The Nurse Spends Several Sessions with a Patient with Paranoid

question 20

Multiple Choice

The nurse spends several sessions with a patient with paranoid schizophrenia and the patient's family to help them understand the importance of antipsychotic medication in controlling his illness.The patient repeatedly states he isn't sick and the pills make him stiff,and family members say he doesn't think the medication helps him.They indicate that their efforts to promote adherence only lead to a hostile response from the patient.Which options should the nurse discuss with the patient's prescribing provider? Select all that apply.

• A) Using a long-acting injectable antipsychotic medication
• B) Adding medications to reduce the patient's side effects
• C) Adding a benzodiazepine such as diazepam (Valium)
• D) Tying medication use to meeting the patient's own goals
• E) Increasing discussion and problem solving regarding side effects

Identify the common reasons behind the failure of change programs.

Recognize the importance and challenge of implementing planned changes in strategy and culture.

Acknowledge the essential role of employees and staff in initiating cultural change.

Understand the significance of optimism among managers and employees towards cultural change.

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Definitions:

Multiculturalism

The coexistence of diverse cultures, where cultural differences are acknowledged and valued.

Assimilation

The process by which individuals or groups adopt the culture and norms of another society, often losing their original identity.

Cultural Imposition

The act of imposing one's own cultural beliefs, values, and practices onto individuals from another culture, often ignoring their cultural context.

Emic World View

An insider’s perspective on culture, focusing on understanding cultural behavior and beliefs from within the cultural context itself.