A client with schizophrenia tells the nurse Everyone must listen ...

[tfester]

A client with schizophrenia tells the nurse Everyone must listen to me. I am the redeemer. I will
  bring peace to the world.. From this the nurse can determine that an appropriate nursing diagnosis to
  be completed is
 
  a. disturbed sensory perception: auditory.
  b. risk for other-directed violence.
  c. chronic low self-esteem.
  d. noncompliance: medication.

Question 2

Appropriate plans to suggest to the family of a bipolar client who is being treated as an outpatient
  during a hypomanic episode include (more than one answer may be correct)
 
  A. providing structure.
  B. limiting credit card access.
  C. encouraging group social interaction.
  D. suggesting limiting work to half-days.

[onowka]

Answer to Question 1

C
The client's grandiose delusion is based on reaction formation to actual feelings of low self-esteem.
The scenario does not provide sufficient data to support the other diagnoses.

Answer to Question 2

A, B
Rationale: A client with hypomania is expansive, grandiose, labile, uses poor judgment, spends
inappropriately, and is overstimulated by a busy environment. Providing structure would help the
client maintain appropriate behavior. Financial irresponsibility may be avoided by limiting access to
cash and credit cards. Option C: Group socialization should be kept to a minimum to reduce
stimulation. Option D: Leave of absence from work will be necessary to limit stimuli and prevent
problems associated with poor judgment and inappropriate decision-making that accompany
hypomania.

[tfester]

Excellent

[robbielu01]

TYSM