Author Question: A 28-year-old female client was admitted 3 days ago after she ran nude through the streets, shouting ... (Read 20 times)

Anajune7 · **on:** Jul 19, 2018

A 28-year-old female client was admitted 3 days ago after she ran nude through the streets, shouting that she was the Queen of Hearts. The client has remained delusional since admission. An initial expected outcome would be that the client wil

1. Allow the nurse to logically dispute the delusion
2. Distinguish external boundaries
3. Engage in reality-oriented conversation
4. Explain why she thinks she is the Queen of Hearts

Question 2

Which of the following interventions should the nurse plan to use to reduce client focus on delu-sional thinking?

1. Confronting the delusion
2. Focusing on feelings suggested by the delusion
3. Refuting the delusion with logic
4. Exploring reasons the client has the delusion

LVPMS · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 3
Delusions are not reality-oriented; thus an appropriate outcome would be that client will engage in reality-oriented conversation rather than discussing delusional beliefs. 1. Delusions are fixed, false beliefs. Clients rarely accept anyone using logic to dispute them. 2. Data are not present to suggest boundary disturbance. 4. Explaining the delusion is not progress; it suggests the client still holds to the belief.

Answer to Question 2

ANS: 2
Focusing on feelings suggested by the delusion will help meet client needs and help the client stay reality-based. This technique fosters rapport and trust while discouraging the belief without challenging or refuting it.