Question

1. Mr. Roads is a 70-year-old man who was admitted to an inpatient psychiatric unit after displaying behavioral aggression. Before his admission, he was screaming at anyone who came near him. During his admission, his neuropsychiatric medications were adjusted, and he became very docile and weak, he could no longer walk or feed himself, and he became wheelchair bound. He was discharged from the psychiatric unit and placed in a nursing home. The attending physician wrote an order for Mr. Roads to be admitted to a locked unit for his own safety and that of others. The nurse was concerned and mentioned the treatment plan in a team meeting. During the treatment meeting, the nurse presented her opinion that since Mr. Roads was weak and immobile, he no longer posed a threat to others, and therefore placing him in a locked unit was unnecessary. (Learning Objective: 2. Was the nurse's concern valid? Why? 3. What might the nurse pose as the next step in providing safe, effective care for Mr. Roads?

Answer 1

1.Learning objective here is to understand how a psychiatric patient responds to a medical treatment with drug.What has to be done and how preventive measures has to be done to a client on order to avoid consequences.

2.The nurse's concern here is valid because a patient who is weak and immobile, who hardly walk or eat by self will not pose a threat to others or self.

3.The next step which the nurse can initiate are

• Ensuring the patient is placed near to the nurses station
• Monitoring the patient for full mental status regain
• Monitoring for the action of the drug and its duration of effects
• Enduring the side rails in bed is up ,relatives present with patient