Author Question: A client who is diagnosed with schizophrenia, paranoid type, tells the nurse, I will take these ... (Read 59 times)

xclash · **on:** Jul 19, 2018

A client who is diagnosed with schizophrenia, paranoid type, tells the nurse, I will take these antipsychotic medications to help alleviate the voices. I will not take these antipsychotic medications because of the weight gain.

This client is exhibiting: 1. Body image disturbance.
2. Decisional conflict.
3. Magical thinking.
4. Noncompliance.

Question 2

The nurse is planning care for an individual diagnosed with borderline personality disorder. The nurse realizes that interventions will have to be focused on which of the following behaviors?

1. Desiring order and perfection
2. Not being able to make decisions
3. Acting out when feeling abandoned or disrespected
4. Withdrawing and becoming isolative

bigcheese9 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

2
Rationale: Decisional conflict, which may be due to biochemical changes in the brain, is correct. The client is having difficulty deciding whether or not to take antipsychotic medication. The client is not exhibiting noncompliance, or refusal to adhere to the treatment regimen. However, noncompliance may occur as a result of ambivalence and decisional conflict. The client is not exhibiting body image disturbance though this is common in people with schizophrenia in which clients may lose the sense of where their bodies leave off and where inanimate objects begin. The client is not expressing magical thinking, which is characterized by the idea that events can occur because someone wishes them to occur.

Answer to Question 2

3
Rationale: Clients with borderline personality disorder often experience feelings of abandonment when left alone and may act out. Clients who are not able to make decisions may have dependent personality disorder. Clients who want order and perfection are often diagnosed with obsessive-compulsive personality disorder. Individuals with cluster A disorders will often withdraw and become isolative.