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Author Question: A patient with schizophrenia anxiously says, I can see the left side of my body merging with the ... (Read 15 times)

KWilfred

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on: Jul 19, 2018
A patient with schizophrenia anxiously says, I can see the left side of my body merging with the wall, then my face appears and disappears in the mirror. While listening, the nurse should:
 
  a. sit close to the patient.
  b. place an arm protectively around the patient's shoulders.
  c. place a hand on the patient's arm and exert light pressure.
  d. maintain a normal social interaction distance from the patient.

Question 2

The family of a patient with undifferentiated schizophrenia is unfamiliar with the illness and the family's role in recovery. Which type of therapy should the nurse recommend?
 
  a. Psychoeducational
  b. Psychoanalytic
  c. Transactional
  d. Family


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qytan

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Reply #1 on: Jul 19, 2018
Answer to Question 1

ANS: D
The patient is describing phenomena that indicate personal boundary difficulties. The nurse should maintain an appropriate social distance and not touch the patient, because the patient is anxious about the inability to maintain ego boundaries and merging with or being swallowed by the environment. Physical closeness or touch could precipitate panic.

Answer to Question 2

ANS: A
A psychoeducational group explores the causes of schizophrenia, the role of medications, the significance of medication compliance, and the importance of support for the ill member of the family, and also provides recommendations for living with a person with schizophrenia. Such a group can be of practical assistance to the family members. The other types of therapy do not focus on psychoeducation.


KWilfred

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Reply 2 on: Jul 19, 2018
Thanks for the timely response, appreciate it

dyrone

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Reply 3 on: Yesterday
Excellent

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