Antonia is a client in the psychiatric unit with a diagnosis of paranoid schizophrenia. She has...

Antonia is a client in the psychiatric unit with a diagnosis of paranoid schizophrenia. She has a history of noncompliance with medications. Today she is very delusional and refuses her breakfast. She approaches the nurse and states, "God told me to warn you that meteors are descending toward the earth. They will get into the brains of all women to prevent the overpopulation of the outer planets". Antonia places frantically and finally crawls under the coffee table in the day room holding her arms over her head.
What type of theme does Antonia's delusional thought process indicate? Explain
How can the nurse best approach Antonia regarding her behavior?

Expert Solution

Common symptoms of paranoid schizophrenia include auditory hallucination[hearing voices or sound effects] and paranoid delusions [believing everyone is out to cause the sufferer harm]

In paranoid schizophrenia delusions of persecution and delusions of being followed found to be the most common delusional themes in the paranoid schizophrenia.In persecutory delusions the individual think that harm is occuring ,or going to occur.the individual also thinks that the perceived persecutor hsa the intention to cause harm

Here the patient is experiencing persecutory delusion she thinks that something harm is occuring- ''God told me to warn you that meteors are descending towards the earth.They will get into the brains of all women to prevent the overpopulation of the outer planets ''

HOW CAN APPROACH

-Validate any part of the delusion that is real- for example - may be God has plan to reduce overpopulation but i did not think that meteors are descending towards the earth

in initial assessment ask the patient to talk about the delusion and obtain details by asking the following question

Who is going to hurt

could you thimk why

how might it happen

do not maintain that what the person is thinking is wrong instead ,show that you respect his or her point of view regardless of whether you agree

listen quietly untill there is no further need to discuss the delusion

do not expect that rational thinking will have an effect on the person's delusions.If you debate the delusion ,the person may expand the details to counter your arugment

develop a symptom manage strategy

monitor recovery,compliance and medication and general physical health .educate the patient aboutpossible side effects of medication and work with the person to develop appropriate actions to address any issues

Nightingale answered 2 years ago

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