Author Question: A client in an inpatient setting has a delusion that there are a multitude of noxious gases in ... (Read 300 times)

newyorker26 · **on:** Jul 19, 2018

A client in an inpatient setting has a delusion that there are a multitude of noxious gases in circulation that have the potential to poison him and that these are undetectable. Which of the nurse's following responses is most therapeutic?

A) There are actually no poison gases in the atmosphere that we don't know about.
B) Why do you think that you keep insisting on this belief?
C) I can assure you that you are actually very safe here.
D) If we detect a poison gas here, I promise that you'll be the first to know.

Question 2

A client with a persistent delusional disorder has been prescribed ziprasidone (Geodon). Which of the following assessments should the nurse prioritize when this medication regimen begins?

A) Cardiac and neurological assessments
B) Respiratory assessment including oxygen saturation
C) Monitoring of fluid and electrolyte levels
D) Integumentary and gastrointestinal assessments

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

Answer to Question 1

Ans: C
Assuring a client of his or her safety is a more therapeutic intervention than expressing exasperation with the client's delusions, arguing against them, or implicitly confirming them.

Answer to Question 2

Ans: A
Ziprasidone (Geodon) carries a risk of dysrhythmias, EPS, TD, and NMS. As such, cardiac and neurological assessments are a priority over the other components of a comprehensive assessment.