A Patient with Psychosis Became Aggressive, Struck Another Patient, and Required

question 30

Multiple Choice

A patient with psychosis became aggressive, struck another patient, and required seclusion. Select the best documentation.

• A) Patient struck another patient who attempted to leave day room to go to bathroom. Seclusion necessary at 1415. Plan: Maintain seclusion for 8 hours and keep these two patients away from each other for 24 hours.
• B) Seclusion ordered by physician at 1415 after command hallucinations told the patient to hit another patient. Careful monitoring of patient maintained during period of seclusion.
• C) Seclusion ordered by physician for aggressive behaviour. Begun at 1415. Maintained for 2 hours without incident. Outcome: Patient calmer and apologized for outburst.
• D) Patient pacing, shouting. Haloperidol 5 mg given PO at 1300. No effect by 1315. At 1415 patient yelled, "I'll punch anyone who gets near me," and struck another patient with fist. Physically placed in seclusion at 1420. Seclusion order obtained from physician at 1430.

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Definitions:

Community-Based Program

Refers to services and activities designed to support and improve the well-being of people within their local communities through participation and engagement.

Comprehensive Programs

Integrated and multifaceted plans or strategies designed to address a problem or achieve a goal through a wide range of components and activities.

Paraphilic Disorder

A paraphilia that is currently causing distress or impairment to the individual, or a paraphilia that causes personal harm, or risk of harm, to others when acted upon.

Zoophilia

A paraphilia involving a sexual fixation on non-human animals.