Psychotic Disorders no. 4067

Psychotic Disorders no. 4067

QUESTION: A client with paranoid type schizophrenia becomes angry and tells the nurse to leave him alone. The nurse should:

✓O a.) tell him that she'll leave for now but will return soon.
✘O b.) ask him if it's okay if she sits quietly with him.
✘O c.) ask him why he wants to be left alone.
✘O d.) tell him that she won't let anything happen to him.

RATIONALE

RATIONALE: If the client tells the nurse to leave, the nurse should leave but let the client know that she'll return so that he doesn't feel abandoned. Not heeding the client's request can agitate him further. Also, challenging the client isn't therapeutic and may increase his anger. False reassurance isn't warranted in this situation.
NURSING PROCESS STEP: Implementation
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Analysis