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.
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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Related Questions
Correct Answer is D
Explanation
A. Attempting to deescalate the client is important, but ensuring immediate safety is the top priority.
B. Continuing to observe the client may lead to a further escalation of the situation. Safety measures should be taken first.
C. While offering medications may be necessary, ensuring safety is the immediate priority before any interventions are implemented.
D. Ensuring the safety of the client and others is the priority in situations of escalating agitation.
Correct Answer is C
Explanation
A) Incorrect. The ability to accomplish activities of daily living is not specific to the diagnosis of schizophreniform disorder.
B) Incorrect. The client's emotional state or demeanor is not a specific indicator of schizophreniform disorder.
C) Correct. Schizophreniform disorder is characterized by the presence of hallucinations,
delusions, and other psychotic symptoms for less than six months. It is considered a provisional diagnosis while the condition is still in its early stages.
D) Incorrect. Euphoria and excessive energy are not specific features of schizophreniform disorder.
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