A patient was admitted to the mental health unit after arguing with co-workers and threatening to kill them. He is diagnosed with paranoid schizophrenia. On the unit he is aloof and suspicious.
He mentioned that two physicians he saw talking were plotting to kill him. On the basis of data gathered at this point, which two primary nursing diagnoses should the nurse consider? a. Disturbed thought processes and Risk for other-directed violence
b. Spiritual distress and Social isolation
c. Risk for loneliness and Knowledge deficit
d. Disturbed personal identity and Nonadherence
Question 2
A nurse working with a single, Asian American college student tells a colleague, The patient has very poor eye contact. No matter what strategies I use, this patient will not look at me.
Which explanation(s) would be likely reasons for this patient's behavior? In some Asian cultures: (Select all that apply.)
a. a strong cultural injunction exists against using assertive communication measures.
b. looking directly at a person of the opposite sex indicates sexual interest.
c. looking down signifies deference to authority.
d. a close personal space is therapeutic.
e. trancelike syndromes are common.
Visual Acuity Testing: Assist the patient in occluding the eye.
Patient education
Health care - patient-centered
Calipers are used to measure the body fat on the triceps of a patient.
Role-Playing a Situation in Which a Patient Is from Another Culture
Assisting a falling patient.