A nurse is caring for a patient with schizophrenia who has delusions that are religious in nature. What is most important for the nurse to remember when caring for this patient?
1. The delusions manifest as a result of spiritual distress.
2. The delusions are intertwined with the patient's religion.
3. The patient may not be mentally ill if the delusions are not persecutory.
4. The patient may be expressing his or her beliefs as well as having delusions.
Answer: 4
Explanation: In situations such as this, one of the challenges for nurses is to determine the difference between an individual who is very zealous in his or her faith and someone who is actually manifesting illness. In this case, the patient may be expressing his or her beliefs as well as having delusions. Delusions that are religious in nature are not necessarily intertwined with the patient's religion, nor do they always manifest as a result of spiritual distress. The patient remains mentally ill with schizophrenia and delusions, whether or not the delusions are persecutory in nature.
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