What defense mechanisms is jig demonstrating

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Reference no: EM133915639

Questions

1. A 19-year old male client is in the ER, complaining of thoughts of harming self and others. He has a history of unipolar depression, with chronic anxiety disorder due to post-traumatic experiences from "getting beat up by my dad all the time since I was 8 years old." He goes by the name, "Jig." He is pacing in the hallway, fists clenched, hyperventilating, hyper-verbal, exclaiming he needs to stay in the hospital so that his dad, "won't kill him, or maybe I'll kill him, first...."
What is his level of anxiety?

1. What are your nursing assessment and interventions?

2. What type of therapeutic communication skills and strategies will you, as his nurse, use that can help, while you are assessing him?

3. What is the process for voluntary/involuntary admission?

2. Jig continues agitation but refuses medication. He is in a fetal position, asks for a blanket, talks in a childlike manner, and states, "don't tell my dad I'm her if he is looking for me...he is mad that I'm back to using...again.." He then states, "I just feel like just ending it all...what's the use...I'm not the one he should blame, he's the one that's always wanting me to do everything for him, spending my money, beating me up, drinking until he passes out."

1. What are nursing priority of action?

2. What defense mechanisms is Jig demonstrating?

3. What other nursing assessments and interventions?

3. Jig is admitted to the inpatient health, locked unit, involuntary status. He is going through the admission processing with you, the RN.

1. What type of precaution will the nurse initiate for Jig's care plan?

2. What safety plan will the nurse implement? How will the nurse ensure Jig that he is safe?

3. What are Jig's rights as a recipient of mental health?

Reference no: EM133915639

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