The nurse is providing care to a patient recently diagnosed with schizophrenia. The patient’s family tells the nurse that the patient believed he was the priest at their church. Based on this statement, which type of delusion was the patient experiencing?
a. Nihilistic
b. Religious
c. Grandiose
d. Persecutory
b. Religious
Based on the information obtained from the patient’s family, the patient was experiencing religious delusions. Religious delusions occur when the patient assumes the identity of a religious figure. There is no indication that the patient was experiencing the other types of delusions based on the statement obtained from the family.
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A client states, "I am leaving. No one here knows what they are doing." The nurse completing the Against Medical Advice form must:
a. defer notifying the provider until the client has had ample time to leave. b. state in medical terms the risks of leaving. c. inform the client that leaving could result in complications and impairment. d. detain the person with the use of soft restraints until security arrives.
One nurse confronts another and says, "You are always so talkative in the meetings. I don't know why you can't stay quiet sometimes." Which response by the other nurse reflects the technique of "shifting from content to process?"
A) "You're right. I do speak up a lot." B) "Sounds to me like you're agitated and we need to talk. What are you truly angry about?" C) "Are you offended that I speak up, or because my thoughts are in opposition to yours?" D) "I have the right to express my opinion."
A young woman has an IV infusing for magnesium sulfate to treat preterm labor. The woman develops a fever. What is the first assessment the nurse should make?
A) Monitor the IV infusion rate. B) Assess the vaginal mucosa. C) Assess the IV site for redness. D) Assess the client's blood pressure.
Drugs, such as thalidomide, that produce birth defects are known as ________.
A. mutagens B. allergens C. teratogens D. carcinogens