The nurse understands that certain factors are known to ...

[Awilson837]

The nurse understands that certain factors are known to predispose an individual to a delusional disorder. These factors include what?
 
  A) Electrolyte imbalances
  B) Genetic predisposition
  C) Severe stress
  D) Head injury

Question 2

A client broke down in tears when speaking with the nurse, stating, You have no idea what it's like to be responsible for finding Osama bin Laden.
 
  Every day I have to stay one step ahead of the Al Qaida operatives that he's sent after me. In light of the client's statement, which of the following nursing diagnoses should the nurse prioritize?
 
  A) Fear related to persecutory delusions
  B) Disturbed Sensory Perception related to grandiose delusions
  C) Defensive Coping related to delusional thoughts
  D) Impaired Social Interactions related to delusional thinking

[cpetit11]

Answer to Question 1

Ans: C
Delusional disorders can be precipitated by psychosocial factors such as severe stress. They are not a consequence of electrolyte imbalances, and genetic links are unclear. Neurological etiologies are usually due to disease of the limbic system and basal ganglia rather than traumatic brain injury.

Answer to Question 2

Ans: A
The client is expressing fear and anxiety resulting from a perceived threat. He is confused about his role and/or identity, but there is no evidence of a disturbance in sensory perception (ie, hallucinations). Defensive coping is not in evidence, and impaired social interactions are secondary to the client's immediate fear.

[Awilson837]

Thank you

[cpetit11]

Happy to help you