A patient who has schizophrenia suddenly verbally attacks you for being "one of them" and screams, "You are trying to hurt me, too!" Your most therapeutic response is:
A) "You know that is not true!"
B) Silence.
C) "I'd be angry, too. They are being terrible toward you!"
D) "It must be frightening to feel so threatened."
D
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The client with chronic open-angle glaucoma is receiving timolol (Timoptic) eye drops. Which evaluation finding would indicate to the nurse the treatment is working?
A) Intraocular pressure 15 mm Hg B) Reduced peripheral vision C) Halos around lights D) Decrease in nausea and vomiting
The nurse instructs a patient about scheduling rifampin doses. The best advice for this patient is to:
a. always take the drug on an empty stomach. b. take the drug with meals. c. take the drug within 30 minutes after a meal. d. take the drug without regard to meals.
Compulsions such as washing one's hands repeatedly or constantly checking doors to be sure they are locked develop because the patients are:
A) Consciously attempting to punish themselves or others B) Responding to "the voices" telling them to perform the ritual C) Unconsciously controlling unpleasant thoughts or feelings D) Unaware that they are performing the ritual
A patient experiencing psychosis says, "I am in charge. Who are you and why are you here?" What is the most therapeutic response by the nurse?
1. "You know who I am." 2. "You don't know who I am?" 3. "You are not in charge; you are a patient in the hospital." 4. "I am your nurse and I will be here to help you until dinner."