Managing Paranoia in a Home Setting
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Nurse Anne is teaching Emily about ways to decrease Ken's paranoia at home. Which of the following actions should Nurse Anne recommend?
- Serve Ken food on an individually prepared plate during family meals.
- Ask different friends and family members to perform periodic checks on Ken.
- Avoid whispering or talking quietly to others when in the same room as Ken.
- Avoid asking Ken to discuss his belief about the pharmacist.
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In this clinical scenario, Nurse Anne is teaching Emily how to support Ken, who is experiencing paranoia at home. We need to identify which nursing recommendation is most effective for decreasing paranoid thoughts.
Mental Health: Managing Paranoia at Home
Let's look at the first option about serving food on an individual plate. Actually, for a paranoid patient who might fear poisoning, family-style meals where everyone eats from the same serving dish are often better for building trust. So, this option is likely incorrect.
1. Serve food on individual plates. (Incorrect)
The second option suggests having many different people perform periodic checks. However, frequent changes in caregivers or many visitors can actually increase suspiciousness. Consistency is key when managing paranoia.
2. Ask multiple people for periodic checks. (Incorrect)
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