This topic contains a solution. Click here to go to the answer

Author Question: A client with schizophrenia tells the nurse as they sit in the day room, I hear voices telling me ... (Read 75 times)

chads108

  • Hero Member
  • *****
  • Posts: 507
A client with schizophrenia tells the nurse as they sit in the day room, I hear voices telling me bad things. The most therapeutic response the nurse can make is:
 
  1. Tell me what the voices are saying.
  2. I understand you hear these so-called voices, but I hear only the people in the room talking.
  3. The voices are not real. They're only your imagination.
  4. Do you think the voices would go away if we went into your room to talk?

Question 2

A client with undifferentiated schizophrenia is readmitted for an acute exacerbation of the dis-order.
 
  The goal of hospitalization is symptom stabilization. The nurse has documented that, in addition to experiencing auditory hallucinations, the client seems uninterested in activities, has difficulty completing tasks, seems forgetful, and seems puzzled by information and directions given by staff. The nurse's plans for intervention will be effective if these behaviors are attributed to:
  1. Social isolation
  2. Deficient knowledge
  3. Situational low self-esteem
  4. Problems in cognitive functioning



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

bitingbit

  • Sr. Member
  • ****
  • Posts: 323
Answer to Question 1

ANS: 2
By voicing his or her own reality related to the voices, the nurse does not deny the client's expe-riences but helps the client distinguish actual voices from those resulting from internal stimula-tion. Option 1 validates the reality of the voices. Option 3 will cause the client to defend his per-ceptions and thereby reinforce the importance of the hallucination. Option 4 again validates the reality of the voices and is not a helpful action since the voices go where the client goes.

Answer to Question 2

ANS: 4
Schizophrenia may alter cognitive functioning, including memory, retention, attention, and the processing of incoming information. Altered cognition accounts for many of the symptoms men-tioned in the scenario. Knowing that cognition is altered, the nurse can adjust plans to take the deficits into account. Options 1, 2, and 3 do not adequately explain the symptoms given in the scenario.




chads108

  • Member
  • Posts: 507
Reply 2 on: Jul 19, 2018
Excellent


jojobee318

  • Member
  • Posts: 298
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

Did you know?

Patients should never assume they are being given the appropriate drugs. They should make sure they know which drugs are being prescribed, and always double-check that the drugs received match the prescription.

Did you know?

After a vasectomy, it takes about 12 ejaculations to clear out sperm that were already beyond the blocked area.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

For a complete list of videos, visit our video library