Which of the following data support a nursing diagnosis of ...

[audragclark]

Which of the following data support a nursing diagnosis of impaired verbal communication?
 
  A) As evidenced by ambivalence, delusional thinking, and avolition
  B) As evidenced by the presence of neologism, echolalia, and clanging
  C) As evidenced by the presence of neologism, delusions, and anergia
  D) As evidenced by rapid pacing and running

Question 2

A client with delusional thinking shows a lack of interest in eating at mealtimes. She states that she is unworthy of eating and that her children will die if she eats. Which nursing action would be most appropriate for this client?
 
  A) Telling the client that she may become sick and die unless she eats
  B) Paying special attention to the client's rituals and emotions associated with meals
  C) Restricting the client's access to food except at specified mealtimes and snack times
  D) Encouraging the client to express her feelings at mealtimes

[kaykay69]

Answer to Question 1

Ans: B
Although the client may be indecisive, have false beliefs, and lack motivation, these do not support a diagnosis of impaired verbal communication. Invented words, repetition of words heard, and rhyming do get in the way of the ability to use or understand language in the human interaction. Fixed false beliefs and an absence of energy do not support a diagnosis of impaired verbal communication, nor do pacing and running.

Answer to Question 2

Ans: C
Restricting access to food except at specified times prevents the client from eating when she feels anxious, guilty, or depressed; this, in turn, decreases the association between these emotions and food. Telling the client that she may become sick or die may reinforce her behavior because illness or death may be her goal. Paying special attention to rituals and emotions associated with meals also would reinforce undesirable behavior. Encouraging the client to express feelings at mealtimes would increase the association between emotions and food; instead, the nurse should encourage her to express feelings at other times.

[audragclark]

Gracias!

[Dominic]

TYSM