Restraints and Paranoia Flashcards
Restraints
First or last resort?
LAST
Restraints
How often to check? Remember what?
Check every 15 min
Remember hydration, nutrition, and elimination
Restraints
T/F: Not used much on psychiatric units anymore
T
Restraints
Observation at ____ intervals or ____ if client cannot contract for safety
15-30 min intervals or one-to-one
Paranoia
Always ___ even though they have no reason to be
Suspicious
*because they are responding in a way consistent with paranoid beliefs
Paranoia
Can you explain away delusions or false beliefs?
NO
Paranoia
Guarded in relationships..what does this mean?
Huge problems of trust
Paranoia
Pathologic ___
Jealousy
Paranoia
Hypo or hypersensitive
Hypersensitive
Paranoia
Can they relax?
No
Paranoia
Humor
None
Paranoia
Emotions
Unemotional
Paranoia
Craves what
Recognition
Paranoia
Life is __
unfair
Paranoia
Everyone else has the __
Problem
Paranoia
Reacts
With rage (no normal anger response)
Paranoia treatment
Be __
Reliable
*if you say you will do something, do it!! Build trust!
Paranoia treatment
Visits
Brief
Paranoia treatment
Be careful with
Touch
*respect personal space
Paranoia treatment
Avoid
Whispering
Paranoia treatment
Meds
Don’t mix them
Paranoia treatment
Beware that the client can’t handle what nurse
Overfriendly (touchy, huggy)
Paranoia treatment
Be ___
Matter of fact
Paranoia treatment
Always do what with meds
ID them
Paranoia treatment
Foods
Eat sealed foods
and possibly foods only from home
Paranoia treatment
Nurses
Need consistent nurses
Paranoia treatment
Activities
No competitive ones
Paranoia treatment
Be reliable and be __
Honest
