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Home Q & A Board Biology-Related Homework Help Medicine
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tyannaaaa tyannaaaa
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6 years ago
A patient admitted to a psychiatric facility is hallucinating, pacing, and acting highly suspicious. Based on this information, the nurse will take which action(s)? (Select all that apply.)
 
  a. Use the most restrictive restraints available to subdue the patient.
  b. Be open and direct when handling the patient.
  c. Encourage a variety of interactions with others.
  d. Provide high-protein, high-calorie foods.
  e. Reinforce hallucinations.
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#1
6 years ago
ANS: B, D
Nursing interventions for patients with psychosis must be individualized and based on patient assessment data. The nurse should be open and direct when handling patients who are highly suspicious. High-protein, high-calorie foods are appropriate for the individual to eat while pacing or highly active. If physical restraints are necessary, they should be the least restrictive possible for the circumstances. Interactions should be minimized when perceptions are altered. Hallucinations should not be reinforced.
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