A client with schizophrenia is in the rehabilitative phase. Which ...

[sheilaspns]

A client with schizophrenia is in the rehabilitative phase. Which nursing diagnosis would be appropriate for the nurse to use during this phase?
 
  a. Disordered Thought Process, related to persecutory delusions
  b. Disturbed Sensory Perceptions, related to auditory hallucinations
  c. Disturbed Sleep Pattern, related to fear of falling asleep
  d. Social Isolation, related to absence of inability to engage in satisfying personal relationships

Question 2

During a one-to-one conversation with a client, the nurse begins to verbalize a delusion of persecution. The priority action is for the nurse to do which of the following?
 
  a. ask the client to tell her more
  b. redirect the conversation back to reality
  c. engage the client and enter into the delusion
  d. argue with the client over the reality of the delusion

[parker125]

Answer to Question 1

D
During the rehabilitative phase, nursing diagnoses would focus on social isolation, ineffective role performance, or ineffective therapeutic regimen management. Nursing diagnoses that focus on delusions, hallucinations, and paranoia would most commonly be used during the acute phase of the client's illness.

Answer to Question 2

B
The priority action is for the nurse to redirect the conversation back to reality. The nurse should never ask the client to tell her more, enter into the delusion, or argue with the client over the reality of the delusion.