The nurse is caring for a patient who recently found a new ...

[joe]

The nurse is caring for a patient who recently found a new religion. A family member tells the nurse that the family is concerned because the patient has difficulty maintaining relationships because of the patient's beliefs.
 
  What is the nurse's best response?
  1. Assess for toxic faith.
  2. Assess for the presence of delusions.
  3. Ask the patient about these concerns.
  4. Ask the patient to explain his or her beliefs to the family member.

Question 2

The nurse is caring for a patient with schizophrenia who presents to the primary care clinic for a wellness exam. The patient tells the nurse, I stopped taking my medications two weeks ago because I have been feeling great and I don't think I need t
 
  anymore. What is the nurse's best response?
  1. Please tell me why you do not want to take these medications.
  2. Let me review the importance of taking the medications as prescribed.
  3. Let me review the nature of your illness and the action of the medications.
  4. Please tell me how you are feeling and why you stopped taking these medications.

[Christopher]

Answer to Question 1

Answer: 1
Explanation: Toxic faith occurs when an individual's beliefs interfere with his or her health and relationships with others. The nurse would not assess for the presence of delusions, as this patient is not demonstrating delusional thoughts. The nurse will not ask the patient about the family member's concerns or to explain his or her beliefs to the family member, because these do not promote a therapeutic nurse-patient relationship.

Answer to Question 2

Answer: 3
Explanation: The nurse needs to listen carefully to the concerns and disappointment of the patient, review the nature of his or her illness and the action of the medications, and help the patient explore feelings about not being healed as the patient expected and hoped. The nurse should not simply review the importance of taking the medications as prescribed, as this will not allow the patient to understand the nature of his or her illness and the reason for the medications. The patient has already told the nurse why he or she does not want to take these medications and how the patient is feeling.

[joe]

TYSM

[parshano]

Excellent