A client in the psychiatric unit is nearing discharge. The nurse ...

[elizabeth18]

A client in the psychiatric unit is nearing discharge. The nurse overhears a conversation that the client is having with a ward mate in which the ward mate says, Human beings have no immortal soul. They cease to exist at death..
 
  When asked about the client's religion, the client says, I am an Armstrongian. It means that if I obey all of God's rules, I will be born again and join God's family in heaven.. The nurse concludes that the client is experiencing a religious delusion. Was the nurse correct in this assumption? A) No, because the religion is too well thought out to be a product of the client's mind and imagination.
  B) Yes, because the client is talking about religion too much.
  C) No, because not enough assessment data has been gathered to draw the conclusion.
  D) Yes, because the client's statement about being born again suggests that the client is thinking about
  suicide.

Question 2

A young adult client is admitted to the psychiatric unit after a suicide attempt. The nurse learns that the client recently escaped from a domestic violence situation and was sexually abused by a parent as a child.
 
  The nurse observes that the client has numerous cuts up and down both arms and legs. After more discussion, the nurse writes the following diagnosis in the client's care plan: Self-mutilation related to need to end dissociative experiences, secondary to sexual abuse. What did the client say that was evidence for this diagnosis? A) Cutting myself was the only way I could get admitted to the hospital..
  B) I cut when I get angry at myself; it feels like something I deserve..
  C) When I cut myself I feel alive, not like a lump of dead meat..
  D) I have periods where I feel like I am living in a dream or walking through a fog and cutting helps me
  refocus..

[Loise Hard]

Answer to Question 1

C

Answer to Question 2

D