LPN Custom Mental Health
LPN Custom Mental Health ( 42 Questions)
A nurse in an acute care mental health facility is contributing to the plan of care for a client who is newly diagnosed with schizophrenia and is verbalizing paranoid delusions. Which of the following interventions should the nurse include in the plan?
Setting limits on the amount of time the client talks about delusions (option A) is not the most therapeutic approach. While it's important to redirect the client and encourage engagement in reality-based discussions, setting strict time limits may feel punitive and hinder the therapeutic relationship.
Scheduling a variety of competitive, stimulating group activities for the client (option B) may be overwhelming for someone experiencing paranoid delusions. It's essential to create a supportive and non-threatening environment.
Telling the client that the delusions are not real (option C) is generally not effective and can be counterproductive. Individuals with schizophrenia often have a strong belief in the reality of their delusions, and direct confrontation can lead to resistance and mistrust.
Avoiding asking the client about triggers for the delusions (option D) is a reasonable approach. Pressing the client for information about their delusions may increase anxiety and paranoia. It's more appropriate to build a trusting relationship before exploring potential triggers. As the therapeutic relationship develops, exploring triggers can be part of a comprehensive care plan.
A. Setting limits on the amount of time the client talks about delusions (option A) is not the most therapeutic approach. While it's important to redirect the client and encourage engagement in reality-based discussions, setting strict time limits may feel punitive and hinder the therapeutic relationship.
B. Scheduling a variety of competitive, stimulating group activities for the client (option B) may be overwhelming for someone experiencing paranoid delusions. It's essential to create a supportive and non-threatening environment.
C. Telling the client that the delusions are not real (option C) is generally not effective and can be counterproductive. Individuals with schizophrenia often have a strong belief in the reality of their delusions, and direct confrontation can lead to resistance and mistrust.
D. Avoiding asking the client about triggers for the delusions (option D) is a reasonable approach. Pressing the client for information about their delusions may increase anxiety and paranoia. It's more appropriate to build a trusting relationship before exploring potential triggers. As the therapeutic relationship develops, exploring triggers can be part of a comprehensive care plan.