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
While personality disorders can occur among refugees, they are not reported to have a higher incidence among this population compared to the host population.
Choice B rationale
Depression is reported to have a higher incidence among refugees compared to the host population. The stressful and traumatic experiences that refugees often endure can contribute to the development of mental health issues such as depression.
Choice C rationale
Sexual abuse can occur among refugees, but it is not reported to have a higher incidence among this population compared to the host population.
Choice D rationale
Schizophrenia can occur among refugees, but it is not reported to have a higher incidence among this population compared to the host population.
Correct Answer is D
Explanation
Choice A rationale
Intellectual thought process involves the ability to analyze, evaluate, and synthesize information. It is not specifically tied to problem-solving skills grounded in scientific reasoning and logic.
Choice B rationale
Basic thought process refers to the fundamental cognitive operations such as perception, memory, and language comprehension. It does not specifically involve problem-solving skills grounded in scientific reasoning and logic.
Choice C rationale
Concrete thought process is characterized by literal and immediate thinking. It involves thinking on the surface and not looking into the deeper meaning of things. It does not involve problem-solving skills grounded in scientific reasoning and logic.
Choice D rationale
Abstract thought process involves higher-level thinking and reasoning skills. It includes problem-solving skills grounded in scientific reasoning and logic. A teenager employing problem-solving skills grounded in scientific reasoning and logic is demonstrating an abstract thought process.
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