Term
| A client is sitting along talking quietly. There is no one around. What nursing action should be taken? |
|
Definition
| Quiety;y approach the client and note the behavior. Assess the content of the hallucinations; Ex: "o noticed you talking. are you hearing voices?" Can you tell me about the voices you are hearing?" |
|
|
Term
| A client dials 222-2222 and asks for his fiance, Candice Bergen. This is an example of what type of thought disorder? |
|
Definition
|
|
Term
| A client has been sitting in the same position for 2 hours. He is mute. What type of schizophrenia is this client experiencing? describe appropriate nursing interventions for the client |
|
Definition
| Catatonic; spend time with client; assist with ADLs be alert to potential for violence toward self or others; be aware of fld and nutrition needs |
|
|
Term
| A client is very agitated He believes that the CIA has tapped the phone and is sending messages throught the television and that you are an agent who has been planted by the agency. In order of priority, lost the appripriate nursing actions when intervening in this situation. What type of delusion is this client experiencing? |
|
Definition
| Approach client and offer solitary activity as distraction. assess need for meds. Encourage verbalization of feelings and promote outlet for expression. The delusion is paranoid disorder with delusions of reference (CIA) |
|
|
Term
| The nurse asks the client "what brought you to the hospital?" The clients response is, "the bus" what type of thinking is the client exhibiting? |
|
Definition
|
|
