Author Question: A client with schizophrenia has cognitive disturbances of distractibility, attention deficit, and ... (Read 24 times)

tatyanajohnson · **on:** Jul 22, 2018

A client with schizophrenia has cognitive disturbances of distractibility, attention deficit, and difficulty in remembering recent events, diminishing the ability to focus on interactions with the team.

The client also has a history of suicide attempts. The nurse conducting an assessment interview states, Don't you trust me? How does this question affect the client? 1. It is therapeutic and values the client's feelings.
2. It reinforces the client's need to prevent self-harm.
3. It contributes to the client's sense of low self-worth.
4. It clarifies what the client can expect from the team.

Question 2

The nurse has completed an assessment of a client with chronic obstructive pulmonary disease (COPD). The nurse plans to ensure that the client has an over-bed table to lean on when awake if needed to ease breathing.

The nurse used which of the following techniques to make this decision? 1. Delegating a task.
2. Critical thinking.
3. Conflict resolution.
4. Priority-setting.

Ptupou85 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. It contributes to the client's sense of low self-worth.

Rationale:
Challenging the client will contribute to a sense of low self-worth. Saying Don't you trust me? is non-therapeutic and devalues the client's self-perception and feelings, diminishes the client's need to prevent self-harm, , and suggests that the team will be unsupportive. Being truthful with the client and reinforcing the need for prevention of harm to self or others clarifies what the client can expect from the team.

Answer to Question 2

2. Critical thinking.

Rationale:
After assessing the client, the nurse sets goals for and with the client. To arrive at the goal, the nurse uses critical thinking to make the decision to provide the client with optimum ability to breathe. Delegating involves giving the task to another team member. There is no conflict in this decision. Conflict resolution usually involves a compromise that affects two sides that are in disagreement. Priority-setting involves deciding which task to perform first.