A patient reports, "My brain is controlled by government agents who can trace my whereabouts and listen to my thoughts.". An appropriate nursing response to this information would be:
a. "Your story is very strange and too bizarre for me to believe.".
b. "Tell me why you think your brain is being controlled by the government.".
c. "Were you experiencing any stress just before you began to think your brain was being controlled?"
d. "Are you feeling frightened or angry about the government violating your body and controlling your brain?"
C
It is appropriate for the nurse to help the patient place the delusion in a time frame and to identify triggers that may be related to stress or anxiety.
You might also like to view...
A pretest is to a posttest as which of the following?
A) The placebo effect is to the Hawthorne effect B) A baseline measure is to a final outcome measure C) Blinding is to matching D) Attrition is to a mortality threat
A patient has asked the nurse to explain her laboratory results. The nurse informs the patient that he must first assist another patient to the bathroom and then he will explain the results
The nurse assists the other patient to the bathroom and then returns to explain the results to the patient. What moral principle has the nurse displayed? 1) Nonmaleficence 2) Autonomy 3) Beneficence 4) Fidelity
A patient has had a head injury affecting the brainstem. What is located in the brainstem that may affect respiratory function?
A) chemoreceptors C) respiratory center B) stretch receptors D) oxygen center
The nurse is testing the visual acuity of a patient in the outpatient clinic. The nurse's instructions for this test include asking the patient to
a. stand 20 feet from the wall chart. b. follow the examiner's finger with the eyes only. c. look at an object far away and then near to the eyes. d. look straight ahead while a light is shone into the eyes.