The nurse has been talking with a client who has a delusion about being the President of the United States. One day a ward mate challenges him by saying, If you were the President, you would not be here..
Shortly afterwards the nurse hears the client explaining that because of the Iraq war, the CIA has had to hide him in a psychiatric unit, so his enemies would not find him. The nurse should recognize which of the following in the client's statement? A) Delusions of control B) Systematized delusion
C) Thought insertion D) Thought withdrawal
Question 2
A client on the psychiatric unit calls for the night nurse to turn down the music because the client cannot sleep. The nurse does not hear any music but notices a small humming from the lights over the client's bed.
What question should the nurse ask that would help in the assessment of this situation? A) Have you tried any self-help strategies?
B) How loud is the music?
C) Where do you think the music is coming from?
D) Have you been hearing music the entire time you have been here?
Client on IV patient-controlled analgesia (PCA).
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