A client who has been diagnosed as having paranoid schizophrenia is highly suspicious and delu-sional. He hears voices telling him terrorists are plotting to assassinate him. He refuses to eat, saying the food is poisoned
The nursing action that best addresses his needs is to:
1. Explain that others eat the food and are not harmed
2. Allow client to select food from vending machines
3. Assist client with personal hygiene and grooming
4. Not allow client to verbalize delusional thoughts
ANS: 2
Clients who think hospital food is being poisoned will sometimes eat wrapped foods that have not been opened, and occasionally, they may eat food brought from the outside by a trusted per-son. 1. Delusions are fixed, false beliefs that cannot be refuted by logic. The client will probably state that the others have been given the antidote to the poison. 3. No data exist to the effect that the client has inadequate hygiene and grooming. 4. Although it is wise to minimize the amount of discussion about delusions, refusing to allow the client to speak about the delusions will not fos-ter a therapeutic alliance.
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