A client has been placed in seclusion. Which client behavior would have warranted this intervention?
1. The client is manic, has been flirtatious towards staff and refused morning medication, and has verbalized a plan to leave
2. The client is psychotic, sits in the corner with hands over ears, and displays increased suspiciousness of and agitation towards others despite recently receiving 1mg risperidone (Risperdal) PRN
3. The client is depressed and wants to be left alone to rest
4. The client is suicidal, has been banging head against the table in the day room, and was unresponsive to staff's verbal redirection
2
Rationale: The scientific rationale for the use of seclusion is based on three principles: containment, isolation, and decrease in sensory input. This client exhibits behavior that suggests increased sensitivity to the environment and risk of harm to others. A less restrictive measure has been tried (medication) without success. Seclusion should not be used as punishment for inappropriate behavior or to prevent client elopement. Seclusion is inappropriate when a client is engaging in self-injurious behavior that could continue in the seclusion environment (head-banging); in such circumstances a 1:1 staffing or restraints may be necessary. If a client seeks isolation voluntarily, seclusion (locking the door) is not warranted.
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