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Exam (elaborations)

MENTAL HEALTH: DAVID CARTER VSIM

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MENTAL HEALTH: DAVID CARTER VSIM When developing the nursing care plan for a patient experiencing visual and auditory hallucinations, what cultural aspects should be considered? - Answer The nursing assessment should include asking the patient and family about the hallucinations' possible cultural guidance. A patient who is experiencing delusion or grandeur says, "I invented planes. Do you ever fly? I did that. It was my patent." Which is the nurse's best response? - Answer I understand that you believe you invented planes. Which of the following is an example of a positive symptom associated with a diagnosis of schizophrenia? - Answer Auditory hallucinations A patient has been recently prescribed an antipsychotic medication. They ask the nurse whether the medication will cure their schizophrenia. Which is the best response by the nurse? - Answer No, the medication does not cure the disease, but it will help to control the symptoms you are having. What has research concluded is the primary reason that patients stop taking antipsychotic medications? - Answer Extrapyramidal side effects What is the average of age of peak onset of symptoms of schizophrenia? - Answer Males 15-25 years; Females 25-35 years The patient asks the nurse, "What type of disease is schizophrenia." Which statement is the nurse's best response? - Answer Schizophrenia is a syndrome with many different types and symptoms. The nurse recognizes that with David's history of schizophrenia, if he experiences psychotic symptoms, they will require immediate follow-up. Which of the of following assessment findings suggest the patient is experiencing psychotic symptoms? - Answer Suspected medication nonadherence Auditory hallucinations Paranoid delusions Neologism usage Which data raises David Carter's risk for personal injury? - Answer Belief that food is poisoned Hearing auditory instructions not to eat Has been off prescribed medications for 4 days Based on David Carter's condition, which is evidenced by - Answer Acknowledgement of auditory hallucination and paranoia

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