University:
Lincoln University
Course:
NUR301 | Fundamental of Nursing
Academic year:

2024
Views:

412

Pages:

2
Author:

Bobby E.

Therapeutic communication with patients: Delusions a. Case A 48 year old male patient, this morning was just transferred to the maintenance/quiet ward from the critical ward. While in the patient's room without talking continuously like someone giving a sermon, occasionally the patient shouted to other patients that he was a prophet sent by God. You are a nurse who is currently practicing in the Bima quiet ward with 4 fellow nurses and 5 practicing nurses. b.. Material review A delusion is a client's belief that is not in accordance with reality, but is maintained and cannot be changed logically by other people. This belief comes from the client's thinking that he has lost control. Types of delusions according to Keliat : 1. Delusions of grandeur Individuals believe that they have special greatness or power and say this repeatedly, but this does not correspond to reality. For example, "I am the president of Indonesia!" or, “I have a diamond mine”. 2. Delusions of suspicion The individual believes that there is someone or a group that is trying to harm/injure him and this is said repeatedly, but it does not correspond to reality. For example, "I know all my friends want to ruin my life because they are jealous of my success." 3. Religious delusions Individuals believe in a religion excessively and say it repeatedly, but it is not in accordance with reality. For example, "I am a prophet sent by God". 4. Somatic delusion Individuals believe that their body or part of their body is disturbed or attacked by disease and this is said repeatedly, but it is not in accordance with reality. Example: "I have cancer". (In fact, the laboratory examination showed no signs of cancer, but the patient continued to say that he had cancer). 5. Nihilistic delusions Individuals believe that they no longer exist in the world/died and say this repeatedly, but it is not in accordance with the real situation. For example, "This is the grave, yes, everything here is spirits." 6. Delusional thoughts The client's belief that other people's thoughts are being inserted into his mind. 7. Delusions of thought The client's belief that other people know what he is thinking even though he has never expressed his thoughts to that person 8. Delusions of thought control The client's belief that his thoughts are controlled by forces outside himself.