A client in the psychiatric unit is nearing discharge. The nurse overhears a conversation that the client is having with a ward mate in which the ward mate says, "Human beings have no immortal soul. They cease to exist at death."
When asked about the client's religion, the client says, "I am an Armstrongian. It means that if I obey all of God's rules, I will be born again and join God's family in heaven.". The nurse concludes that the client is experiencing a religious delusion. Was the nurse correct in this assumption? A) No, because the religion is too well thought out to be a product of the client's mind and imagination.
B) Yes, because the client is talking about religion too much.
C) No, because not enough assessment data has been gathered to draw the conclusion.
D) Yes, because the client's statement about being born again suggests that the client is thinking about
suicide.
C
You might also like to view...
The nurse is assessing the assigned client's level of consciousness during morning rounds. The nurse speaks the client's name, strokes the client's hand, and moves the client's shoulder
There is a delay, and then the client states, "What do you want?" Which level of conscious should the nurse document? A) Conscious B) Semicomatose C) Somnolent D) Stuporous
The nurse teaches the patient who has undergone skin grafting which of the following general guidelines regarding donor-site care after healing?
A) Limit protein intake. B) Apply cold compresses to the area. C) Showering is contraindicated. D) Keep the area protected from sunlight.
Trevor fell off the ladder working on cleaning out his gutters. As a result, he sustained a fractured femur
a. Explain what surgical procedures and treatment options Trevor has before him. b. What complications is Trevor at risk for? c. What are the signs and symptoms? d. What diagnostic testing is used in aiding a diagnosis?
The client who hesitates 30 seconds before responding to any question is described as having
a. blunted affect. b. latency of response. c. paranoid delusions. d. poverty of speech.