The nurse observes a client with schizophrenia sitting alone, ...

[james9437]

The nurse observes a client with schizophrenia sitting alone, laughing occasionally, and turning his head as if listening to another person.
 
  The nurse assesses that this behavior indicates the client is experiencing auditory hallucinations and says: A) Are you hearing something?
  B) It's a beautiful day, isn't it?
  C) Would you like to go to your room to talk?
  D) Would you like to take some of your PRN medication?

Question 2

A client with schizophrenia is reluctant to take his prescribed oral medication. The most therapeutic response by the nurse to this refusal is:
 
  A) I can see that you're uncomfortable now, so we can wait until tomorrow.
  B) If you refuse these pills, you'll have to get an injection.
  C) What is it about the medicine you don't like?
  D) You know you have to take this medicine for your own good.

[skipfourms123]

Answer to Question 1

A
Feedback: Asking if the client hears something focuses on the client's experience of auditory hallucinations. Answer B, C, and D do not address the present situation.

Answer to Question 2

C
Feedback: Asking what the client dislikes explores the reason for refusal, which is the first step in resolving the issue. Waiting until tomorrow puts off the inevitable. Telling the client it is for his own good or threatening him with a more unpleasant alternative are not the most therapeutic ways to get the client to take his medication.

[james9437]

TYSM

[bulacsom]

Excellent