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The student must understand that this is a required exercise as an area of my mental health evaluation and is to be submitted to my instructor the week following this experience. (Value 2 point each). Each question unless listed otherwise is allotted 3-5minutes equivalent to minimum .

Total assignment is assigned 30minutes.

Carrie Williams has been admitted to the Psychiatric Unit at Bayshores Treatment Facility. She is eight-and-one-half months pregnant and in a manic state. She has not slept for three days, is hyperactive and hypervoluble. When you come on duty, she is running all over the Day Room, jumping from chairs and standing on tables saying to everyone: "I am Cicely Tyson and I will perform for you. My agent wants you to listen to me and come to see my movies. I'm going to Hollywood and if you treat me right I will take you along."

Along with several other nurses, you decide the patient must be placed in seclusion for her protection and the safety of the fetus. Also, she is disrupting the Unit and upsetting the other patients. Tension in the Day Room is very high as Mrs. Williams climbs over the back of a sofa and almost falls over a table.

After being placed in seclusion, the patient rolls on the floor and bounces herself off the walls with her protruding stomach. The psychiatrist is notified and orders that liquid Haldol (an appropriate dosage for the patient) be injected into the patient's sealed juice containers and that she be encouraged to drink the juice. As the nurse working with this patient you would:

QUESTIONS:

1. Call the Patient's Rights Advocate since this patient's mental health rights are being violated.

2. Inject the Haldol into the patient's juice and encourage her to drink it.

3. Refuse to administer the medication to the patient.

4. Tell the physician if he wants the medication injected into the patient's juice without her knowledge - he can do it.

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