Level of involement and support by family and friends
Determination of whether the client's inability to walk has a physical cause
Client's potential for violence toward others
Client's ability to perform self-care activities
The client is highly educated and has a high paying job
The client has no previous history of neurologic problems
The client is distressed and reports that one leg is deformmed
The client does not appear upset by the presence of symptoms
Alcohol or drug use
Witnessing extreme violence
Risk for others or self-directed violence
Disturbed thought processes
Readiness for enhanced coping
Delusions of grandeur or persecution
Depersonalization or derealization
Visual or auditory hallucinations
Communication difficulties or social withdrawal
Stop the interview at this point and resume later when the client is better able to concentrate
Ask the client "Are you seeing something on the ceiling"?
Tell the client, "You seem to be looking at something on the ceiling. I see something there too."
Attempt to distract the client from his hallucinations by continuing the interview without cmment on the client's behavior
Purposeless motor agitations
Word salad and flight of ideas
Eccentric behaviors or odd beliefs
"I will ony take the medication at bedtime"
"I Cannot take this drug if I am using a pain medication"
"I will not stop taking the drug abruptly"
"I will need to take this medication the rest of my life"
Has anticonvulsant effects
Has muscle relaxant effects
Will depress the central nervous system
Does not cause physical or psychological dependence
Alerteration in thought processes realted to confusion
Sleep pattern disturbances realted to depression
Potential for injury realted to seizure activity
Knowledge deficit of use and effects of antidepressants realted to denial
"Sit on the side of the bed before getting up; than stand up very slowly".
"Eat four to six small meals throughout the day".
"Be sure to eat foods high in potassium".
"Elevate your legs whenever yu sit down".
"I will need extra sleep while I am taking this medication".
" I have to drink extra fluid while I'm taking this medication".
"It will take about 4 weeks before I notice effects from this medcation".
"I will control my caloric intake and get lots of exercise".
"This is a common reaction with the first few doses of fluoxetine and will go away in a few hours"
"This is a very serious reaction to the drug. The drug must be stopped immediately"
"Your primary care provider will need to prescribe a MAOI to control these symptoms"
"We will need to increase the drug dosage to control these size efftects>
"That is a good choice. Stronger analgesics would not be good for you"
"Regular aspirin would be a better choice, because Advil can raise your lithium level too high"
"You will have to stop taking lithium if you take any pain medication"
"The advil will make your lithium level fall too low, and your symptoms may come back"
AST/ALT and LDH
Creatinine and BUN
WBC and granulocyte counts
Serum sodium and potassium
"If you watch your diet very closely, you may be able to discontinue the medication so that you can become pregnant"
"You should avoid becoming pregnant, because your chances of carrying the baby to term are very slight"
"There is an increased risk of birth defects if you become pregnant while taking this medication"
"Since you have bben on this medication for so long, your chances of having a healthy baby are excellent"
"You must contact your primary care provider right away, as this may indicate avery serious side effect of your medication"
"The flu is going around, so take plenty of fluids and call back if you don't feel better in a few days"
"Call your primary care provider to ask for a prescription for an antiemtic, because vomiting can cause toxicity of this drug"
"Stay home from work, get lots of rest, and drink ginger ale to help settle your stomach"