Psychotic Disorders no. 4097

Psychotic Disorders no. 4097

QUESTION: A client with a diagnosis of paranoid schizophrenia comments to the nurse, "How do I know what is really in those pills?" Which of the following is the best response?

✘O a.) Say, "You know it's your medicine."
✓O b.) Allow him to open the individual wrappers of the medication.
✘O c.) Say, "Don't worry about what is in the pills. It's what is ordered."
✘O d.) Ignore the comment because it's probably a joke.

RATIONALE

RATIONALE: Option 2 is correct because allowing a paranoid client to open his medication can help reduce suspiciousness. Option 1 is incorrect because the client doesn't know that it's his medication and he's obviously suspicious. Telling the client not to worry or ignoring the comment isn't supportive and doesn't offer reassurance.
NURSING PROCESS STEP: Implementation
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Application