A client with many positive symptoms of schizophrenia whose behavior is disorganized and who is
highly anxious tells the nurse in the psychiatric emergency department "You have got to help me. I
do not know what is going on.
I think someone is trying to wipe me out. I have to get a gun.". The
client, a college student, lives alone and has no family or support system in the immediate area. He
has not left his room in 2 weeks, has not eaten in several days, and is unkempt. Of the available
treatment settings, the nurse should recommend
a. acute hospitalization for 4 to 5 days.
b. partial hospitalization for 2 weeks.
c. day treatment for 4 weeks.
d. home treatment for 6 weeks.
A
A short-term hospital stay would probably serve the client best. Medication can be started, the
inpatient milieu can provide structure, observation can be ongoing, interpersonal support can be
provided, physical needs can be met, and the safety of client and others preserved. The client has no
support system to provide care at home, and both partial hospitalization and day treatment would
leave the client without structure and support for at least 12 hours daily.
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Since 1960, the number of people aged 85 and older has risen at a higher percentage than those who are over 65
Indicate whether the statement is true or false