When communicating with a psychotic, schizophrenic patient, the ...

[clmills979]

When communicating with a psychotic, schizophrenic patient, the nurse avoids the use of slang phrases most importantly because:
 
  a. Such phrases have different meanings for different people.
  b. Such phrases will likely trigger anxiety and frustration in the patient.
  c. The use of such phrases is not appropriate when communicating therapeutically with a patient.
  d. This patient's altered thought processes will serve to make understanding such phrases very unlikely.

Question 2

An example of an environmental factor that would cause a nurse to modify a planned critical interaction occurs when the:
 
  a. Patient expresses a personal dislike for the nurse
  b. Patient is in total denial about her condition
  c. Nurse lacks the degree of knowledge required for the interaction
  d. Nurse learns that the patient's mother has been hospitalized with a stroke

[yahahah24021]

Answer to Question 1

ANS: D
Precise verbal communication is important because spoken words often mean different things to different people. Figures of speech, jokes, clichs, colloquialisms, and other terms or spe-cial phrases carry a variety of meanings especially to individuals with altered thought pro-cesses. A person with schizophrenia interprets concretely and literally whereas psychosis generally brings about loose associations. Although all the options are reasons to avoid the use of slang phrases, the primary reason in this case in to avoid confusing the patient.

Answer to Question 2

ANS: D
Environmental factors include timing. Timing of critical interventions is important. It should occur when the individual can give full attention to the topic. It would be inappropriate to continue with the plan in the face of the patient's distress related to her mother's illness. The remaining options reflect other types of factors that influence communication such as atti-tudes, knowledge, and relationships.

[clmills979]

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[LVPMS]

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