A patient with delusions of persecution about being poisoned has refused all hospital meals for 3 days. Which intervention is most likely to be acceptable to the patient?
a. Allowing the patient to have supervised access to food vending machines
b. Allowing the patient to telephone a local restaurant to deliver meals
c. Offering to taste each portion on the tray for the patient
d. Providing tube feedings or total parenteral nutrition
ANS: A
The patient who is delusional about food being poisoned is likely to believe restaurant food might still be poisoned and to say that the staff member tasting the food has taken an antidote to the poison before tasting. Attempts to tube feed or give nutrition intravenously are considered aggressive and usually promote violence. Patients perceive foods in sealed containers, packages, or natural shells as being safe.
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