A nurse is caring for a client who has a serious mental illn…

A nurse is caring for a client who has a serious mental illness. The client’s temperature is 37° C (98.6° F), respiratory rate is 18/min, heart rate is 102/min, and blood pressure is 202/98 mm Hg. The client is wearing a heavy coat and scarf. The temperature is 37.8° C (100° F) outside. The client reaches for the nurse and says, “Kiss me baby! You know you want to!” Which of the following findings should the nurse address first?  

Case Study Bob, a 24 year old was recently diagnosed with pa…

Case Study Bob, a 24 year old was recently diagnosed with paranoid schizophrenia. He has been ordered by the court to receive inpatient treatment for stabilization after multiple interactions with law enforcement, the most recent resulting in battery on 2 law enforcement officers. The psychiatric facility admitted Bob yesterday, he has received a psych evaluation and new orders have been received this morning but not yet implemented.  When restraints or seclusion are utilized, documentation of the situation must be completed keeping in mind potential legal ramifications. Which of the following should be included when documenting any emergent situation requiring intervention? Select all that Apply