Which therapeutic activity would be most important in helping a ...

[james9437]

Which therapeutic activity would be most important in helping a patient diagnosed with schizophrenia remain in the work force?
 
  a. Social skills training
  b. Physical therapy to develop muscle strength
  c. Occupational therapy to improve coordination
  d. Group therapy to improve motivation for working

Question 2

A highly suspicious patient tells the nurse, When I sit in the dayroom I can see other people whispering about me and laughing. It makes me want to punch them. The direction that the nurse should give staff is
 
  a. Gently and frequently touch the patient while conversing.
  b. Stop laughing immediately when the patient enters the room.
  c. Be direct. Do not whisper, laugh, or look sideways at the patient.
  d. Engage the patient in conversation by leaning close to speak softly.

[amandalm]

Answer to Question 1

A
Patients with schizophrenia often cannot obtain and hold jobs, not from lack of work skills but from inability to cope socially on the job. Social skills training would therefore be of greatest assistance if work skills are present. This premise is especially true for an individual with residual schizophrenia, since active psychosis is no longer present.

Answer to Question 2

C
Suspicious patients misinterpret the actions of others as being potentially harmful to self. Be direct and open, and avoid behaviors that can be misinterpreted, such as whispering or laughing. In addition, the suspicious patient needs additional personal space. Leaning close is ill-advised. Touching should be avoided because of the high potential for misinterpretation of staff members' motives by the suspicious patient. To stop laughing abruptly when the patient appears would make the individual even more suspicious.