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1. What may be the precipitating factor in Daniel’s aggressive behavior? 2. What purpose do the pictures serve for Daniel?  3. What immediate measures must be observed to ensure the safety of Daniel and the ward employees?

1. What may be the precipitating factor in Daniel’s aggressive behavior? 2. What purpose do the pictures serve for Daniel?  3. What immediate measures must be observed to ensure the safety of Daniel and the ward employees?

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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QUESTIONS.

1. What may be the precipitating factor in Daniel’s aggressive behavior?

2. What purpose do the pictures serve for Daniel? 

3. What immediate measures must be observed to ensure the safety of Daniel and the ward employees? 

4. What nursing approaches may be used to manage the patient’s behavior?

 

Thank you!

SCENARIO You are a nurse in a psychiatric ward. You have a patient under your care: Daniel is a 67-year-old resident of a special dementia unit of a long-term care facility. His family admitted him following an incident in which he drove a neighbor's car to NLEX North bound and proceeded to enter an exit access going the wrong direction. Several vehicles were forced into the median to avoid accident. He was eventually stopped by police officers who informed his wife, Elizabeth, that arrangements would have to be made for his safety. Daniel owns a construction business and told the police officers he was "going to work," although he had been unable to work for the past 3 years because of diagnosed early-onset Alzheimer's dementia. Since his admission to the nursing home facility, Daniel paces the halls, pulling on hand rails, doorknobs, and window casings. He repeatedly runs his hands over all door hinges and latches, kick the walls and doors, moves furniture around in the rooms. Daniel wears a sock on his left foot, but refuses to wear shoes. He becomes agitated and strikes out with a fisted hand if any attempt is made to put a sock or shoe on the right foot. Daniel will only take a bath if Elizabeth is present. He becomes physically aggressive when nursing personnel try to attend to his hygiene needs unless she is talking to him. The staff has placed pictures of Elizabeth on several doors in his room and in the shower room hoping to give him a feeling of security with her perceived presence. Elizabeth comes to the facility several times each day to help with her husband's care.
Transcribed Image Text:SCENARIO You are a nurse in a psychiatric ward. You have a patient under your care: Daniel is a 67-year-old resident of a special dementia unit of a long-term care facility. His family admitted him following an incident in which he drove a neighbor's car to NLEX North bound and proceeded to enter an exit access going the wrong direction. Several vehicles were forced into the median to avoid accident. He was eventually stopped by police officers who informed his wife, Elizabeth, that arrangements would have to be made for his safety. Daniel owns a construction business and told the police officers he was "going to work," although he had been unable to work for the past 3 years because of diagnosed early-onset Alzheimer's dementia. Since his admission to the nursing home facility, Daniel paces the halls, pulling on hand rails, doorknobs, and window casings. He repeatedly runs his hands over all door hinges and latches, kick the walls and doors, moves furniture around in the rooms. Daniel wears a sock on his left foot, but refuses to wear shoes. He becomes agitated and strikes out with a fisted hand if any attempt is made to put a sock or shoe on the right foot. Daniel will only take a bath if Elizabeth is present. He becomes physically aggressive when nursing personnel try to attend to his hygiene needs unless she is talking to him. The staff has placed pictures of Elizabeth on several doors in his room and in the shower room hoping to give him a feeling of security with her perceived presence. Elizabeth comes to the facility several times each day to help with her husband's care.
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