A nurse is interviewing a client who speaks in a vague, meta…
A nurse is interviewing a client who speaks in a vague, metaphorical way. When asked about his daily routine, he says, “The energies of the morning sun dictate my path,” and refuses to elaborate. He appears unkempt and displays a constricted affect but denies having hallucinations. He believes that his thoughts can influence the weather. This presentation is most consistent with:
Read DetailsWhen working with a patient who has a Cluster B personality…
When working with a patient who has a Cluster B personality disorder (specifically Antisocial or Borderline), the patient attempts to manipulate the staff by pitting them against one another to gain special privileges. What is the most effective nursing intervention to manage this behavior?
Read DetailsA 45-year-old man lives in a cluttered apartment filled with…
A 45-year-old man lives in a cluttered apartment filled with old newspapers, broken appliances, and worn-out clothes. He refuses to throw anything away, insisting, “I might need this someday,” even though the items are useless. He is miserly with his money, living well below his means to save for a future catastrophe. This behavior describes a criterion for:
Read DetailsA patient is being treated with haloperidol (Haldol) for acu…
A patient is being treated with haloperidol (Haldol) for acute psychosis. He suddenly develops severe stiffness in his neck (torticollis) and his eyes roll upward (oculogyric crisis). The PMHNP recognizes this as acute dystonia and should immediately administer:
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