Author Question: A newly admitted patient diagnosed with paranoid schizophrenia is hypervigilant and constantly scans ... (Read 86 times)

magmichele12 · **on:** Jul 19, 2018

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

Question 2

The nurse is talking with a male client recently admitted to a mental health facility. He is very anxious to begin his treatment for alcohol and drug addiction because he states that he really wants to get well this time.

Which stage of illness is the client experiencing? a. Dependency
b. Symptoms
c. Recovery and rehabilitation
d. Sick role

karmakat49 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

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.

Answer to Question 2

D
The sick role is the stage of illness in which an individual accepts the illness and focuses on treatment and/or recovery. Dependency is stage 4 of illness and is characterized by relying on and accepting the attention of others. The appearance of symptoms is the first stage of illness and refers to notice of an undesirable change and awareness that something is not right; recovery and rehabilitation constitute stage 5 of illness.