Meet the Client: Bob Tyler Bob Tyler, a 40-year-old male, is brought to the emergency department by the police after being violent with his father. Bob has multiple past hospitalizations and treatment for schizophrenia. Bob believes that the healthcare providers are FBI agents and his apartment is a site for slave trading. He believes that the FBI has cameras in his apartment to monitor his moves and broadcast them on TV. Initial Assessment The nurse asks Mr. Tyler what he would like to be called. He replies, "You've seen me on TV. My name is Bob!" The nurse assesses that Bob's behavior is guarded and suspicious. 1. Based on this assessment, what is the most important nursing intervention? A) Establish rapport and trust. CORRECT The …show more content…
9. Which client behavior validates the need for involuntary hospitalization? C) Violence towards father. CORRECT Risk for violence towards self or others are criteria for involuntary hospitalization. Guarded and suspicious behaviors do not justify involuntary hospitalization. After 96 hours of involuntary commitment, a client must be asked to sign consent for hospitalization. 10. If a client who has voluntarily chosen to be hospitalized should want to leave the hospital, which assessment would be most important in deciding to release the client against medical advice (AMA)? D) Potential danger to self or others. CORRECT Potential for harm to self and others is the most important assessment in deciding to release the client AMA. Adverse Effects Bob is admitted to the mental health unit for 96 hours. The nurse reviews the routine admission lab and medication prescriptions, and notes that the client will resume the fluphenazine decanoate (Prolixin). The benztropine (Cogentin) has not been prescribed. 11. Which nursing action is best? A) Obtain a prescription to begin the Cogentin. CORRECT The nurse should request a prescription for Cogentin, which will help prevent the extrapyramidal side effects of the Prolixin, with the exception of tardive dyskinesia. There is a risk of decreased efficiency of Prolixin when the client is also taking Cogentin. 12. Which side effects would the nurse most likely observe with fluphenazine
D-This writer agreed to meet with the patient as he was placed hold to attend group. Reported stability on his current dose and denies the need for a dose increase when offered by this writer. This writer reviewed the patient's record and learned that he obtained his 3rd take home bottle on 01/04/2017. The patient is aware that he in order for him to obtained the 4th take home bottle, he must attend the take home bottle group. Addressing his medication, this writer noticed that the patient has not refilled the following medications:
19. According to the utilitarians, the beneficial consequences of maintaining patient confidentiality include the following:
no further medication changes. K.N. is instructed to fi nish the remaining 2 days of
1. Client will be safe and free from injury and drug abuse for the next 24 hours.
There are 20 beds in the inpatient behavioral health unit, at Silver Cross Hospital. Unfortunately, questions such as, how many patients visit the unit within a year. The unit is hospital is currently under review. Due to this, the program director was unavailable to answer certain questions. Patients can stay on the unit from anywhere between 3 to 7 days. Patients have remained on the unit longer than the 7-day period. This occurs when a patient isn’t in compliance with their treatment and is refusing to take their medication. At this point, a medical petition is placed and their
The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.
The court must listen to the evidence received by two doctors and their evidence must satisfy the court that the offender is suffering from a mental illness as described under the definition above and that their detention is appropriate for medical treatment to take place. They must also assert the court that appropriate medical treatment is available for the offender and when considering to imposing the above order the courts must also take into consideration the offenders history and character; any other relevant circumstances and any other alternative methods that could be imposed. All other avenues must also be explored before the court makes its final decision. the evidence given by the doctors must ascertain the court that hospitalisation is the most beneficial course of action to take in this offenders case (MHLO, 2010)
When a patient needs to have a medical procedure performed, they must first consent to the procedure. Before accepting or rejecting the treatment, the practitioner is required to give the patient information pertaining to the risks and benefits of the procedure, as well as available alternatives. Additionally, the patient must be mentally competent enough to make an informed decision, and not be manipulated or coerced into a decision.
No medical condition was reported upon admitting to the Intensive Outpatient treatment. Client completed one Individual Service Plan in this dimension, which was on obtaining a mental healthy evaluation and a complete physical exam. Client completed his physical exam.
Patient informed consent refers to the situation where the patient is fully informed on the consequences of their health care decision after which the patient gives the decision. For there to be informed consent, there are five elements that must be discussed. The first is the nature of the patient's decision then the applicable alternatives to the proposed intervention. Third are the risks, benefits and uncertainties associated with each of the alternatives. Fourth is the assessment of the patient's understanding and last is the acceptance of the intervention or an alternative by the patient. Before the patient's consent is considered to be valid, the patient's competency to make the decision must be addressed. The criteria for evaluating the patient's competency is clearly stated in section 3 of the 2005 Mental Capacity Act which states that provided the person is able to understand, retain and use information provided and to communicate their decision in any way such as talking or sign language, they are competent to make a decision. If a patient is treated against their refusal to consent, it amounts to the tort of battery or can also be considered the crime of assault. In addition to this, laws that touch on human rights reinforce the importance of the protection of the physical integrity of the individual in terms of their right to respect of their private life. Therefore, refusal of medical treatment is a human right.
The patient also must be competent. If a patient is in shock or has mental health issues they are likely not competent. If all the of the steps are followed, then the patient can make a declaration of choice and informed consent was used.
The symptoms of schizophrenia vary, however, they have been categorized as positive, negative, and cognitive symptoms. Positive symptoms may include hallucinations, delusions, and / or thought disorder. Hallucinations normally give a false perception of touch, smell, taste, and / or visit, those with this particular mental disorder often experience auditory hallucinations. Delusions are also a sign of schizophrenia. Open quotations delusions are beliefs that are not part of the person's culture and do not change. Quotation parentheses u.s. Department, print the seas, 2010. These may cause a person that has this disorder, to think or feel as if they are victims in imagine conspiracy. It is also shown that they believe they are being controlled
Throughout psychology today there are six different theoretical models that seek to explain and treat abnormal functioning or behavior. These different models have been a result of different ideas and beliefs over the course of history. As psychology began to grow so did the improvements in research techniques. As a result psychologists are able to explain a variety of disorders in terms of the six different theoretical models. In the movie A Beautiful Mind it follows the mathematician John Nash as he struggles with schizophrenia. It an attempt to explain John Nash’s disorder the six different theoretical models will be looked at, they include biological model, psychodynamic model, behavioral model, cognitive model, humanistic model,
I chose to write my research paper over Schizophrenia. It is a psychological disorder that I have always found fascinating. It is a serious disorder that consumes a person's life and is nearly impossible to control. In this paper, I will talk about the definition of Schizophrenia, the diagnosis of Schizophrenia, Schizophrenia in children, suicide, sexually related characteristics of the disease, sleep disorders caused by the disease, differences in the disease on different ethnicities, and insensitivity to pain.
The patient M. is a 26 year old married female who was brought to the ER by her husband after increased anxiety and depression worsened after a “spiritual attack” that lasted for over four days. While in the ER the patient admitted to hearing multiple distant male and female voices all around her head and outside of her head. She states not being able to make out the message but interprets them to be negative in nature. She told the ER Doc she felt people were trying to harm her and that “people in her life have used things against her.” She felt her extended family may have used witchcraft and “chakra dolls” to cast spells on her. She is cognizant of the strangeness of her claims but believes them to be real