Restraints and Paranoia Flashcards

1
Q

Restraints

First or last resort?

A

LAST

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2
Q

Restraints

How often to check? Remember what?

A

Check every 15 min

Remember hydration, nutrition, and elimination

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3
Q

Restraints

T/F: Not used much on psychiatric units anymore

A

T

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4
Q

Restraints

Observation at ____ intervals or ____ if client cannot contract for safety

A

15-30 min intervals or one-to-one

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5
Q

Paranoia

Always ___ even though they have no reason to be

A

Suspicious

*because they are responding in a way consistent with paranoid beliefs

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6
Q

Paranoia

Can you explain away delusions or false beliefs?

A

NO

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7
Q

Paranoia

Guarded in relationships..what does this mean?

A

Huge problems of trust

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8
Q

Paranoia

Pathologic ___

A

Jealousy

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9
Q

Paranoia

Hypo or hypersensitive

A

Hypersensitive

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10
Q

Paranoia

Can they relax?

A

No

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11
Q

Paranoia

Humor

A

None

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12
Q

Paranoia

Emotions

A

Unemotional

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13
Q

Paranoia

Craves what

A

Recognition

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14
Q

Paranoia

Life is __

A

unfair

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15
Q

Paranoia

Everyone else has the __

A

Problem

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16
Q

Paranoia

Reacts

A

With rage (no normal anger response)

17
Q

Paranoia treatment

Be __

A

Reliable

*if you say you will do something, do it!! Build trust!

18
Q

Paranoia treatment

Visits

A

Brief

19
Q

Paranoia treatment

Be careful with

A

Touch

*respect personal space

20
Q

Paranoia treatment

Avoid

A

Whispering

21
Q

Paranoia treatment

Meds

A

Don’t mix them

22
Q

Paranoia treatment

Beware that the client can’t handle what nurse

A

Overfriendly (touchy, huggy)

23
Q

Paranoia treatment

Be ___

A

Matter of fact

24
Q

Paranoia treatment

Always do what with meds

A

ID them

25
Q

Paranoia treatment

Foods

A

Eat sealed foods

and possibly foods only from home

26
Q

Paranoia treatment

Nurses

A

Need consistent nurses

27
Q

Paranoia treatment

Activities

A

No competitive ones

28
Q

Paranoia treatment

Be reliable and be __

A

Honest