Psychiatric Medications Q 16
When planning care for a male client using paranoid ideation, nurse Jasmin should realize the importance of:
A. Giving the client difficult tasks to provide stimulation.
B. Providing the client with activities in which success can be achieved.
C. Removing stress so that the client can relax.
D. Not placing any demands on the client.
Correct Answer: B. Providing the client with activities in which success can be achieved.
This will help the client develop self-esteem and reduce the use of paranoid ideation. As the client progresses, provide the client with graded activities according to the level of tolerance e.g., (1) simple games with one “safe” person; (2) slowly add a third person into “safe”. Gradually the client learns to feel safe and competent with increased social demands.
Option A: If a client is found to be very paranoid, solitary or one-on-one activities that require concentration are appropriate. The client is free to choose his level of interaction; however, concentration can help minimize distressing paranoid thoughts or voices.
Option C: Teach the client to remove himself briefly when feeling agitated and work on some anxiety relief exercises (e.g., meditations, rhythmic exercise, deep breathing exercise). Teach client skills in dealing with anxiety and increasing a sense of control. Useful coping skills that the client will need include conversational and assertiveness skills. These are fundamental skills for dealing with the world, which everyone uses daily with more or less skill.
Option D: Remember to give acknowledgment and recognition for positive steps the client takes in increasing social skills and appropriate interactions with others. Recognition and appreciation go a long way to sustaining and increasing a specific behavior. Useful coping skills that the client will need include conversational and assertiveness skills. These are fundamental skills for dealing with the world, which everyone uses daily with more or less skill.