{"id":138312,"date":"2024-09-14T10:05:08","date_gmt":"2024-09-14T10:05:08","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=138312"},"modified":"2024-09-14T10:05:10","modified_gmt":"2024-09-14T10:05:10","slug":"a-client-with-paranoia-is-admitted-to-the-mental-health-unit-and-immediately-goes-to-the-corner-of-the-room-and-sits-quietly-without-communicating","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/14\/a-client-with-paranoia-is-admitted-to-the-mental-health-unit-and-immediately-goes-to-the-corner-of-the-room-and-sits-quietly-without-communicating\/","title":{"rendered":"A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating"},"content":{"rendered":"\n

A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the practical nurse (PN) implement first?<\/p>\n\n\n\n

A.
Explain the daily schedule of unit activities.<\/p>\n\n\n\n

B.
Review client rights of hospitalization.<\/p>\n\n\n\n

C.
Offer the client an as-needed (PRN) medication.<\/p>\n\n\n\n

D.
Describe the functions of the practical nurse (PN).<\/p>\n\n\n\n

The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n

In this scenario, the most appropriate initial intervention for the practical nurse (PN) is:<\/p>\n\n\n\n

C. Offer the client an as-needed (PRN) medication.<\/strong><\/p>\n\n\n\n

Explanation:<\/h3>\n\n\n\n

When a client with paranoia is admitted to a mental health unit, they may exhibit extreme suspicion and discomfort, which can make initial interactions challenging. Given the client’s behavior of sitting quietly in a corner without communication, it\u2019s crucial to address their immediate psychological distress and ensure their safety.<\/p>\n\n\n\n

Offering PRN medication<\/strong> can be a vital step in this situation for several reasons:<\/p>\n\n\n\n

    \n
  1. Alleviating Acute Distress:<\/strong> Paranoid clients may experience heightened anxiety, agitation, or paranoia upon admission. PRN medications, typically antianxiety agents or antipsychotics, can help manage these symptoms and make the client more amenable to further interactions.<\/li>\n\n\n\n
  2. Facilitating Engagement:<\/strong> Once the client\u2019s acute symptoms are managed with medication, they may be more receptive to communication and other therapeutic interventions. This initial step can set the stage for a more productive therapeutic relationship.<\/li>\n\n\n\n
  3. Ensuring Safety:<\/strong> The client’s current state\u2014isolating themselves and not communicating\u2014may indicate that they are not in a stable enough mental state to engage in discussions about their rights or unit activities. Addressing immediate distress through medication can help ensure the client\u2019s safety and well-being.<\/li>\n<\/ol>\n\n\n\n

    Other Options:<\/strong><\/p>\n\n\n\n

      \n
    • A. Explain the daily schedule of unit activities:<\/strong> This may not be the most effective approach if the client is in significant distress or has not yet established a rapport with the staff. The client needs to be in a more stable state before they can engage meaningfully with such information.<\/li>\n\n\n\n
    • B. Review client rights of hospitalization:<\/strong> While important, discussing rights might be overwhelming for a client in acute distress and is better addressed once the client is more stable.<\/li>\n\n\n\n
    • D. Describe the functions of the PN:<\/strong> Like the previous options, this is less immediately relevant than addressing the client\u2019s acute symptoms. The client is likely too distressed to benefit from understanding the role of the PN at this stage.<\/li>\n<\/ul>\n\n\n\n

      In summary, offering PRN medication helps manage the immediate psychological and physiological state of the client, potentially making them more receptive to further interactions and interventions.<\/p>\n","protected":false},"excerpt":{"rendered":"

      A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the practical nurse (PN) implement first? A.Explain the daily schedule of unit activities. B.Review client rights of hospitalization. C.Offer the client an as-needed […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-138312","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138312","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=138312"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138312\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=138312"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=138312"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=138312"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}