A patient diagnosed with schizophrenia, paranoid type, has been ...

[Jramos095]

A patient diagnosed with schizophrenia, paranoid type, has been suspicious of staff since admission
 
  The patient visits with a chaplain but then tells the nurse, Don't send any more preachers. What is the most likely reason for the patient's reaction?
  a. Hostility
  b. Distractibility
  c. Inability to trust
  d. Inability to find meaning in suffering

Question 2

A psychiatric nurse clinician on an inpatient unit plans to lead a special-problems group for withdrawn patients. Which information will be of most assistance as the nurse prepares for this assignment?
 
  a. Inpatient groups rarely have a lasting beneficial effect.
  b. Inpatient groups have short-term, goal-oriented sessions.
  c. Inpatient groups are helpful for patients with verbal skills.
  d. Inpatient groups facilitate insight into deeply rooted life issues.

[Kingjoffery]

Answer to Question 1

C
Individuals with paranoid schizophrenia often have an inability to trust. Inability to trust may be related to inadequate nurturing in infancy and to later difficulty recognizing a connection with God. The other options are less clearly related to issues of paranoia and trust.

Answer to Question 2

B
Because inpatient stays are so short and accountability is a major treatment issue, inpatient groups typically have short-term, goal-oriented sessions designed to teach patients more adaptive strategies for coping with life's problems. Beneficial effects are often lasting. Patients with or without verbal skills may be helped by selected types of groups. Insight-oriented therapy is conducted on an outpatient basis and usually occurs over the long term.