Author Question: The nurse is writing a care plan for a client with schizophrenia. Which of the following ... (Read 58 times)

karlynnae · **on:** Jul 19, 2018

The nurse is writing a care plan for a client with schizophrenia. Which of the following interventions demonstrates that the nurse is working from the Medical model?

1. The nurse will ask the client to identify responsible ways to manage delusional material.
2. The client will learn about the therapeutic effects of medications.
3. The nurse will teach the client appropriate social behaviors in group and one-on-one interactions.
4. The client will learn techniques that will interrupt hallucinations.

Question 2

A nurse has been working with a client who witnessed a traumatic event and is now experiencing panic-level anxiety. The desired outcome is:

1. Stated improvement of self-esteem.
2. Absence of anxiety.
3. Hope for the future.
4. Anxiety is maintained at a manageable level.

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

Answer to Question 1

2
Rationale: The nurse who provides teaching to the client about medications is operating from the model that schizophrenia is a neurobiological disorder over which the client has no control, but can take responsibility for the symptoms by learning about medications. The nurse who teaches the client techniques to interrupt hallucinations operates from the model that the client is not to be blamed for the hallucinations but can take steps to manage the symptoms. The nurse who believes that teaching the client appropriate social behaviors is operating from the model that the client is responsible for inappropriate social behaviors and needs assistance from the nurse to solve this issue. The nurse who believes that asking the client to identify responsible ways to manage delusional material is operating from the model that the clients cause their own problems and are responsible for developing solutions.

Answer to Question 2

4
Rationale: The desired outcome is for the client to maintain anxiety at a manageable level. Anxiety is the result of adaptation to a changing world; its absence would be impossible. There is no data to suggest the client is not hopeful for the future. During panic-level anxiety, it is not reasonable for the client to state improvement of self-esteem.