This topic contains a solution. Click here to go to the answer

Author Question: A patient with catatonic schizophrenia has been standing with his left arm upraised and his right ... (Read 11 times)

charchew

  • Hero Member
  • *****
  • Posts: 579
A patient with catatonic schizophrenia has been standing with his left arm upraised and his right foot off the floor for the majority of the last 20 hours, eating only when allowed to eat standing up.
 
  Which nursing intervention has priority for this patient?
  a. Providing high-calorie drinks hourly
  b. Assessing for lower extremity edema bid
  c. Taking the patient to activities therapy once daily
  d. Encouraging the patient to sit or lie down for 30 minutes hourly

Question 2

Which nursing action best addresses the needs of a paranoid patient who believes the food is poisoned?
 
  a. Explaining that others eat the food and are not harmed
  b. Allowing the patient to select food from vending machines
  c. Encouraging the patient to discuss why someone would poison the food
  d. Taking steps to prevent the patient from verbalizing the delusional thoughts



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jojobee318

  • Sr. Member
  • ****
  • Posts: 298
Answer to Question 1

ANS: B
Patients who maintain one position for long periods of time should be assessed for dependent edema. In this case, the nurse would look for edema of the lower extremities and would be concerned about the pressure exerted by standing on one foot for long periods of time. Such encouragement would probably be met with resistance by the patient. High-calorie drinks would be necessary if the patient failed to eat at meals. The patient probably would not be able to cognitively process what is required to participate in activities.

Answer to Question 2

ANS: B
Patients who think hospital food is being poisoned will sometimes eat wrapped foods that have not been opened, and occasionally, they may eat food brought from the outside by a trusted person. Delusions are fixed, false beliefs that cannot be refuted by logic. The patient will probably state that the others have been given the antidote to the poison. Encouraging discussion about the delusion is not therapeutic. Although it is wise to minimize the amount of discussion about delusions, refusing to allow the patient to speak about the delusions will not foster a therapeutic alliance.




charchew

  • Member
  • Posts: 579
Reply 2 on: Jul 19, 2018
Excellent


robbielu01

  • Member
  • Posts: 336
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Signs and symptoms of a drug overdose include losing consciousness, fever or sweating, breathing problems, abnormal pulse, and changes in skin color.

Did you know?

The most common childhood diseases include croup, chickenpox, ear infections, flu, pneumonia, ringworm, respiratory syncytial virus, scabies, head lice, and asthma.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

More than 4.4billion prescriptions were dispensed within the United States in 2016.

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

For a complete list of videos, visit our video library