A client is hearing voices that are telling her to kill herself. She is demanding a knife to use on her wrists.
Which of the following is most appropriate at this time?
1. Put the client in restraints after giving an IM dose of PRN medication.
2. Ask the client to talk about her anger and what is causing it.
3. Give oral PRN doses of haloperidol (Haldol) and lorazepam (Ativan) as prescribed.
4. Search the client’s room for potential weapons after locking the unit kitchen.
Haloperidol and lorazepam together decrease hallucinations and agitation,
thus decreasing the risk of self-harm. Putting the client in restraints is premature because danger is not imminent.
Asking the client to talk about her anger is inappropriate because the client is beyond rational conversation.
A room search is appropriate only after the crisis with the client is handled.
CN: Pharmacological and parenteral therapies;