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You arrive at work to find out that patient “Roger,” a 48-year-old client diagnosed with chronic schizophrenia, abused his roommate because he thought he was making gestures at him. “Roger” was admitted overnight involuntarily when a neighbour who he has a relationship with encouraged him to go to emergency.

“Roger” was extremely confused and not making any sense. The community he lives in is purported to have a high amount of IV drug use. “Roger” spends the government provided disability support he gets on rent and the rest on drug use and cigarettes (he has been smoking since he was 8, which he informs you is common in India). He is also obese with metabolic syndrome.

QUESTIONS:

How would you conduct your nursing assessment of “Roger”?
How can “Roger’s” culture influence his illness?
How can you establish a therapeutic relationship with “Roger”?

Reference 

SCIENCE
HEALTH SCIENCE
NURSING

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