The nurse is providing discharge teaching and anticipatory guidance to the family of a client with schizophrenia who experiences delusions and is easily frightened
Which of the following actions are appropriate nursing interventions? Standard Text: Select all that apply. 1. Provide reality orientation.
2. Assure the client that the nurse does not experience delusions or hallucinations.
3. Validate the client's feelings in response to altered perceptions.
4. Inform the client that their delusions and hallucinations are just bad dreams.
5. Keep the client physically safe.
1,3,5
Rationale: Provide reality orientation. The purpose for this is to assist in helping the client distinguish between what is real and what is imagined.
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The mother of a terminally ill child stays with the child day and night. Which statement indicates that the mother is in the chronic sorrow of depression stage?
A) "I will never accept that my child is dying.". B) "I know that there is nothing that can be done for my child.". C) "There must be another doctor somewhere than can help my child.". D) "I will go to church every week if this will keep my child from dying.".
A patient diagnosed with borderline personality disorder self-inflicted wrist lacerations after gaining new privileges on the unit. In this case, the self-mutilation may have been due to:
a. an inherited disorder that manifests itself as an incapacity to tolerate stress. b. use of projective identification and splitting to bring anxiety to manageable levels. c. a constitutional inability to regulate affect, predisposing to psychic disorganization. d. fear of abandonment associated with progress toward autonomy and independence.
Which of these is not an example of a functional food?
a. calcium fortified waffles b. tomato c. black tea d. apple juice
A middle-aged patient voices concerns about gaining 12 pounds over the past 2 years without changing any dietary habits. Which response by the nurse is most appropriate?
A. "Age-related weight gain can occur because of consistent dietary intake and less physical activity." B. "You might be eating more than you think." C. "You are getting older." D. "Are you exercising?"