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Author Question: A patient is acutely psychotic, withdrawn, claims to be a robot, and cannot think of how to take a ... (Read 143 times)

itsmyluck

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A patient is acutely psychotic, withdrawn, claims to be a robot, and cannot think of how to take a shower. Which response by the nurse is best?
 
  a. If you can't shower independently, the staff will give you a bed bath..
  b. I will turn on the water for you and provide you with step-by-step directions..
  c. You must shower, or you'll risk having people actively avoid being around you..
  d. We can put off the shower for another day because you don't have any body odor..

Question 2

In caring for the client with anorexia who feels so out of control, the nurse can provide:
 
  a. unlimited choices
  b. rigorous intake requirements
  c. rational limit setting
  d. stress-reduction techniques



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dawsa925

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Answer to Question 1

B
Simple, concrete directions are appropriate interventions for a patient with self-concept disturbance evidenced by distorted thinking, passivity, loss of initiative, and inability to make decisions.

Answer to Question 2

C
The nurse can provide rational limit setting for clients with anorexia nervosa. In some cases, a client's eating patterns may be so distorted that the client needs the nurse to help him or her relearn healthy eating practices. This, along with flexibility and empathy, can be very helpful for someone who is out of control with eating habits, but wishes to regain control. The nurse can role-model healthy eating and exercise behaviors, as well as provide emotional and psychological support.





 

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