Read the case study ‘Optimising client services’ and complete the

The nurse continues to assist in the care of the ciient. The nurse is collecting, data froam the dient 5 days after admission For each finding click to specify whether the finding indicates the client’s condition has improved or declined Eeht1 Bhitit2 Eahitir3 Exhybit4 Nurses’ Notes 2015: Tient appears disheveled with matted hair and stained cothing Attempting to get out of handcuffs. The client states, “1 have to get out of here,1 hear the helicopters. They are coming to get mel” Client able to state name, but not date. They believe they are in a laboratory. run by the doctors who have been prescribing their medications. When asked about their medical history. they reply. “My name is Jamie, and you are the devil.” Finding Response to other dients Improved Decined HyBiene patterns Sleep patterns Interaction with the nurse 2030. Reviewed police report: Client found attempting to break hrough a window at the clinic downtown. When approached, dient yelled and tried to hit the officer with the stick they were using “‘Get away, 1 have to get the notes, they are trying to polson me.” 2145: Cllent appears to be responding to internal stimull but is less outwardly agitated. Changed into hospital scrubs with encouragement. Handculfs.removed by police and 1:1 sitter at bedside. Cooperative with vital signs and provided contact information for parent. 2230: Per telephone callwith client’s parent, dlient was fifst diagnosed with schizoaffective disorder at age 21. Manifestations began in high school., such as apathy toward school, withdrawing from iriends and family, and thought broadcasting, Cllent was first 1I

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