Author Question: A female client on the mental health unit experiences periods of psychosis at intervals. She often ... (Read 73 times)

geodog55

  • Hero Member
  • *****
  • Posts: 530
A female client on the mental health unit experiences periods of psychosis at intervals. She often asks what day she came to the facility and what day it is now, and she seems never to be aware of the time.
 
  Which nursing intervention would help this client the most? a. Remind her of the time of day every time she asks.
  b. Assist her to keep a written schedule, including her day of admission, on a calendar posted in her room and a clock beside the calendar.
  c. Tell her it doesn't really matter what day she came to the facility; what matters is what day and time it is now.
  d. Instruct the staff to not answer her repetitive questions because she has been told numerous times her day of admission, and there is a clock on the wall.

Question 2

Which statement accurately differentiates NCD from pseudodementia (depression)?
 
  1. NCD has a rapid onset, whereas pseudodementia does not.
  2. NCD symptoms include disorientation to time and place, and pseudodementia does not.
  3. NCD symptoms improve as the day progresses, but symptoms of pseudodementia worsen.
  4. NCD causes decreased appetite, whereas pseudodementia does not.



al

  • Sr. Member
  • ****
  • Posts: 344
Answer to Question 1

B
A written schedule in her room and a clock will assist her in learning to monitor this information on her own, and this will help to keep her oriented and will foster independence. Reminding her of the time will not help the client monitor the time on her own; it allows the ineffective cycle to continue. Telling the client that it doesn't matter when she entered the facility and instructing the staff not to answer her questions are belittling to the client.

Answer to Question 2

2
Rationale: NCD has a slow progression of symptoms, whereas pseudodementia has a rapid progression of symptoms. NCD symptoms include disorientation to time and place, and pseudodementia does not. NCD symptoms' severity worsens as the day progresses, whereas in pseudodementia, symptoms improve as the day progresses. In NCD the appetite remains unchanged. whereas in pseudodementia, the appetite diminishes.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Common abbreviations that cause medication errors include U (unit), mg (milligram), QD (every day), SC (subcutaneous), TIW (three times per week), D/C (discharge or discontinue), HS (at bedtime or "hours of sleep"), cc (cubic centimeters), and AU (each ear).

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

The calories found in one piece of cherry cheesecake could light a 60-watt light bulb for 1.5 hours.

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

For a complete list of videos, visit our video library