Question
The nurse expects psychiatric hospitalization for which of the clients diagnosed with schizoaffective disorder experiencing delusional thoughts? Select all that apply.
A 45-year-old person who was arrested for assaulting a policeman A 76-year-old person whose symptoms are acute in nature A 39-year-old person who reports minor side effects from the current medication A 30-year-old person who also has a diagnosis of depression A 25-year-old person who is having a first delusional experience
A 45-year-old person who was arrested for assaulting a policeman A 76-year-old person whose symptoms are acute in nature A 39-year-old person who reports minor side effects from the current medication A 30-year-old person who also has a diagnosis of depression A 25-year-old person who is having a first delusional experience
Answers
GPT-4o mini
When determining which clients with schizoaffective disorder experiencing delusional thoughts may require psychiatric hospitalization, it is important to consider factors such as the severity of symptoms, potential for harm to self or others, and the acuity of the situation. Based on the information provided:
1. **A 45-year-old person who was arrested for assaulting a policeman** - **Likely needs hospitalization.** This client poses a potential risk to others due to past violent behavior.
2. **A 76-year-old person whose symptoms are acute in nature** - **Likely needs hospitalization.** Acute symptoms may indicate a higher risk of self-harm or inability to care for oneself, especially in an elderly population.
3. **A 39-year-old person who reports minor side effects from the current medication** - **Less likely to need hospitalization.** Minor side effects do not typically necessitate hospitalization unless they drastically impair the client's ability to function or pose other risks.
4. **A 30-year-old person who also has a diagnosis of depression** - **May need hospitalization, but it depends on other factors** (e.g., severity of depressive symptoms, potential for suicidal ideation, overall functioning). If the depressive symptoms are severe and interacting negatively with the schizoaffective disorder, hospitalization might be indicated.
5. **A 25-year-old person who is having a first delusional experience** - **Likely needs hospitalization.** A first delusional experience can be unpredictable, and there may be a higher risk of danger to self or others, especially if the delusions are well-formed or threatening.
Based on this analysis, the clients who are likely to need psychiatric hospitalization are:
- **A 45-year-old person who was arrested for assaulting a policeman**
- **A 76-year-old person whose symptoms are acute in nature**
- **A 25-year-old person who is having a first delusional experience**
Depending on the context, the 30-year-old client may also need consideration for hospitalization if depressive symptoms are severe. However, the 39-year-old client with minor side effects from medications is the least likely to require hospitalization.
1. **A 45-year-old person who was arrested for assaulting a policeman** - **Likely needs hospitalization.** This client poses a potential risk to others due to past violent behavior.
2. **A 76-year-old person whose symptoms are acute in nature** - **Likely needs hospitalization.** Acute symptoms may indicate a higher risk of self-harm or inability to care for oneself, especially in an elderly population.
3. **A 39-year-old person who reports minor side effects from the current medication** - **Less likely to need hospitalization.** Minor side effects do not typically necessitate hospitalization unless they drastically impair the client's ability to function or pose other risks.
4. **A 30-year-old person who also has a diagnosis of depression** - **May need hospitalization, but it depends on other factors** (e.g., severity of depressive symptoms, potential for suicidal ideation, overall functioning). If the depressive symptoms are severe and interacting negatively with the schizoaffective disorder, hospitalization might be indicated.
5. **A 25-year-old person who is having a first delusional experience** - **Likely needs hospitalization.** A first delusional experience can be unpredictable, and there may be a higher risk of danger to self or others, especially if the delusions are well-formed or threatening.
Based on this analysis, the clients who are likely to need psychiatric hospitalization are:
- **A 45-year-old person who was arrested for assaulting a policeman**
- **A 76-year-old person whose symptoms are acute in nature**
- **A 25-year-old person who is having a first delusional experience**
Depending on the context, the 30-year-old client may also need consideration for hospitalization if depressive symptoms are severe. However, the 39-year-old client with minor side effects from medications is the least likely to require hospitalization.