A nurse is planning to run a group for clients diagnosed with paranoia and schizophrenia on an acute care mental health unit. Which of the following actions should the nurse plan to take to create a therapeutic environment?

Plan to discuss any topic that is presented.

Focus on client weaknesses to increase adaptation.

Provide continuity of care by assigning the same staff.

Allow client to determine the boundaries of the nurse client relationship.

Answer and Explanation

The Correct Answer is C

A) Incorrect. While discussing various topics is important, providing continuity of care is more crucial in creating a therapeutic environment for clients with paranoia and schizophrenia.

B) Incorrect. Focusing on client strengths rather than weaknesses is generally a more effective approach in mental health care.

C) Correct. Providing continuity of care by assigning the same staff helps build trust and a sense of security for clients, especially those with paranoia and schizophrenia.
D) Incorrect. While it's important to establish boundaries, allowing the client to solely determine them may not always be in their best interest.

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Correct Answer is A

Explanation

A) Correct. An idea of reference is a false belief that ordinary events, objects, or behaviors of others have a particular and unusual meaning directly pertaining to oneself. In this case, the client believes that the doctors' conversation in the hall is about them.

B) Incorrect. A delusion of infidelity involves a false belief that one's partner is being unfaithful.
C) Incorrect. Auditory hallucinations involve hearing things that are not present.
D) Incorrect. Echolalia is the repetition of another person's words.

A. Confusion B. Long-term memory impairment C. Full of energy D. Numbness and tingling in the extremities

Correct Answer is A

Explanation

A) Correct. Confusion is a common side effect following ECT. It is usually temporary and gradually resolves.

B) Incorrect. Long-term memory impairment is a potential side effect of ECT, but it is not immediate and is more of a concern with repeated sessions.

C) Incorrect. Feeling full of energy would not be an expected immediate side effect of ECT.

D) Incorrect. Numbness and tingling in the extremities are not typically associated with ECT.

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A nurse is planning to run a group for clients diagnosed with paranoia and schizophrenia on an acute care mental health unit. Which of the following actions should the nurse plan to take to create a therapeutic environment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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