In a medical-surgical unit, the nurse is monitoring several patients. Which patient does the nurse identify as being at the highest risk for developing delirium?

Choice A rationale
While fostering a social relationship can be a part of therapeutic communication, it is not the primary goal. Therapeutic communication in nursing is patient-centered and should involve a holistic approach, including aspects of psychological, physiological, spiritual, and environmental care of the patient.
Choice B rationale
Focusing on the attitude of the client is not the main goal of therapeutic communication. While understanding the client’s attitude can provide valuable insights into their feelings and perspectives, the primary goal is to build a rapport and focus on the client.
Choice C rationale
Focusing on the client and building a rapport is the main goal of therapeutic communication in nursing. It helps nurses build trust with patients while also helping establish collaborative efforts to promote efficient and effective patient care, improving patient outcomes.
Choice D rationale
Focusing on the staff member and building rapport is not the primary goal of therapeutic communication. The focus should be on the client, their needs, and their experiences.

Choice A rationale
Negative symptoms of psychosis include anergia (lack of energy), flat affect (reduced emotional expression), and anhedonia (inability to feel pleasure)12131415.
Choice B rationale
Delusions are considered a positive symptom of psychosis, not a negative symptom.
Choice C rationale
Hallucinations are also considered a positive symptom of psychosis, not a negative symptom.
Choice D rationale
Anhedonia is indeed a negative symptom of psychosis, but it is not the only one.