A nurse is assisting with the care of a client who was admitted to the emergency department (ED). Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4 Admission Assessment Day 1 1930: Client admitted to the ED by police after report of violent behavior in public. Client smashed a glass window with their hands. Client is stating, "I am Jesus." Client is attempting to hit staff. Client placed in restraints. Neuro: Client is alert and oriented x 0. Client is swinging their arms and shouting. Client is unable to answer questions and their speech is rapid and unorganized. Heart rate is 108/min, regular Integumentary: Laceration noted to the client's left hand (2 cm x 2.5 cm). Laceration noted to the left forearm (4 cm x 6 cm). Profuse bleeding noted. Multiple small lacerations noted to face, left arm, and right arm. Allergies: Unable to assess For each potential assessment finding, click to specify if the finding is consistent with schizophrenia or bipolar 1 disorder. Each finding may support more than 1 disease process. ● 0. O Assessment Findings schizophrenia Bipolar 1 Disorder Pressured speech Social impairment Grandiose delusions Dependency

A nurse is assisting with the care of a client who was admitted to the emergency department (ED). Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4 Admission Assessment Day 1 1930: Client admitted to the ED by police after report of violent behavior in public. Client smashed a glass window with their hands. Client is stating, "I am Jesus." Client is attempting to hit staff. Client placed in restraints. Neuro: Client is alert and oriented x 0. Client is swinging their arms and shouting. Client is unable to answer questions and their speech is rapid and unorganized. Heart rate is 108/min, regular Integumentary: Laceration noted to the client's left hand (2 cm x 2.5 cm). Laceration noted to the left forearm (4 cm x 6 cm). Profuse bleeding noted. Multiple small lacerations noted to face, left arm, and right arm. Allergies: Unable to assess For each potential assessment finding, click to specify if the finding is consistent with schizophrenia or bipolar 1 disorder. Each finding may support more than 1 disease process. ● 0. O Assessment Findings schizophrenia Bipolar 1 Disorder Pressured speech Social impairment Grandiose delusions Dependency

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter5: The Therapeutic Approach To The Patient With A Life-threatening Illness

Section: Chapter Questions

Problem 6CR

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