A hospitalized client, who is paranoid, believes that all food served in the hospital is poisoned.
What would be an appropriate intervention by the nurse?
Leave the client alone to eat.
Ask the client’s family to bring in favorite foods.
Allow the client to observe other clients eating the same food.
Give the client an “anti-poison” placebo prior to meals.
The Correct Answer is C
Choice A rationale
Leaving the client alone to eat might not address the client’s paranoid belief that the food is poisoned. It could potentially exacerbate the client’s anxiety and paranoia.
Choice B rationale
Asking the client’s family to bring in favorite foods might not be feasible in all situations. Moreover, the client might still harbor paranoid beliefs about the food being poisoned.
Choice C rationale
Allowing the client to observe other clients eating the same food can help alleviate the client’s paranoid belief that the food is poisoned. Seeing others safely consuming the same food can provide reassurance.
Choice D rationale
Giving the client an “anti-poison” placebo prior to meals is not an ethical practice. It can potentially undermine the trust in the therapeutic relationship.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The diagnostic criteria for attention-deficit/hyperactivity disorder (ADHD) require a disturbance lasting at least 6 months with at least eight relevant findings. A disturbance lasting at least 9 months is not specified in the diagnostic criteria.
Choice B rationale
The diagnostic criteria for ADHD require a disturbance lasting at least 6 months with at least eight relevant findings. This aligns with the description provided in Choice B34.
Choice C rationale
The diagnostic criteria for ADHD require a disturbance lasting at least 6 months with at least eight relevant findings. A disturbance lasting at least 3 months is not specified in the diagnostic criteria.
Choice D rationale
The diagnostic criteria for ADHD require a disturbance lasting at least 6 months with at least eight relevant findings. A disturbance lasting at least 12 months is not specified in the diagnostic criteria.
Correct Answer is D
Explanation
Choice A rationale
Actively seeking is a stage of chemical dependency where the individual actively seeks out the substance. In this scenario, the teenager is not just seeking heroin, but is using it to prevent withdrawal symptoms, which suggests a more advanced stage of dependency.
Choice B rationale
Experimentation is the initial stage of chemical dependency where the individual first tries the substance. However, the teenager in this scenario is past the experimentation stage as she is using heroin regularly to prevent withdrawal symptoms.
Choice C rationale
Burnout is a stage of chemical dependency characterized by physical and mental exhaustion due to prolonged substance use. While the teenager may be experiencing burnout, the scenario specifically mentions her use of heroin to prevent withdrawal symptoms, which is more indicative of the preoccupation stage.
Choice D rationale
Preoccupation is a stage of chemical dependency where the individual is consumed by thoughts of the substance and uses it to prevent withdrawal symptoms. The teenager’s belief that she cannot cope without heroin and her use of it to prevent withdrawal symptoms align with this stage.
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