A client states, I hear voices that tell me that I am evil. Which ...

[ap345]

A client states, I hear voices that tell me that I am evil. Which outcome related to these symptoms should the nurse expect this client to accomplish by discharge?
 
  A. The client will verbalize the reason the voices make derogatory statements.
  B. The client will not hear auditory hallucinations.
  C. The client will identify events that increase anxiety and illicit hallucinations.
  D. The client will positively integrate the voices into the client's personality structure.

Question 2

A newly admitted client has taken thioridazine (Mellaril) for 2 years, with good symptom control. Symptoms exhibited on admission included paranoia and hallucinations. The nurse should recognize which potential cause for the return of these symptoms?
 
  A. The client has developed tolerance to the antipsychotic medication.
  B. The client has not taken the medication with food.
  C. The client has not taken the medication as prescribed.
  D. The client has combined alcohol with the medication.

[Missbam101]

Answer to Question 1

ANS: C
It is unrealistic to expect the client to completely stop hearing voices. Even when compliant with antipsychotic medications, clients may still hear voices. It would be realistic to expect the client to associate stressful events with an increase in auditory hallucinations. By this recognition the client can anticipate symptoms and initiate appropriate coping skills.

Answer to Question 2

ANS: C
Altered thinking can affect a client's insight into the necessity for taking antipsychotic medications consistently. When symptoms are no longer bothersome, clients may stop taking medications that cause disturbing side effects. Clients may miss the connection between taking the medications and an improved symptom profile.

[ap345]

Thanks for the timely response, appreciate it

[kjohnson]

TYSM