Psychosis Hesi case study
B. “You must be concerned, but you are safe here.”
B. “Are you hearing voices?”
D. “What do the voices say?”
B. unable to meet basic needs
D. Take away Brian’s cigarettes and lighter
History of violence
A. Detection of substances that may have caused Brian’s delusions and/or hallucinations.
Select all that apply
B. Positive keytones.
D. Increased urine specific gravity.
C. Monitor for agranulocytosis
A. Sensory-perceptual alteration related to withdrawal into self
The purpose and side effects of psychotropic medications
C. Diphenhydramine (Benadryl) IM.
A. Reduce severity of extrapyramidal effects
D. Experiences fewer hallucinations
B. Take Brian’s BP sitting and standing
A. Provides reality orientation
C. Promotes self-acceptance and expression of feelings
D. Content includes the clients’ words, and group process is how the clients communicate
Monitor for early tardive dyskinesia, which can be reversible
C. Thoughts of harm to self or others
D. Obtain a prescription from the health care provider to return medications