A patient diagnosed with schizophrenia says, "My co-workers are out to get me. I also saw two doctors plotting to kill me." How does this patient perceive the environment?
a. Disorganized
b. Dangerous
c. Supportive
d. Bizarre
ANS: B
The patient sees the world as hostile and dangerous. This assessment is important because the nurse can be more effective by using empathy to respond to the patient. Data are not present to support any of the other options.
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A patient's severe family tragedy 1 year ago resulted in depression and insomnia. Which of the following hypnotics may be safely taken for longer-term treatment of insomnia?
A) Lorazepam (Ativan) B) Eszopiclone (Lunesta) C) Chloral hydrate D) Oxazepam (Serax)
According to Lindemann's loss theory, the spouse of a deceased client is experiencing a hostile reaction when:
a. the bereaved experiences a sense of unreality. b. the bereaved desires to be left alone. c. the bereaved considers the death to be a result of their own negligence. d. the bereaved experiences physical and emotional pain.
A client becomes upset when touched by a staff member who was attempting to measure the client's blood pressure. The nurse recognizes that there is a problem with:
A) Informed consent. B) Staff control. C) Confidentiality. D) Duty to protect.
A client has been recently told that the primary cancer has metastasized, and the cancer is con-sidered terminal. When the nurse offers to discuss palliative care options, the client replies,
"I'm going to have the reports reevaluated by another doctor; I feel fine and I think a mistake has been made." The nurse recognizes this response as: 1. Anger 2. Disbelief 3. Bargaining 4. Acceptance