A seclusive patient is noted to be delusional, waving his hands and…

Question Answered step-by-step A seclusive patient is noted to be delusional, waving his hands and… A seclusive patient is noted to be delusional, waving his hands and talking loudly to himself. At this time, what would be the best nursing interventon? a)     Encourage the patient to express feelings and explain the delusions.b)    Interact with the patient on reality based issues/concerns.c)     Increase the patient’s stimulation and socialization with others.d)    Leave the patient alone until the delusions are gone.6.     During the admission assessment, the nurse asks the patient, “How are you feeling?” The patient responds, “I was able to purchase gas for 7 cents a gallon less than yesterday, which saved me 84 cents. My car has a 12-gallon gas tank. Usually I put in 11.7 gallons. I am happy to have saved so much money.” The nurse recognizes this response as which of the following? a)     Circumstantial thinkingb)    Neologismsc)     Flight of ideasd)    Echolalia7.     A seclusive patient is noted to be delusional, waving his hands and talking loudly to himself. At this time, what would be the best nursing interventon? a)     Encourage the patient to express feelings and explain the delusions.b)    Interact with the patient on reality based issues/concerns.c)     Increase the patient’s stimulation and socialization with others.d)    Leave the patient alone until the delusions are gone. 8.     A newly admitted patient tells the nurse that she came to the hospital to get away from the pressures at home and at work. Which are appropriate therapeutic responses from the nurse? Select all that apply. a)     “Are your boss and coworkers mean to you?”b)    “Let me show you around the unit.”c)     “You are feeling overwhelmed at home and at work”d)    “The best thing to do for your problems is to share all your feelings with the health care team.”e)     “It sounds like things have been difficult for you.” 9.     The nurse is completing a psychosocial history on a patient newly diagnosed with schizophrenia. Which assessment factors would the nurse most probably find present in this patient before this first psychotic break?  a)     The patient has been unable to continue school work and has been remained in the bedroom for the past 2 weeks.b)    Negative history of mental illness in the family. c)     The patient dropped out of college to pursue a job in acting.d)    The patient’s father died in a tragic automobile accident 10 years ago.10.  During a one-on-one interaction with the nurse, a patient frequently looks nervously at the door. Select the best intervention by the nurse regarding this nonverbal communication. a)     Ignore the behavior and continue with the interview.b)    State, “I notice you keep looking toward the door.” c)     State, “What are you worried about?”d)    State, “Please try to focus on our interaction.” 11.  A client diagnosed with schizophrenia is crying and states “I know my boss is controlling me by putting invisible wires in my head.” What is the nurses most therapeutic approach?  a)     “Take your prn of 40 mg of haloperidol, it will help calm you and decrease those thoughts.” b)    “There are no wires in your head.”c)     “Take your prn of 10 mg of haloperidol, it will help decrease the voices in your head.”d)    “You are having frightening thought right now.”12.  A patient diagnosed with schizophrenia admits to experiencing auditory hallucinations. Which are appropriate responses by the nurse? Select all that apply. a)     “Would you like a PRN of your benztropine to help decrease the voices?”b)    “What are the voices saying?c)     “The voices are a symptom of your illness, perhaps listening to music will be helpful.”d)    “I doubt that the voices are real, lets go to music group together.”e)     “I understand you hear the voices, but I don’t.”13.  Building a trusting relationship with a patient diagnosed with schizophrenia is of primary importance. Which of the following nursing actions would best assist in building a trusting relationship? a)     Meet with the patient for predetermined specified periods of time. b)    Informing the patient that whatever is said will be kept confidential between patient and nurse only.c)     Invite the client to group activities.d)    Prevent the patient from talking inappropriately. 14.  A nurse is planning to administer an atypical antipsychotic medication to a patient diagnosed with schizophrenia. Which health problem(s) would require additional monitoring of the antipsychotic’s effects and side effects? Select all that apply. a)     Diabetes b)    Hearing lossc)     High cholesterold)    Parkinson’s Disease e)     Fractures15.  A recently retired person remains at home much of the time with no community involvement and demonstrates no interest in caring for her young grandchildren. Which stage of development of Erikson’s theory applies? a)     Generativity vs. Stagnationb)    Ego Integrity vs. Despairc)     Intimacy vs. Isolationd)    Industry vs. Inferiority16.  A nurse in an adult out-patient psychiatric program dresses neatly, helps patients straighten up the dayroom, and initiates conversations. All these behaviors best describe which role of the psychiatric mental health nurse? a)     parent surrogateb)    role model of adaptive behaviorc)     advocate for patient and familyd)    member of the mental health care team.17.  Why would the nurse encourage a patient diagnosed with schizophrenia to join in a group activity? Select all that apply. a)     To increase the patient’s social interaction. b)    To provide the patient opportunities to focus on reality based interactions.c)     To provide the patient opportunities to practice appropriate social interactions.         d)    To provide the patient opportunities to develop social relationships with staff.e)     To provide the patient an arena in which delusions can be discussed. Health Science Science Nursing PSY 200 Share QuestionEmailCopy link Comments (0)