SOLVED152

A 29-year-old patient with PMH of schizoaffective disorder, bipolar type, and polysubstance abuse presented to the emergency department with suicidal and homicidal ideations with plans and intent. The patient was often evasive when speaking about plans surrounding suicide; however, he could verbalize some of the concerns surrounding homicidal ideation toward his father and Landmark staff. The patient has had no sleep in over 2 days and disclosed developing command auditory hallucinations. The patient has not been compliant with medication historically and reports that he does not feel well on them. The patient does exhibit high-risk factors with prominent mental health and substance abuse history with noncompliance with medications. The patient was irritable, demanding, and impatient, asking staff to change TV channels several times at the beginning of the shift. He refused scheduled medications and stated that he was there because he was sleepwalking, stating he was hearing voices. He stated that he does not want to go back to Landmark and will kill someone there if he does. He denies an acute somatic complaint and states that he has not been taking any psychiatric medication. He stated that he was at Landmark for alcohol. The two abnormal items from the Mental Status Examination (MSE) above are: Suicidal and homicidal ideations: The patient has expressed thoughts of harming himself and others, specifically his father and staff at Landmark. This is a serious concern and indicates a high level of distress and potential danger. Auditory hallucinations: The patient reported hearing voices, which is a symptom of psychosis. This can significantly distort a person’s perception of reality and interfere with their ability to function. For each of the abnormal findings listed above, list one nursing intervention that could be used to support the patient and/or treat the problem. incite reference in APA format
SCIENCE
HEALTH SCIENCE
NURSING

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