Mental Health fall17 - Nurse Care Plan- Schizophrenia Exam Questions with Correct Answers

Assessment Data Correct Answer Previous history with schizophrenia Previous suicidal ideation Current support system Client's perception of current situation Non-reality-based thinking Disorientation Labile affect Short attention span Impaired judgement Distractibility Expected Outcomes Correct Answer Immediate: The client will be fee of injury throughout hospitalization. Demonstrate decreased anxiety level within 24 to 48 hours. Respond to reality-based interactions initiated by others, for example, verbally interact with staff for 5 to 10 minutes within 24 to 48 hours Stabilization: The client will interact on reality-based topics such as daily activities or local events. Sustain attention and concentration to complete tasks or activities. Community: The client will verbalize recognition of delusional thoughts if they persist. Be free from delusions or demonstrate the ability to function without responding to persistent delusional thoughts. Implementation Correct Answer -Be sincere and honest when communicating with the client. Avoid vague or evasive remarks. -Be consistent in setting expectations, enforcing rules, and so forth. -Do not make promises that you cannot keep. -Encourage the client to talk with you, but do not pry for information. -Explain procedures, and try to be sure the client understands the procedures before carrying them out. -Give positive feedback for the client's success. -Recognize the client's delusions as the client's perception of the environment. -Initially, do not argue with the client or try to convince the client that the delusions are false or unreal. -Interact with the client on the basis of real things; do not dwell on the delusional material. -Engage the client in one to one activities at first, then activities in small groups and gradually activities in larger groups.