Disturbed or Psychiatric Patients in the ED Case 1
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Question 1 of 4
1. Question
A 32-year-old male is brought into the ED accompanied by the police.
His family called for assistance as he has smashed the window in the kitchen and locked his family out of the room.
The patient tells you that he smashed the window as he had been told to do it. He locked his family out as they wouldn't understand why he had to do it.
He has no previous psychiatric history and takes no regular medication.
The room in which a patient presenting with disturbed behaviour is being assessed should have certain features.
Select the statements which are true.
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Question 2 of 4
2. Question
The man refuses to speak to you with the police present.
What factors increase the risk of violence?
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Question 3 of 4
3. Question
What issues need to be dealt with when proceeding with assessment of this patient?
See if you can think of six issues.
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Question 4 of 4
4. Question
You examine the patient and he appears agitated throughout your assessment. He makes little eye contact with you and is unkempt in his appearance. There are lacerations on his hands from the glass window. He continually expresses concerns that people are 'listening in' to your conversation and keeps stopping to check there is no one outside.
His pulse rate is 110 bpm, blood pressure 110/78 mmHg, BM is 6.5 mmol and temperature is 37.4°C. He refuses any further examination.
What would you do next?
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