A patient with paranoid schizophrenia tells the nurse, "The FBI is listening through fluorescent lights in this room. Be careful what you say." Which response by the nurse would be most therapeutic?
a. "Let's talk about something other than the FBI."
b. "It sounds like you're concerned about your privacy."
c. "The FBI is prohibited from operating in health care facilities."
d. "You have lost touch with reality, which is a symptom of your illness."
B
It is important not to challenge the patient's beliefs, even if they are unrealistic. Challenging undermines the patient's trust in the nurse. The nurse should try to understand the underlying feelings or thoughts the patient's message conveys. Other distracters use reflection or are nontherapeutic (changing the subject, false reassurance). One distracter presents reality but in an uncompassionate way.
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The nurse is caring for a client from another culture who refused morning care. Possible cultural influences on the client include: Standard Text: Select all that apply
1. Religious practices. 2. Growing up in an area with little water. 3. Need for privacy. 4. Need for assistance. 5. Client's age.
During early civilization _____________ ________ performed witchcraft and rituals to induce the bad spirits to leave the body of the ailing person
ANS:
What is the minimum fluid intake for an older adult?
a. 1000 mL b. 2000 mL c. 4000 mL d. 6000 mL
Clients receiving oral contraceptives containing progestin only should be instructed that they are more likely to experience:
a. GI upset. b. menstrual irregularities. c. weight gain. d. edema.