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
