A married couple arrives at the outpatient clinic. Upon assessment, the nurse finds that the couple believes that the police have been following them and tapping their phones for 2 months
This couple most likely suffers from which of the following disorders?
A) Folie à deux
B) Psychotic disorder NOS
C) Delusional disorder, paranoid type
D) Conjugal delusion
Ans: A
Shared psychotic disorder, or folie à deux, involves two individuals who have a close relationship and share the same delusion. This occurrence is attributed to the strong influence of the more dominant person. It is seen more frequently in women who are isolated by language, culture, or geography. Such persons are often related by blood or marriage and have lived together for an extended period of time. Contributing factors include old age, low intelligence, sensory impairment, cerebrovascular disease, and alcohol abuse. This disorder has been diagnosed in twins and individuals, both of whom had a chronic psychotic disorder. This disorder also has occurred in a group of individuals or in families in which the parent is the primary case (inducer).
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A nurse is teaching a patient who drinks alcohol in excess. When the patient asks the nurse about the effect of chronic alcohol use on the heart, the nurse's best response would be which of the following statements?
a. "Alcohol has little effect on the heart. You should be more concerned about your liver." b. "Heart failure is a major problem that develops in patients who use excessive alcohol." c. "Excessive alcohol use can lower your blood pressure." d. "Drinking more than two drinks a day has been shown to protect the heart from atherosclerosis."
The nurse is caring for a patient with swallowing concerns and decreased level of consciousness. The nurse knows to put the patient in what position for oral care?
a. High Fowler's b. Prone c. Side lying d. Low Fowler's
What is your teaching priority for the client who will be using oxygen therapy at home via an H cylinder?
A. Keeping the tubing free of condensation B. Explaining that the client should avoid crowds C. Ensuring that adequate humidification is available D. Reinforcing that the cylinder must be secured in a stand or a rack
A young adult patient who is in the rehabilitation phase 6 months after a severe face and neck burn tells the nurse, "I'm sorry that I'm still alive. My life will never be normal again." Which response by the nurse is best?
a. "Most people recover after a burn and feel satisfied with their lives." b. "It's true that your life may be different. What concerns you the most?" c. "It is really too early to know how much your life will be changed by the burn." d. "Why do you feel that way? You will be able to adapt as your recovery progresses."