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The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia. Which nursing diagnosis should receive the highest priority?

The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia. Which nursing diagnosis should receive the highest priority? Correct Answer Risk for violence toward self or others

TB solution:

  • schizophrenia is a type of most common psychiatric disorder
  • there are many types of psychiatric disorders
    • paranoid schizphrenic clients will have suspecious behaviour towards the relatives and friends and may not be able to maintain a trust worthy relation with the family
    • delusions and hallucinations are most commonly seen among paranoid schizophrenia
    • delusion of percecusion is the common delusion where the patient will always have be suspecious towards the people
    • paranoid schizophrenic patients will have high tendencies towards suicide
    • the nurse should always be cautious with the client surroundings and the things what he or she uses
    • so risk for violence towards self or others will be the first proritizing diagnosis for a patient with paranoid shcizophrenia

Additional Information

  • catatonic schizophrenia
    • here the patient will have stages of excitement and stages of stupor
    • for a period of days they will be very much excited and later on they will have stges of stupor there they may not respond 
    • when they are stupour phase they may feel reluctant to move their limbs 
    • may not show interest in eating
    • waxy flexibility and mutism, posturing, echolalia, echophrxia
  • disorganized schizophrenic patients will have bizzarie behaviour, delusion and hallucinations
  • clang association and word salad can be seen most commonly among disorganized schizophrenic patinets
  • where as the undifferentiated type may not fit into any other type of schizophrenia

Key Points

  • nurse education plays a major role treating a patient with shcizophrenia
    • nurses should focus on increasing the knowledge on disease condition and signs and symptoms
    • consider the family educational status and explain them to understand the condition of the patient and educate to participate in decision making 
    • increase insight to illness
    • encourage them to have a structured daily routine
    • encourage them to follow the given schedule as per the prescription
    • encourage the social interaction and group communication
    • regularly followup regarding the treatment and management
  • educating the patient will help to adopt to the successful leading of life.

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