A patient is hospitalized for an acute episode of schizophrenia. A nurse finds the patient in the lounge nude and telling everyone, "I am the body beautiful.". The most appropriate intervention for the nurse would be to:
a. tell the patient to put on clothes immediately and to not undress in public again.
b. take the patient back to the assigned room and then assist the patient with getting appropriately dressed.
c. ignore the behavior and share with the other patients that the patient has no control over it.
d. seclude the patient until control can be regained and clearly define why the behavior is unacceptable.
B
The sexual expression of patients with psychiatric illness may be inappropriate and, at times, intrusive. The patient may not be able to understand or control sexual thoughts or impulses. Nursing intervention should protect the patient from the consequences of poor judgment whenever possible and should be achieved in a neutral, nonjudgmental manner.
You might also like to view...
The patient has a cerebral aneurysm leak. While awaiting surgical repair, the patient has an episode of extreme light-headedness and is found to have a mean arterial pressure less than 55 mm Hg
The patient's urinary output has been excessive and increasing over the past several hours. What is the best nursing intervention for this patient? A) Enforce complete bed rest B) Cautious volume replacement C) Intravenous diuretic therapy D) Continuous seizure precautions
The nurse administers vitamin K intramuscularly to the newborn to:
A) stop Rh sensitization C) prevent bilirubin breakdown B) increase erythropoiesis D) promote blood clotting
The nurse is doing a prehospitalization orientation for a girl, age 7 years, who is scheduled for cardiac surgery. As part of the preparation, the nurse explains that after the surgery, the child will be in the intensive care unit. How might the explanati
a. Unnecessary b. The surgeon's responsibility c. Too stressful for a young child d. An appropriate part of the child's preparation
What would be a positive outcome of administration of oxytocin (Pitocin) 10 units (intramuscularly) after the third stage of labor?
a. Relaxation of the uterus b. Relief of "afterbirth" discomfort c. Suppression of lactation d. Prevention of uterine atony