Author Question: Which action by the nurse would be most effective when dealing with a client with schizophrenia who ... (Read 33 times)

brutforce · **on:** Jun 25, 2018

Which action by the nurse would be most effective when dealing with a client with schizophrenia who is shouting and being verbally aggressive?

1. Take the client's arms, and gently but firmly guide him to a safe place.
2. Encourage the client to come into the dayroom and watch television.
3. Ignore the client's behavior unless it escalates or the client threatens another person.
4. Approach the client with the nurse's hands at her side, and talk calmly to the client.

Question 2

The nurse is discussing the employment history of a client with schizophrenia. Due to cognitive impairment associated with the disease, the nurse understands that the client might have difficulty:

1. understanding why he was terminated by an employer.
2. remembering what kind of work he did 10 years ago.
3. explaining what things he likes to do.
4. describing the repetitive tasks involved in the job.

TINA · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 4

1. Touching the client might make him defensive and become violent.
2. A quiet environment is best until the client has calmed down.
3. Early intervention is necessary with psychotic clients to prevent escalation of behavior.
4. A nonthreatening, calm, and controlled approach can be contagious to the client.

Answer to Question 2

Answer: 1

1. Difficulty with abstract thinking and having insight into his illness are affected, so he might not be able to understand why he has lost a job.
2. Short-term, not long-term, memory is usually affected.
3. Such clients usually have intact concrete thinking and can tell you what they like to do.
4. Such clients usually have intact concrete thinking and can describe repetitive-type skills.