Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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A female client admitted with delusions believes that she is the Queen of England. The client insists that the nurse calls her Queen Elizabeth. The nurse working with the client should implement which of the following nursing actions:
  1. Agree with the client that she is the Queen of England
  2. Firmly but kindly emphasize to the client the reasons why she cannot be the Queen of England
  3. Call the client by her name during interactions
  4. Initiate spontaneous activities
Explanation
Answer: C - When caring for delusional clients, reality-oriented techniques are essential. Calling the client by her name during interactions helps in reality orientation. Agreeing with the client’s belief can reinforce the delusion. Logical explanations, no matter how firmly and kindly they are given, are not likely to change the client’s beliefs. Structured activities are recommended to help the client resolve her delusion.
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