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Flaca732 Flaca732
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6 years ago
A patient diagnosed with paranoid schizophrenia is describing religiously-based delusions that other patients find offensive. Which nursing intervention will the nurse implement to provide a therapeutic milieu?
 
  a. Engaging the delusional patient in prayer in order to redirect the problematic be-havior
  b. Explaining to the delusional patient that such talk is offensive to some of the mi-lieu and will not be allowed
  c. Asking for the pastoral counselor to visit the unit and talk with both the delusion-al patient as well as the rest of the milieu
  d. Removing the delusional patient from the milieu when staff is unable to success-fully refocus the conversation to a non-religious topic
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6 years ago
ANS: C
Occasionally, individuals with serious mental disorders experience delusions that are spiritual or religious in nature. Certified pastoral counselors are skilled with regard to counseling pa-tients and consulting with staff about these problems, and they assist the health care team in ways that address the particular concerns of individual patients. Challenging or debating the truth of a person's delusions is not therapeutic, and spiritual delusions are no exception. En-gaging in spiritual or religious practice with individuals on a psychiatric unit is also inappro-priate. Removing the patient from the milieu is seldom therapeutic and done only to maxim-ize milieu safety.
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