Fabian, 45 years old, unmarried has been a patient in the psychiatric hospital for five years. His diagnosis:L Schizophrenia, paranoid type.
96. During one of her interactions with the patient, Fabian says to the nurse, Ms. Mercado, that he believes he is "Jesus Christ." He is experiencing:
A. Hallucination
B. Illusions
C. Concentrate thinking
D. Delusion
97. The appropriate nursing diagnosis base on the perception of Fabian that he is "Jesus Christ" is:
A. Self-esteem disturbance
B. Impaired social interaction
C. Impaired adjustment
D. Altered thought process
98. When Fabian tells Ms. Mercado that his name is Jesus Christ and that it is the only name he will respond to, she sould:
A. Ignore the remark
B. Explain that this is illogical
C. Agree to call him Jesus Christ
D. Acknowledge the remark but explain he is still "Fabian" to the staff
99. In communicating with schizophrenic patients, what would be the nurse's concern?
A. Explaining the purpose of the nurse-patient interactions
B. Accepting their need to use symbolic behavior
C. Determining the meaning of verbalizations and behaviors has for the patient
D. Retaining their attention while giving simple instructions
100. Fabian is experiencing auditor hallcinations. The drug of choice to control hallucination in a schizophrenic patients is:
A. Haloperidol (Haldol)
B. Diazepam (Valium)
C. Imipramine hydrochloride (Tofranil)
D. Chlorpromazine (Thorazine)
