A nurse is caring for a client who has schizophrenia. The client is in the dayroom and shouting at other clients, stating, “Do not eat the food here. The staff is poisoning the food!” The nurse should document that the client is experiencing which type of delusion?

Somatic

Persecutory

Erotomanic

Grandiose

Answer and Explanation

The Correct Answer is B

Choice A Reason:

Somatic.

Somatic delusions involve a false belief that there is something physically wrong with one’s body, such as having a serious illness or a physical defect. In this scenario, the client’s belief that the food is poisoned does not relate to their own body but rather to an external threat, making somatic delusions an incorrect classification.

Choice B Reason:

Persecutory.

This is the correct response. Persecutory delusions, also known as paranoid delusions, involve the belief that one is being targeted, harassed, or conspired against. The client’s statement that the staff is poisoning the food reflects a belief that they are being harmed or targeted, which is characteristic of persecutory delusions. These types of delusions are the most common in schizophrenia and often involve themes of being persecuted or plotted against.

Choice C Reason:

Erotomanic.

Erotomanic delusions involve the false belief that another person, often someone of higher status, is in love with the individual. This type of delusion is not relevant to the client’s statement about the food being poisoned, as it does not involve any romantic or affectionate themes.

Choice D Reason:

Grandiose.

Grandiose delusions involve an inflated sense of one’s own importance, power, knowledge, or identity. The client’s belief about the food being poisoned does not reflect an exaggerated sense of self-importance or power, making grandiose delusions an incorrect classification for this scenario.

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Correct Answer is C

Explanation

The correct answer is c.

Choice A Reason:

The statement “I am glad I’m getting out of here. I shouldn’t be here anyway.” indicates a lack of insight into the need for treatment and does not demonstrate readiness for discharge. Clients who are ready for discharge typically acknowledge their condition and the importance of ongoing care. This statement suggests denial or minimization of the issues that led to hospitalization, which can be a barrier to successful discharge and continued recovery1.

Choice B Reason:

The statement “I know I’m ready to go. I’ve got everything under control.” can be misleading. While it may seem positive, it lacks specific details about the client’s discharge plan and follow-up care. Readiness for discharge involves more than just feeling ready; it requires a concrete plan for managing medications, follow-up appointments, and support systems. Without these details, the statement does not fully indicate readiness for discharge.

Choice C Reason:

The statement “I have a list of my medications and have made an appointment with my doctor.” is correct. This statement demonstrates that the client has a clear understanding of their medication regimen and has taken proactive steps to ensure continuity of care after discharge. Having a follow-up appointment scheduled is a critical component of discharge planning, as it helps ensure that the client will continue to receive necessary support and monitoring. This level of preparation indicates that the client is ready for discharge.

Choice D Reason:

The statement “I just can’t get rid of these thoughts about dying.” is a serious concern and indicates that the client is not ready for discharge. Persistent thoughts of dying or suicidal ideation require immediate attention and intervention. Discharging a client with these thoughts would be unsafe and could lead to severe consequences. The client needs further evaluation and treatment to address these thoughts before being considered for discharge.

A. Restating B. Giving advice C. Maintaining neutral responses D. Asking the client, “Why?” E. Listening

Correct Answer is ["A","C","E"]

Explanation

Choice A Reason:

Restating involves repeating what the client has said in order to show understanding and to encourage them to continue talking. This technique helps to clarify the client’s thoughts and feelings, ensuring that the nurse accurately understands the client’s message. It also demonstrates active listening and empathy, which are crucial components of therapeutic communication.

Choice B Reason:

Giving advice is generally considered a non-therapeutic communication technique. It can imply that the nurse knows best and can undermine the client’s autonomy and decision-making abilities. Instead of giving advice, therapeutic communication focuses on helping clients explore their own thoughts and feelings to arrive at their own conclusions and solutions.

Choice C Reason:

Maintaining neutral responses involves responding to the client in a way that does not convey judgment or bias. This technique helps to create a safe and supportive environment where the client feels comfortable sharing their thoughts and feelings. Neutral responses can include nodding, making non-committal sounds like “mm-hmm,” and using phrases like “I see” or “Tell me more”.

Choice D Reason:

Asking the client “Why?” can be perceived as confrontational or judgmental, which can hinder open communication. It may make the client feel defensive or uncomfortable. Instead, therapeutic communication techniques involve asking open-ended questions that encourage the client to express themselves without feeling judged.

Choice E Reason:

Listening is one of the most fundamental therapeutic communication techniques. It involves giving the client your full attention, showing interest in what they are saying, and responding appropriately to their concerns. Active listening helps to build trust and rapport, making the client feel heard and understood.

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A nurse is caring for a client who has schizophrenia. The client is in the dayroom and shouting at other clients, stating, “Do not eat the food here. The staff is poisoning the food!” The nurse should document that the client is experiencing which type of delusion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client on the inpatient psychiatric unit is scheduled for discharge tomorrow. Which of the following statements would indicate that the client is ready for discharge?

Correct Answer is C

Explanation

A nurse working on a mental health unit reviews therapeutic and non-therapeutic communication techniques with a student nurse. Which of the following are therapeutic communication techniques? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C","E"]

Explanation

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A client is admitted to the inpatient psychiatric unit with a diagnosis of a somatoform disorder. Which statement does the nurse recognize as true about all somatoform disorders?

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A nurse is caring for a client who has schizophrenia. The client is in the dayroom and shouting at other clients, stating, “Do not eat the food here. The staff is poisoning the food!” The nurse should document that the client is experiencing which type of delusion?