Question

A nurse is caring for a client who has a personality disorder. Based on the provided nurses' notes and diagnostic results, what nursing action is indicated for this client?

a) Administering Haloperidol 2 mg IM for severe agitation and violent outbursts.
b) Placing the client in seclusion and mechanical four-point restraints.
c) Conducting diagnostic tests for further evaluation.
d) Engaging the client in group therapy sessions.

Answer 1

a) Administering Haloperidol 2 mg IM for severe agitation and violent outbursts.

Administering Haloperidol 2 mg IM is indicated for a client with a personality disorder experiencing severe agitation and violent outbursts. Group therapy may also be beneficial, while mechanical restraints should be a last resort. Ongoing diagnostic tests are part of comprehensive care.

Step-by-step explanation:

When caring for a client with a personality disorder, it's essential to consider the specific behaviors and symptoms presented. If the client is experiencing severe agitation and violent outbursts, as noted in the patient's file, administering an intramuscular dose of Haloperidol 2 mg IM may be indicated. This antipsychotic medication is known to help reduce aggressive and impulsive behavior, as it reduces both emotional displays and agitation. Neuroleptic drugs, such as Haloperidol, can lead to patients becoming less agitated, and over time, symptoms such as hallucinations and delusional thinking tend to diminish.

Group therapy sessions may also be beneficial for clients with personality disorders to improve social skills and communication. However, such a decision should be based on the individual's current condition and level of functionality. Mechanical restraints and seclusion are not first-line interventions and are only used when less restrictive measures have failed and the patient is a danger to themselves or others. Diagnostic tests are an ongoing part of psychiatric care to rule out other conditions and should be conducted as necessary.