Client A: 22y/o Female Location: Outpatient behavioral

Client A: 22y/o Female Location: Outpatient behavioral health clinic Situation: Currently lives at home with her parents. She was recently referred to the mental health crisis center after her HCP noted she was becoming more withdrawn since dropping out of her college studies a year ago. The client states she prefers to be alone and spends most days behind her closed bedroom door. Assessment reveals she is aggressive and feels angry when conversing with her parents. She feels they spy on her, and her reaction is to threaten violence. She admits to hearing voices, some friendly and soothing, while other voices are agitating and make her feel threatened. The client also states she doesn’t feel her parents are really her parents and that she is “special” because she can foretell the future. How would you, as the mental health nurse, collect required assessment information? During assessment, what risk factors should the mental health nurse consider? Client A is diagnosed with schizophrenia. How is schizophrenia diagnosed? Based on how schizophrenia is diagnosed, what are the three positive symptoms Client A is exhibiting? For each symptom, what is the psychological nursing intervention? Client A is prescribed antipsychotic medication. What physical health issues might arise while on antipsychotic medication? In the beginning, Client A agreed to treatment and was compliant and without symptoms for a year. Over the past eight weeks, client A has been withdrawn and exhibiting symptoms last seen at the first visit to the outpatient mental health clinic. After violently attacking her mother, it was discovered that she stopped taking her medications 2-3 months ago. Client A was admitted to a mental health facility. Due to refusing medications and refusing to stay, client A was placed there on a section of the Mental Health Acct 1983 (amended 2007). The key issue in deciding that client A needed to be placed on section 3 relates to the judgment that client A does not have the capacity. How does capacity relate to an individual making their own decisions? During client A’s admission, an incident occurred where client a was physically restrained and then placed on supportive observations level 4. Explain the levels of supportive observations. SCIENCE HEALTH SCIENCE NURSING NUR 251

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