Author Question: The nurse is assessing a client with schizophrenia who is actively hallucinating, restless, and ... (Read 113 times)

2125004343 · **on:** Jul 19, 2018

The nurse is assessing a client with schizophrenia who is actively hallucinating, restless, and exhibiting extremely disorganized speech.

Although the client has a history of successfully managing her disease and is an employed scientist, she has few social activities and, when well, has a flat affect and tone of voice that put people off. The nurse identifies improved social skills as an important therapeutic goal. How should the nurse implement this plan?
A) Enter the client in the ongoing social skills training program on the unit the following day
B) Wait a few days and then enter her in the social skills training program
C) Enter her in a social skills training program when she initiates this
D) Refer her to a social skills training program after discharge

Question 2

Which of the following is the most appropriate intervention for a client having auditory hallucinations?

A) Encourage the client to discuss the content of the hallucinations with another client as they occur
B) Ask the client to keep a journal about what the voices tell him and to bring the journal to therapy sessions
C) Encourage the client to spend quiet time alone until hallucinations cease
D) Tell the client to talk back to the voices and tell them to go away

rekilledagain · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: D
Feedback:
Although severe psychotic symptoms of schizophrenia can subside with pharmacologic treatment, many clients still have severely restricted social lives. Impaired communication, lack of motivation, inattention to self-care, and difficulty establishing and maintaining relationships leave them socially isolated. Psychosocial approaches can help clients improve social functioning and enjoy a better quality of life. These interventions usually are not implemented, however, until psychotic symptoms are controlled.

Answer to Question 2

Ans: D
Feedback:
Interventions for managing hallucinations include dismissal intervention (ie, telling the voices to go away), various coping strategies (eg, jogging, telephoning, playing games, seeking out others, employing relaxation techniques), or competing stimuli (eg, listening to music or another's or one's own voice to overcome auditory hallucinations and visual stimuli to overcome visual hallucinations).