AGGRESSIVE PATIENT
This hospital code is used for violent or aggressive behavior.
CODE WHITE
Patients have the right to contact this person for legal support.
Right's advisor
A patient believes the TV is sending them secret messages. This is an example of this type of delusion.
Delusion of Reference
3 Types of restraints
1.Mechanical
2. Chemical
3. Environmental
This mood state includes elevated energy, decreased need for sleep, and impulsive behaviour.
Mania
What are early signs of aggression
Raised voice, pacing, and clenched fists are examples of this.
True or False: Patients have the right to refuse treatment unless they are incapable and a substitute decision-maker consents.
True
This type of symptom includes hallucinations and delusions.
Positive symptoms
After restraints are applied, nurses must check this at least every 15 minutes or per policy.
Circulation and skin integrity
This classic mood stabilizer requires regular blood level monitoring.
Lithium
A nurse is caring for a client who is speaking in a loud voice with clenched fists. Which of the following actions should the nurse take?
Request that other staff members remain close by to assist if necessary.
This form allows a physician to hold a patient for assessment.
Form 1
This atypical antipsychotic requires regular blood monitoring due to risk of agranulocytosis.
Clozapine
Before applying restraints, nurses must attempt these first.
Verbal deescalation and least restrictive interventions
This anticonvulsant is commonly used for acute mania.
Valproic acid/Divalproex
A nurse is administering an oral sedative to a client who is receiving care following an involuntary admission. The client states, "I'm not taking any more medication." Which of the following actions should the nurse take?
a. Administer medication by another route
b. Refer the client's refusal to the facility ethics committee
c. Inform the client that, due to her involuntary admission, she cannot refuse the sedative
d. Document the client's refusal of the medication in the medical record
A client has the legal right to refuse medication. The nurse can only educate the patient as fully as possible about the benefits of treatment recommendations and the risks of no treatment.
This form is used when a patient on involuntary admission elopes from the Hospital.
Form 9
This EPS is characterized by inner restlessness and inability to sit still.
Akathisia
Nurses must document these specific detail about the restraints.
1. Type of restraints
2. Behavior caused for restraint application
3. Time of application
4. Routine assessments in worklist until behavior settles and restraints are removed.
Early signs of lithium toxicity
Tremors, nausea and confusion
A nurse is caring for a client in an inpatient mental health facility who gets up from a chair and throws it across the day room as patients watch. Which of the following is the priority nursing action?
a. Encourage the client to express feelings out loud
b. Maintain eye contact with the client
c. Move the client away from others
d. Tell the client that the behavior is not acceptable
The behavior indicates that the client is at greatest risk for harming others. The priority action for the nurse is to move the client away from others.
This Form is signed by the Justice of Peace.
Form 2
This potentially irreversible EPS causes repetitive, involuntary facial movements.
Tardive dyskinesia
Why 1;1 observation required for patient when put on 4/5 point restraints
. For monitoring behavior
. For safety reason
This communication style helps reduce overstimulation.
Calm
simple
Direct communication