John, is a 62-year-old male client admitted to the ward informally…

Question Answered John, is a 62-year-old male client admitted to the ward informally… John, is a 62-year-old male client admitted to the ward informally with a diagnosis of acute mania. He appears flirtatious and attempts to kiss and cuddle the female patients and staff.  He refuses to cooperate with admission procedures and sings each time the Dr asks him a question. He tells the Dr that he is due to go on a European tour with the Rolling Stones and has to get home to make arrangement for the tour. He is up most of the night and sleeps very little. He becomes distracted during meal times and quite often walks away from the table leaving food and drink untouched.A Explain the alterations in functioning that John is exhibiting with reference to the Diagnostic and Statistical Manual of Mental disorders (DSM 5) criteria for a diagnosis of mania B  Considering these alterations; Identify three (3) nursing interventions, in priority order, you could implement when working with John. Give a rationale for each of these interventions.C   John has been started on lithium carbonate by the Psychiatrist.  He refuses to take the medication as he says it has too many side effects. 1)    Does he have the right to refuse the medication?  Explain your answer2)    John suddenly develops a coarse tremor, becomes drowsy, dizzy, and has slurred speech. He also reports wanting to vomit. a.     Explain what is happening to John?b.    Discuss the immediate actions you would take to manage John’s symptoms. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)