The document discusses four main types of delusions seen in schizophrenia: 1) delusions of persecution, 2) delusions of grandeur, 3) religious delusions, and 4) somatic delusions. It also provides nursing interventions for delusions which include not confronting, arguing or debating with the patient, presenting reality in a matter-of-fact way, and focusing discussions on facts, real people and events. The document also discusses hallucinations in schizophrenia and appropriate nursing interventions such as validating observations, engaging in reality-based activities, and not discussing or reinforcing hallucinations.
Original Description:
Original Title
10. Schizophrenia & Other Psychotic Disorders 2
The document discusses four main types of delusions seen in schizophrenia: 1) delusions of persecution, 2) delusions of grandeur, 3) religious delusions, and 4) somatic delusions. It also provides nursing interventions for delusions which include not confronting, arguing or debating with the patient, presenting reality in a matter-of-fact way, and focusing discussions on facts, real people and events. The document also discusses hallucinations in schizophrenia and appropriate nursing interventions such as validating observations, engaging in reality-based activities, and not discussing or reinforcing hallucinations.
The document discusses four main types of delusions seen in schizophrenia: 1) delusions of persecution, 2) delusions of grandeur, 3) religious delusions, and 4) somatic delusions. It also provides nursing interventions for delusions which include not confronting, arguing or debating with the patient, presenting reality in a matter-of-fact way, and focusing discussions on facts, real people and events. The document also discusses hallucinations in schizophrenia and appropriate nursing interventions such as validating observations, engaging in reality-based activities, and not discussing or reinforcing hallucinations.
1.1. Delusion of Persecution 1.2. Delusion Of Grandeur -client’s claim to
involve the client’s belief that association with famous people or celebrities. others are planning to harm or spying her/him. 1.3. Religious Delusions - often center around the second coming of Christ or another significant religious Schizophrenia figure or prophet. 1.4. Somatic Delusions - vague and unrealistic beliefs about the client’s health or body function. NURSING INTERVENTIONS FOR DELUSIONS Schizophrenia • Never confront, argue, debate • Present reality in matter-of-fact • Talk about facts, real people, things NURSING DIAGNOSIS FOR ALTERED THOUGHT DELUSION & events PROCESS • Avoid distraction 2. HALLUCINATIONS - false sensory perception Schizophrenia CUES: 1. stop talking in the middle of conversation. NURSING INTERVENTIONS FOR 2. assumes listening pose. HALLUCINATIONS 3. mouthing words. • Validate observations • Reality-based activities • Talk to reinforce reality • Note for command hallucinations • Let client hum / open mouth wide • Don’t discuss, argue, or reinforce hallucinations.