Author Question: A 16-year-old client diagnosed with schizophrenia experiences command hallucinations to harm others. ... (Read 79 times)

haleyc112 · **on:** Jul 19, 2018

A 16-year-old client diagnosed with schizophrenia experiences command hallucinations to harm others. The client's parents ask a nurse, Where do the voices come from? Which is the appropriate nursing reply?

A. Your child has a chemical imbalance of the brain, which leads to altered thoughts.
B. Your child's hallucinations are caused by medication interactions.
C. Your child has too little serotonin in the brain, causing delusions and hallucinations.
D. Your child's abnormal hormonal changes have precipitated auditory hallucinations.

Question 2

The immediate goal of nursing interventions in the care of a client with anorexia nervosa is which of the following?

A) Change her irrational thinking about her body.
B) Establish a target weight to be achieved by discharge.
C) Restore nutritional status to normal.
D) Gain insight into the effects of anorexia on her physical health.

6ana001 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
The nurse should explain that a chemical imbalance of the brain leads to altered thought processes. Hallucinations, or false sensory perceptions, may occur in all five senses. The client who hears voices is experiencing an auditory hallucination.

Answer to Question 2

C
Feedback: Physiologic safety and homeostasis are the priority concerns. Changing of thought pattern, establishing a target weight, and gaining insight into the effects of anorexia on her physical health are not immediate goals in the management of anorexia nervosa.