The client has hallucinations, delusions, and feelings of ...

[audragclark]

The client has hallucinations, delusions, and feelings of paranoia. She lacks judgment, behaves impulsively, and shows little insight. Her behaviors are often inappropriate, ritual-istic, or repetitive. She is diagnosed as
 
  1. anxious.
  2. suicidal.
  3. depressed.
  4. psychotic.

Question 2

A nurse is working with a perpetrator of family violence who has a long history of violent rages when frustrated, with periods of remorse after each outburst. The nurse is most likely to establish the nursing diagnosis of:
 
  a. Risk for injury related to victim reprisal.
  b. Risk for other-directed violence related to stress.
  c. Ineffective coping related to poor anger management.
  d. Caregiver role strain related to feelings of being overwhelmed.

[essyface1]

Answer to Question 1

4
The defining feature of a psychosis is gross functional impairment owing to loss of touch with reality.

Answer to Question 2

C
Ineffective coping considers the long-term nature of the problem and most directly relates to the pattern of violence following frustration. The known data do not indicate risk from reprisal or caregiver role strain.