A 20-year-old college student has stopped attending classes. The student exhibits disorganized thinking, stays in his room all the time, hears voices, and is convinced that a fellow student is spreading untruths about him.
The student is admitted to the psychiatric unit and receives a diagnosis of paranoid schizophrenia. Which nursing diagnosis should a nurse assign to this client when planning care?
A) Risk for self-directed violence
B) Ineffective coping
C) Risk for other-directed violence
D) Disturbed thought processes
Question 2
A 79-year-old client has become increasingly unable to fulfill her self-care needs. Her children, who live in a city far from her, agreed it would be best for her to move into a nursing home near them.
The client tells a nurse, I don't want to live here. I would rather die than live here. Which nursing intervention would best help the client to be as independent as possible in her self-care activities?
A) Assigning a variety of caregivers so that one person does not become used to doing everything for the client
B) Allowing the client a specified amount of time to complete activities of daily living (ADLs) and then finish them for her
C) Tell the client at the beginning of each day what is expected of her that day
D) Construct ADLs to follow the client's home routine as closely as possible
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