Author Question: An initial short-term outcome for a withdrawn, socially isolated patient diagnosed with ... (Read 48 times)

urbanoutfitters · **on:** Jul 19, 2018

An initial short-term outcome for a withdrawn, socially isolated patient diagnosed with schizophrenia is that the patient will

a. participate in scheduled activities.
b. identify barriers to social communication.
c. consistently interact with an assigned nurse.
d. share feelings of isolation with group members.

Question 2

A patient diagnosed with schizophrenia expresses fear of being pursued by hostile forces

The patient carries a tablet and writes notes in a code. The patient says, I'm the only one who understands this code. How should the nurse document these findings?
a. Grandiose and paranoid delusions
b. Affective blunting and anhedonia
c. Autism and loose associations
d. Delusions of reference

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

Answer to Question 1

C
Consistently interacting with one person reduces isolation. One-to-one interaction is the basis for developing trust and a therapeutic nursepatient relationship. Later, the patient's willingness to participate in activities or discuss feelings indicates progress.

Answer to Question 2

A
Delusions are fixed false beliefs. Paranoid delusions reflect the idea that the person is being persecuted. Grandiose delusions are characterized by the idea that one is of great importance. The scenario does not describe any of the behaviors that would be consistent with the other options.