Solve this CRITICAL THINKING.Indicate references.
Reiner Ackerman, 33, has beenadmitted to the hospital for the third time with a diagnosis ofparanoid schizophrenia. John had been taking haloperidol (Haldol)but stopped taking it weeks ago, telling his case manager it was“the poison that is making me sick.” Yesterday, Reiner was broughtto the hospital after neighbors called the police because he hadbeen up all night yelling loudly in his apartment. Neighborsreported him saying, “I can’t do it! They don’t deserve to die!”and similar statements.
Reiner appears guarded and suspiciousand has very little to say to anyone. His hair is matted, he has astrong body odor, and he is dressed in several layers of heavyclothing even though the temperature is warm. So far, Reiner hasbeen refusing any offers of food or fluids. When the nurseapproached Reiner with a dose of haloperidol, he said, “Do you wantme to die?”
1. What additional assessment datadoes the nurse need to plan care for Reiner? ask about preferencesfor hygiene
2. Identify the three priorities,nursing diagnoses, and expected outcomes for Reiner’s care, withrationales for the choices.
3. Identify nursing interventions forthe three priorities listed above.
4. What community referrals orsupports might be beneficial for Reiner when he is discharged?Reiner might benefit from a case manager in the community and acommunity support program
