A newly admitted patient diagnosed with paranoid schizophrenia is hypervigilant and constantly scans the environment. He states that he saw two doctors talking in the hall and knows they were plotting to kill him

When charting, how should the nurse identify this behavior? a. Idea of reference
b. Delusion of infidelity
c. Auditory hallucination
d. Echolalia


A
Ideas of reference are misinterpretations of the verbalizations or actions of others wherein the patient believes the behaviors have special meanings relative to him. For example, seeing two people talking, the individual assumes they are talking about him or her. Hallucinations are a misinterpretation of internal stimuli as being external reality, a delusion is a persistent irrational belief, and echolalia is repeating the words of others.

Nursing

You might also like to view...

The nurse assists the client with emphysema admitted because of a respiratory infection to assume what position to reduce the effort of breathing and improve gas exchange?

1. Left Sims' position 2. Fowler's position 3. High Fowler's position 4. Orthopneic position

Nursing

The nurse caring for a patient who has peritonitis and has developed a paralytic ileus assesses that the patient is passing gas. The assessment is an indication of:

a. gas forming in bowel contents. b. the result of forceful vomiting. c. returned peristalsis. d. inadequate decompression.

Nursing

What do the clinical manifestations of minimal change nephrotic syndrome include?

a. Hematuria, bacteriuria, and weight gain b. Gross hematuria, albuminuria, and fever c. Hypertension, weight loss, and proteinuria d. Massive proteinuria, hypoalbuminemia, and edema

Nursing

Hospice benefits include which of the following? (Select all that apply.)

a. Respite for family caregivers b. Hospitalization for acute symptom management c. Emotional and psychological support d. Financial assistance and funeral arrangement

Nursing