Author Question: A patient was admitted to the mental health unit after arguing with co-workers and threatening to ... (Read 39 times)

danielfitts88 · **on:** Jul 19, 2018

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.

31809pancho · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
Delusions of persecution and ideas of reference support a nursing diagnosis of Disturbed thought processes. Risk for other-directed violence is substantiated by the patient's feeling endangered by persecutors. Fearful individuals may strike out at perceived persecutors or may attempt self-harm to get away from persecutors. Data are not present to support the diagnoses in the other options.

Answer to Question 2

A, B, C
The correct responses describe cultural beliefs often held by Asian American groups. They are each based on valuing concepts of respect and restraint. Although trancelike syndromes do occur among members of certain cultures, they are not related to this situation. Most Asian cultures value a more distant personal space.