Question

Community and Home Care Nursing Crisis Intervention The client is a 20-year-old student who lives in the university dormitory. He tends to be a loner who does not make friends readily, even though he is frequently seen on campus and around the dormitory. On Wednesday, the hall monitor tells the residential advisor that he has not seen the client for a couple of days. The residential advisor knocks on the client's door several times but does not get a response. The door is locked. Campus security is notified. When the security guard arrives, the residential advisor asks all of the students in the area to return to their rooms. The security guard unlocks the door and enters the room. They find the client sitting on the floor in the corner of the room. He is dirty and the room is a mess. There is a strong smell of urine. When the security guard speaks to the client, he quietly tells the guard to leave or he will be sorry. The client looks away and refuses to answer any of the guard's questions. The university nurse is summoned to the room.

Answer 1

2.Possible reasons for the clients reaction are :-

- Anxiety

- Fear of being isolated

3. Data needed to support the previously mentioned possibilities are :-

- The student tends to be a loner

- The student did not make friends readily

4. The interventions to be done in this case are:

- Counseling

- Expression of the feeling

- Provision of emotional support

- Provision of psychological support

- Guided imagery to deviate attention

- Relief of stress

- Anxiety relieving measures

5. Prioritizing the interventions :-

1- Encourage the client to express the feelings

2- Provide emotional and psychological support

3- Counselling of the client

4- Measures should be taken to relieve stress and tension .

5- Teaching the client about different coping mechanism

6- Including parents and teaching parents how to take care of the student.