Author Question: List the five steps of the nursing process in proper chronological order. What will be an ideal ... (Read 119 times)

faduma · **on:** Jul 19, 2018

List the five steps of the nursing process in proper chronological order.

What will be an ideal response?

Question 2

A salesman has had difficulty holding a job because he accuses co-workers of conspiring to take his sales. Today, he argued with several office mates and threatened to kill one of them.

The police were called, and he was brought to the mental health center for evaluation. He has had previous admissions to the unit for stabilization of paranoid schizophrenia. When the nurse meets him, he points at staff in the nursing station and states loudly, They're all plotting to destroy me. Isn't that true? Which would be the most appropriate response? a. No, that is not true. People here are trying to help you if you will let them..
b. Let's think about it: what reason would people have to want to destroy you?
c. Thinking that people want to destroy you must be very frightening..
d. That doesn't make sense; staff are health care workers, not murderers..

yasmin · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Assessment, nursing diagnosis, planning, intervention, evaluation
The steps of the nursing process provide a means of addressing problems identified as affecting the client. Assessment is ongoing, the nursing diagnosis is the identification of client problems, and client goals are set during the planning phase. Interventions are determined, then implemented. Lastly, goals are evaluated to determine whether they have been met, partially met, or not met at all. In the latter two evaluation results if the goals have not been met or only partially met, the plan of care must be reevaluated and revised.

Answer to Question 2

C
The patient is expressing paranoid delusions. By definition, a delusion is a persistent irrational belief held despite evidence to the contrary. Therefore, stating that his belief is untrue will not make sense to him and may reinforce his belief that people are set against him. Similarly, because the delusion is believed firmly regardless of the evidence, providing more evidence that the belief is wrong or guiding the patient to look at the evidence are unlikely to be helpful and may reinforce his delusion. The most therapeutic response is the one which focuses on the feeling associated with the belief rather than the belief itself. It conveys empathy and interest in the patient's concerns, helping to build trust in the staff and giving him an opportunity to work through the fear he is experiencing.