A nursing diagnosis commonly applied to both paranoid ...

[lilldybug07]

A nursing diagnosis commonly applied to both paranoid schizophrenic clients and clients with
  amphetamine-induced psychosis is
 
  a. disturbed thought processes.
  b. powerlessness.
  c. ineffective thermoregulation.
  d. deficient knowledge.

Question 2

A client, aged 16 years, comes to the crisis clinic. The nurse learns she is being molested by her
  uncle.
 
  The client told her mother of the uncle's behavior, but the mother accused the daughter of
  lying. The client describes feeling all confused and subsequently cutting her wrists. Nursing
  diagnoses that would be appropriate to consider developing include (more than one choice may be
  correct)
  A. ineffective coping related to crisis involving attempted sexual abuse by uncle.
  B. disturbed thought processes related to anxiety associated with crisis of sexual abuse.
  C. anxiety rel ated to threat to emotional and physical safety caused by sexual abuse.
  D. compromised family coping related to mother's cooperation with uncle's sexual abuse of client.

[sarahccccc]

Answer to Question 1

A
Paranoid delusions are commonly experienced by both types of clients; thus the nursing diagnosis of
disturbed thought processes is appropriate for both. The other options are not specifically applicable
to both.

Answer to Question 2

A, B, C
Rationale: Defining characteristics for diagnoses A, B, and C are present. Option D: The nurse
cannot assume the mother is cooperating with the uncle's attempted sexual abuse of the client. This
would require investigation.

[lilldybug07]

Gracias!

[helenmarkerine]

Excellent