A male patient within the psychiatric unit of a wellknown medical institution who's 35 years old
suspects that someone is attempting to poison him. The nurse is aware that a client's delusions
are most in all likelihood related to which consumer assessment finding?
Studies in early youth that worried issues with authority. Anger approximately being
hospitalized.
Faulty interpretation of fact.
Phobic fear of food. - ANS-C.
Clients with psychosis battle with accept as true with and fact interpretation. Nursing care have
to be directed at building accept as true with and selling an accurate fact. In order to boost
shallowness, it is crucial to inspire sports that don't contain competition and require little
awareness. The other findings of the assessment don't have anything to do specially with the
emergence of delusions. A customer of 38 years vintage is admitted with a paranoid
schizophrenia diagnosis. She tells the nurse, "I know you are trying to poison me with that
meals," while her tray is delivered to her. Which response is most suitable for the nurse? Your
tray could be left here. If you need whatever else, I'm available. You're no longer being
poisoned. Why do you trust that any individual is attempting to poison you? Poisoning has in no
way claimed a lifestyles on this unit. Here, you are safe. I will speak the possibility of changing
your diet along with your physician. ANS-A. The nurse must now not argue with a purchaser
who is paranoid nor demand that the client eat, but must be supportive and produce the nurse's
availability if wanted. There isn't any indication of the other responses. Since being admitted, a
forty-12 months-old male purchaser with schizophrenia and alcoholism has no longer acquired
any site visitors or cellphone calls. He claims that he become dwelling on the streets previous to
this admission and that he has no own family that is concerned approximately him. Which stage
of the client's psychosocial development is the patron presently in, in step with Erikson's idea?
Isolation.
Stagnation.
Despair.
ANS-B: Role confusion In Erikson's "Generativity versus. Stagnation" stage (age 24 to 45), and
assembly the undertaking includes preserving intimate relationships and transferring toward
developing a family. Stagnation happens when an character fails to cope with an
age-associated psychosocial developmental stage. A damaged arm brings a child to the
emergency room. Because of different injuries, the nurse suspects the kid may be a sufferer of
abuse. When the nurse attempts to present the kid an injection, the child's mother becomes
very loud and shouts, "I might not leave my son! Don't you contact him! My kid can be hurt via
you!" Which behavioral interpretation of the mother's statements is maximum appropriate?
Regressing to an earlier conduct sample.
Sublimating anger.
Moving one's feelings to the nurse. Suppressing worry. - ANS-C.