A client diagnosed with borderline personality disorder was…

A client diagnosed with borderline personality disorder was hospitalized several times after multiple episodes of head banging and carving on both wrists. The client remains impulsive. Which nursing diagnosis is the initial focus of this client’s care? 

A client who was responding to auditory hallucinations earli…

A client who was responding to auditory hallucinations earlier in the morning now approaches the nurse shaking a fist and shout, “Back off!” and then goes to the dayroom. While following the client into the dayroom, the nurse should take what precautions? 

A client receiving risperidone (Risperdal) reports severe mu…

A client receiving risperidone (Risperdal) reports severe muscle stiffness and diaphoresis at 1030. By 1200, the client had difficulty swallowing and is drooling. By1600, vital signs are 102.8 degrees F, Pulse 110, respirations 26, 150/90. What is the nurse’s best analysis and action?