PARANOIA 235 D. Based on the information o btained, the conclusion is drawn that the client displays significant paranoia. E. Based on the information obtained, the conclusion is drawn that the client does not display significant paranoia. 6. Assess Reality Orientation ( 6) A. The client's immedi ate ability to maintain reality orientation was assessed. B. The client was assessed regarding his/her threat to safety of himself/herself and others. C. The client was judged to be reality-oriented and not a significant threat to the safety of himself/h erself and others. D. Due to the client's poor reality orientation, he/she was judged to be a threat to the safety of himself/herself and others, and steps were coordinated to place the client in a more structured environment. 7. Provide Direct Instructi ons ( 7) A. The client was provided with direct, basic instructions and with firm reassurance of his/her safety and maintenance of confidentiality. B. The client has become less agitated as he/she has felt reassured and was encouraged to maintain this sta bility. C. The client continues to be quite agitated, despite being provided with direct, basic instructions and firm reassurances. 8. Refer for an Evaluation for Hospitalization ( 8) A. The client was immediately referred for an evaluation by a psychiat rist or other clinician regarding his/her psychotic symptoms and the need for psychiatric hospitalization. B. The client was not judged to be in need of psychiatric hospitalization. C. The client was judged to be in need of psychiatric hospitalization, a nd this was immediately coordinated. 9. Coordinate Hospitalization ( 9) A. The client was referred for a voluntary admission to a psychiatric hospital, as he/she is so out of touch with reality as to pose a threat to himself/herself or others. B. As the client has refused the necessary admission to a psychiatric hospital, steps were taken for the client to be hospitalized involuntarily. C. The client has been admitted to a psychiatric hospital and was encouraged to use this treatment to stabilize himself /herself. 10. Arrange for a Stable, Supervised Setting ( 10) A. A stable, supervised setting was arranged for the client to remain in at least until the acute psychotic episode is stabilized. B. The client has been admitted to a crisis adult foster care placement in order to provide a stable, supervised setting. C. The client is using a friend or family member's home to provide a stable, supervised setting until his/her psychotic episode is stabilized and was assisted with coordinating the details of this arrangement. 