An expected outcome for a client who hears voices telling him he ...

[RYAN BANYAN]

An expected outcome for a client who hears voices telling him he is evil would be that by dis-charge, client will:
 
  1. Verbalize the reason the voices say he is evil
  2. Respond verbally to the voices
  3. Identify events that increase anxiety and promote hallucinations
  4. Integrate the voices into his personality structure in a positive manner

Question 2

A client with paranoid schizophrenia has said she feels like throwing a chair. The nurse in the dayroom hears this and wishes to encourage verbalization as a deescalation technique. Which re-sponse by the nurse would fulfill this plan?
 
  1. Tell me what's going on.
  2. If you throw something, you will be restrained.
  3. Why are you so upset?
  4. It's time for group therapy. You can talk there.

[Fayaz00962]

Answer to Question 1

ANS: 3
An appropriate outcome for a client with hallucinations is recognition of events that precede the onset of hallucinations. Trigger events or situations usually cause increased feelings of anxiety. 1. This is not an event indicating progress. 2. This does not indicate improvement; it may make the client more unacceptable to others. 4. This is not desirable.

Answer to Question 2

ANS: 1
Using how, what, and when to gather information is a nonthreatening approach. It will promote client verbalization and explanation of events without causing the client to become defensive. 2. This response sounds threatening even though it may be meant to remind the client of limits. 3. Why questions are demanding and threatening to clients. 4. This sidesteps the problem. Clients who are becoming aggressive should have nonstimulating environments with as few people pre-sent as possible. Sending the client into group therapy flouts that principle.

[RYAN BANYAN]

Excellent

[parshano]

Thanks for the timely response, appreciate it