A patient was admitted after being brought to the hospital by police after a fight with a roommate. The patient told the nurse, "My roommate cast a spell by looking at me intently, so I fought to protect myself."
The patient admits stopping prescribed antipsychotic medication a week ago when the prescription needed refill. Which outcome should the nurse working in a managed behavioral health inpatient unit select for this patient?
a. The patient will express feelings of self-control within 48 hours.
b. A trusting relationship with the nurse will be developed within 5 days.
c. A high level of ease with other patients will be reported within 1 week.
d. The patient will agree to placement in a new residence within 3 weeks.
A
Outcomes should be clearly measurable. Managed care requires the shortest possible hospital stay. Stabilization of symptoms can occur rapidly when medication is restarted. If the patient expresses feelings of self-control, this is an indicator that he/she does not feel under a spell. Discharge can occur shortly after stabilization. The other outcomes are inappropriate because they presume a long hospitalization.
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