A nurse is working with a young male client who says that he is Elvis Presley. Recognizing that this is a delusion of grandiosity, the nurse decides that a goal today will be to promote a sense of self-worth and increased self-esteem.
What did the nurse do? A) Reminded the client that his name is not Elvis and remarked on the qualities of his real name.
B) Tell the client how handsome he looked and remarked on his classy sideburns.
C) Complimented the client when he was being considerate of another, older patient on the unit.
D) Asked the client to sing for the others on the unit to demonstrate his Elvis style.
Question 2
A discharge goal for a client with delusions is: Recognizes reality; agrees to give up or live with the delusional system. Which behavior by the client would indicate that the goal was met?
A) Client states that his psychiatrist knows what is good for him and he believed it when he told him Satan
wasn't watching him.
B) Client verbalizes that he still believes Satan is watching him, but it does not bother him like before.
C) Client does not speak about the delusion.
D) Client states, Don't worry about me; I now know to take my medication everyday..
Male tule elk in Point Reyes
C, A nurse can also administer the medication by setting the dose and rate with an electronic infusi
The nurse cares for the postop client in the postanesthesia care unit (PACU).
A client is having an endoscopy performed by a physician who views the upper gastrointestinal intern
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