Author Question: A client experiences intrusive, insulting auditory hallucinations. Which independent behavioral ... (Read 27 times)

jparksx · **on:** Jul 19, 2018

A client experiences intrusive, insulting auditory hallucinations. Which independent behavioral technique can the nurse teach the client to employ when the voices are troublesome?

1. Take additional antipsychotic medication.
2. Lie down in bed and try to sleep.
3. Sing or whistle to compete with the voices.
4. Eat a large portion of chocolate.

Question 2

An acutely psychotic individual diagnosed with schizophreniform disorder at admission is im-mediately placed on daily doses of risperidone. A hospitalization of 8 days' duration has been authorized by the HMO.

By what hospital day would the nurse expect to note that client was demonstrating beginning trust in the nurse and reduction in hallucinations and delusions?
1. Day of admission
2. Day 3 of hospitalization
3. Day 5 of hospitalization
4. Day 7 of hospitalization

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

Answer to Question 1

ANS: 3
This action provides an alternative to listening to the voices and gives the client a sense of con-trol. 1. The client should not adjust medication dose upward or downward independently. 2. Going to bed is limiting and not particularly effective, because the voices are uncontested in a quiet atmosphere. 4. Eating chocolate has no effect on hallucinations.

Answer to Question 2

ANS: 2
Having received antipsychotic medication for 3 days, it is conceivable that the florid symptoms of psychosis would be diminishing and the client would demonstrate beginning trust in the nurse. For the other options, one would expect greater degrees of symptom remission.