Author Question: A client with schizophrenia tells the nurse as they sit in the day room, I hear voices telling me ... (Read 33 times)

chads108 · **on:** Jul 19, 2018

A client with schizophrenia tells the nurse as they sit in the day room, I hear voices telling me bad things. The most therapeutic response the nurse can make is:

1. Tell me what the voices are saying.
2. I understand you hear these so-called voices, but I hear only the people in the room talking.
3. The voices are not real. They're only your imagination.
4. Do you think the voices would go away if we went into your room to talk?

Question 2

A client with undifferentiated schizophrenia is readmitted for an acute exacerbation of the dis-order.

The goal of hospitalization is symptom stabilization. The nurse has documented that, in addition to experiencing auditory hallucinations, the client seems uninterested in activities, has difficulty completing tasks, seems forgetful, and seems puzzled by information and directions given by staff. The nurse's plans for intervention will be effective if these behaviors are attributed to:
1. Social isolation
2. Deficient knowledge
3. Situational low self-esteem
4. Problems in cognitive functioning

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

Answer to Question 1

ANS: 2
By voicing his or her own reality related to the voices, the nurse does not deny the client's expe-riences but helps the client distinguish actual voices from those resulting from internal stimula-tion. Option 1 validates the reality of the voices. Option 3 will cause the client to defend his per-ceptions and thereby reinforce the importance of the hallucination. Option 4 again validates the reality of the voices and is not a helpful action since the voices go where the client goes.

Answer to Question 2

ANS: 4
Schizophrenia may alter cognitive functioning, including memory, retention, attention, and the processing of incoming information. Altered cognition accounts for many of the symptoms men-tioned in the scenario. Knowing that cognition is altered, the nurse can adjust plans to take the deficits into account. Options 1, 2, and 3 do not adequately explain the symptoms given in the scenario.