The nurse continues to assist in the care of the client. 2030: Medication Administration Record. Day 5, 0700: Ziprasidone 20 mg IM left deltoid muscle. Paliperidone 6 mg PO. Nurses' Notes. 2015: 2030: Client appears disheveled with matted hair and stained clothing. Attempting to get out of handcuffs. The client states, "I have to. get out of here. I hear the helicopters. They are coming to get me!” Client able to state name, but not date. They believe they are in. a laboratory, run by the doctors who have been prescribing their medications. When asked about their medical history, they reply, "My name is Jamie, and you are the devil.” 2145: Reviewed police report: Client found attempting to break through a window at the clinic downtown. When approached,. client yelled and tried to hit the officer with the stick they were using. "Get away, I have to get the notes, they are trying to. poison me.” Client appears to be responding to internal stimuli but is less outwardly agitated. Changed into hospital scrubs with encouragement. Handcuffs removed by police and 1:1 sitter at. The nurse is collecting data from the client 5 days after admission. For each finding, click to specify whether the finding indicates the client's condition has improved or declined.