A patient diagnosed with paranoid schizophrenia is describing religiously-based delusions that other patients find offensive. Which nursing intervention will the nurse implement to provide a therapeutic milieu?
a. Engaging the delusional patient in prayer in order to redirect the problematic be-havior
b. Explaining to the delusional patient that such talk is offensive to some of the mi-lieu and will not be allowed
c. Asking for the pastoral counselor to visit the unit and talk with both the delusion-al patient as well as the rest of the milieu
d. Removing the delusional patient from the milieu when staff is unable to success-fully refocus the conversation to a non-religious topic
ANS: C
Occasionally, individuals with serious mental disorders experience delusions that are spiritual or religious in nature. Certified pastoral counselors are skilled with regard to counseling pa-tients and consulting with staff about these problems, and they assist the health care team in ways that address the particular concerns of individual patients. Challenging or debating the truth of a person's delusions is not therapeutic, and spiritual delusions are no exception. En-gaging in spiritual or religious practice with individuals on a psychiatric unit is also inappro-priate. Removing the patient from the milieu is seldom therapeutic and done only to maxim-ize milieu safety.
You might also like to view...
A nurse practitioner is about to perform the advanced technique for an anal pap collection. Which of the following steps would be included? Select all that apply
a. Inform the patient to avoid enemas and receptive anal intercourse for 24 hours prior to specimen collection. b. Colonic preparation is not necessary, but the rectum should be emptied before obtaining the sample. c. Moisten a Dacron-tipped swab with tap water and insert the swab about 4 inches into the anal canal. d. Perform 1 to 2 spiral rotation movements of the swab against the walls of the rectum and anus as the swab encircles the anal canal during slow withdrawal of the swab. e. Remove the swab and swirl it for 5 seconds in a container of liquid cytology fluid. f. Perform a digital rectal examination after the anal Pap to rule out any masses.
When teaching a group of older adults regarding prevention of gastroesophageal reflux disease symptoms, the nurse practitioner will include which of the following instructions?
A. Raise the head of the bed with pillows at night and chew peppermints when symptoms of heartburn begins B. Raise the head of the bed on blocks and take the proton pump inhibitor medication at bedtime C. Sit up for an hour after taking any medication and restrict fluid intake D. Avoid food intolerances, raise head of bed on blocks, and take a proton pump inhibitor before a meal
A woman is experiencing preterm labor. The patient asks why she is on betamethasone (Celestone). The best response by the nurse would be "This medication:
1. "Will halt the labor process until the baby is more mature." 2. "Will relax the smooth muscles in the infant's lungs so the baby can breathe." 3. "Is effective in stimulating lung development in the preterm infant." 4. "Is an antibiotic that will treat your urinary tract infection, which caused preterm labor."
A patient asks a nurse why a friend who is taking the same drug responds differently to that drug. The nurse knows that the most common variation in drug response is due to differences in each patient's:
a. drug receptor sites. b. hypersensitivity potential. c. metabolism of drugs. d. psychosocial response.