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.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Sympathy refers to the ability to understand what a person is feeling. However, it doesn’t necessarily involve sharing in a client’s life.
Choice B rationale
Trust is an essential component of a therapeutic relationship, but it doesn’t specifically define the ability to share in a client’s life.
Choice C rationale
Mutuality might suggest a reciprocal relationship, but it doesn’t specifically refer to the ability to share in a client’s life.
Choice D rationale
Empathy in nursing is the ability to see, understand, and share your patient’s feelings and views on a more personal level and without being judgmental. This makes it the most fitting answer as it involves sharing in a client’s life.
Correct Answer is B
Explanation
Choice A rationale
A therapeutic area refers to a specific location or setting where therapeutic activities or treatments occur. However, it doesn’t necessarily imply a comprehensive environment designed to assist patients in replacing inappropriate behaviors with more effective personal and psychosocial skills.
Choice B rationale
A therapeutic environment, also known as a therapeutic milieu, is a broad term that describes settings designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills.
Choice C rationale
A therapeutic unit could refer to a specific department or team within a healthcare facility that provides therapeutic services. However, it doesn’t necessarily denote an environment designed for behavioral and psychosocial skill development.
Choice D rationale
A therapeutic setting could refer to any location where therapeutic services are provided. It’s a more general term and doesn’t specifically denote an environment designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills.
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