NORCET-9 Mains
Mental Health Nursing
Medium
A patient with schizophrenia refuses to eat, saying, “It’s poisoned.” What is the most therapeutic nursing response? .
Appeared in: NORCET-9 Mains
Explanation
- Validates the patient's feelings without reinforcing the delusion.
- Offers a collaborative solution to address nutritional needs.
- Maintains trust and rapport, which is essential in managing schizophrenia.
- Avoids confrontation, which can worsen paranoia and resistance.
Why Other Options Were Wrong
- Option A: Directly contradicts the patient's delusion, increasing mistrust and anxiety.
- Option B: Dismisses the patient's experience and can damage the therapeutic relationship.
- Option D: Sounds like a threat or coercion, which can escalate paranoia and resistance.
Related Visual
Clinical Relevance
- Nursing practice connection: Prioritize focused assessment, early escalation, and real-time monitoring when managing Therapeutic communication with patients experiencing paranoid delusions in schizophrenia in acute care settings.
- Nurses must use empathy and non-confrontational communication to build trust with patients experiencing delusions.
- Addressing nutritional needs in patients with paranoid delusions requires creativity and flexibility, such as offering sealed or patient-selected foods.
- What if? If the patient continues to refuse all food, the nurse should escalate to the healthcare team for further intervention, such as nutritional supplements or psychiatric review.
How to Approach the Question
- Identify the patient's main concern (fear of poisoned food due to delusion).
- Eliminate responses that confront, argue, or threaten the patient.
- Look for options that validate feelings and offer practical solutions.
- Remember that building trust and ensuring safety are priorities in psychiatric nursing.
- Choose the response that combines empathy with a collaborative approach.
Concept Tested & Keywords
- Concept Tested: Therapeutic communication with patients experiencing paranoid delusions in schizophrenia
- Stem keywords: schizophrenia, refuses to eat, poisoned, therapeutic nursing response
- Lead-in keywords: most therapeutic
- Clinical cues: Patient expresses food is poisoned (paranoid delusion)
- Clinical cues: Refusal to eat (risk of malnutrition)
Question ID
QlX4MlFxiM6BkZvEqQi6XJ
Reference Book
E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 1 (pp 26-289 of 579) pp. 199-201, 190-192
Practise the full NORCET-9 Mains
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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