Author Question: A Native American hospitalized with auditory and visual hallucinations says, My father said I should ... (Read 51 times)

bobbysung · **on:** Jul 19, 2018

A Native American hospitalized with auditory and visual hallucinations says, My father said I should kill myself to save me from bad spirits. The patient's father is deceased. Which intervention would most appropriate?

a. After the patient becomes comfortable in the hospital setting, encourage description of the visions in a group setting.
b. Explain to the patient that there are no evil spirits and these symptoms demonstrate grief related to the father's death.
c. Obtain the patient's consent then consult the family for a spiritual healer from the patient's tribe.
d. Provide the patient with private time to meditate and pray.

Question 2

A score of 1 to 10 on the global assessment functioning (GAF) scale would indicate that a client was at risk for:

a. Mild difficulty in focusing
b. Mild difficulty in handling social situations
c. Hurting himself or others
d. Serious impairment in social and occupational functioning

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

Answer to Question 1

C
Native Americans frequently use spiritual healers and herbs and a holistic approach to treating the personmind, body, and spirit. Many Native Americans prefer to use their own spiritual healers from their own tribes. It is inappropriate to deny the patient's experience or expose other patients to the patient's visions. Leaving a patient who may be experiencing command hallucinations alone is dangerous.

Answer to Question 2

C
The GAF scale ranges from 1 to 100 . A score of 1 to 10 indicates a persistent danger that a client may harm himself or others. Mild difficulty focusing is indicated by a score of 71 to 80, mild difficulty in social situations is revealed by a score of 61 to 70, and serious impairment in social and occupational functioning is evident with a score of 41 to 50