Question

Trevor, age 23, has a history of being in the juvenile detention system from ages 16-17 for arson and cruelty to animals. He is currently on a behavioral health unit due to his report of suicidal ideation and angry outbursts toward others. He has been observed by staff attempting to bully other clients for their deserts at mealtimes.

1. What nursing interventions would be helpful?

2. What are the ethical and legal dilemmas present in this situation?

Answer 1

a)Following nursing intervention can be helpful----

1. ventilating the feelings of the patient
2. Assessing the suicidal ideation of the patient in every shift
3. Assess the relationship of the patient with social support and encourage him to share his feelings.
4. Recreational therapy can be used
5. The mental status examination should be done in every shift
6. Other psychological therapies can opt like group therapies and behavioral therapies.
7. Involve his family members and activity to encourage the client.

8.Careful listening and a good interpersonal relationship with the client should be established.

b) ethical and legal dilemmas that are associated with this situation can be confidentiality of the clients, end life issues and its reasons, contracts with caregivers, respect for his personal opinion and ideas, physician-assisted suicide. And in legal regards specifically can be medical negligence, informed consent, and confidentiality.