0914 – Nursing reports that the client required a PRN dose of diazepam after pacing the halls and shouting at the television despite failed redirect attempts.

Mental Status Exam – Alert and disoriented to person, place, and situation; fair eye contact; unkempt appearance. Thought process was disorganized and illogical. The client denied A/V hallucinations and suicidal ideations. + delusions; thoughts of persecution stating, ‘someone is out to get me’ while pointing to a television. Speech was disorganized, with a normal volume and a slightly increased rate. Insight and judgment are severely impaired.