer him frequent nutritious "finger foods" that he can eat while walking.
Obtain an order for an anti-anxiety drug to calm him down, so he can sit down and finish a meal.
Reduce his fluid intake, so he is more likely to eat solid foods. - Answer>>> Offer him frequent nutritious "finger foods" that he can eat while walking.
You notice that one of your assigned clients who has been very depressed suddenly seems to have more energy. The client's significant other expresses relief that the client is better and wants to have the client discharged from the hospital. Your best course of action would be to:
Advise the significant other that they must wait until the physician comes.
Notify the physician about this sudden change in energy level and chart it.
Check with the client to see if she wants you to call the physician about discharge.
Ask the client about any suicidal ideation and educate the significant other about suicide. - Answer>>> Notify the physician about this sudden change in energy level and chart it.
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