A nurse working with a client with schizotypal personality ...

[theo]

A nurse working with a client with schizotypal personality disorder finds the client periodically using strange language that is not understood by others. Which of the following interventions is MOST likely to help the client?
 
  a. Ignore the strange language, and instruct peers to do likewise.
  b. Give the client realistic feedback on why the nurse and others do not understand him.
  c. Assign the client to watch people communicating on television and to do a role-play of one scenario.
  d. Walk away from the client when he starts to use strange language.

Question 2

Which is the initial nursing care intervention for a nurse admitting a patient recently discharged from an inpatient unit into a partial-hospitalization program?
 
  a. Confirming the telephone numbers of all family members listed as approved contacts
  b. Identifying the patient's food preferences to best ensure proper nutrition as well as adequate intake
  c. Asking the patient to identify any sources of anxiety they are experiencing related to the program
  d. Educating the patient to the time and place of the unit activities included in their therapeutic plan of care

[brbarasa]

Answer to Question 1

B
The nurse should give the client realistic feedback on why the person is not being understood. Walking away or ignoring the behavior is not effective treatment. While the nurse must not attempt to change the client's core personality, the nurse can be most helpful in providing measured feedback to the client regarding behavior and statements. This will help the client learn to adjust the behaviors that the client has which may be causing them difficulty in life.

Answer to Question 2

C
Support includes the staff's conscious efforts to help patients feel better and improve their self-esteem. It is the unconditional acceptance of the patient, whatever his or her circumstances. The function of support is to help patients feel comfortable and secure and reduce their anxiety. It may take many forms, but it falls under the general heading of paying attention to the patient.