DIRECTIONS: RATIONALIZE THIS CASE AND EXPLAIN WHY THE CORRECTANSWER IS THE CORRECT ANSWER AND WHY THE THREE REMAINING OPTIONSARE INCORRECT. EXPLAIN WHY THE CORRECT ANSWER IS THE CORRECT ANSWERAND EXPLAIN WHY OTHER OPTIONS ARE WRONG
Judith says to the nurse, “I’m going to die anyway, andwith this, I just wish that my husband would just stop findingcure! Nothing can be done and it just feels very frustrating. ” Thetherapeutic response by Nurse Lourdes is:
A. “Have you informed yourhusband about this?”
B. “I think we should expressyour concern to your husband.”
C. “You’re angry that yourhusband persists in finding a cure for yourillness?”—-
D. “Don’t be too pessimistic.After all, we will all die anyway.”
Correct answer: C. “You’reangry that your husband persists in finding a cure for yourillness?”—-
FORMAT INRATIONALIZATION
Magdalene is experiencing problems in her thoughtprocesses and believes that she is being fed with poisoned meals.As a nurse, what will you do to encourage Magdalene toeat?
Silence, Active Listening and Asking the rightquestions-
Asking the client of what she would want to eatinstead
Document client behavior, then encourage her to eatafter an hour
Lecturing the client about proper nutrition
- Silence, Active Listening and Asking the right questions(Correct)— the nurse should assess the content and depth of thedelusion to know what behaviors to expect and to try to establishreality for the client. The nurse might ask the client to explainwhat he or she believes by saying, “Please explain that to me” or“Tell me what you’re thinking about that.” (Psychiatric–MentalHealth Nursing, 8th Edition, Shiela L. Videbeck)
- Asking the client of what she would want to eat instead— Itis incorrect because cannot Help present and maintain reality tothe patient that no one is trying to harm her. (Psychiatric–MentalHealth Nursing, 8th Edition, Shiela L. Videbeck)
- Document client behavior, then encourage her to eat after anhour— Establish and maintain reality for the client is one of theinterventions needed by patients experiencing delusion anddocumenting client behavior cannot present reality to the patientand even after 1 hour, the thought of the patient will still thesame. (Psychiatric–Mental Health Nursing, 8th Edition,Shiela L. Videbeck)
- Lecturing the client about proper nutrition— Lecturingpatient about proper nutrition is not the priority thing to dobecause the patient cannot absorb it unless reality that no onewill poison them will be established to the patient.(Psychiatric–Mental Health Nursing, 8th Edition, ShielaL. Videbeck)
