More Questions on the Topic
More Questions on the Topic ( 13 Questions)
A client who has been diagnosed with schizophrenia tells the nurse that they hear voices telling them to harm themselves. How should the nurse respond?
"You should ignore those voices. They are not real." - This is a dismissive and invalidating response that may make the client feel misunderstood and alienated. The nurse should not challenge the client's perception of reality, as this may increase their anxiety and paranoia.
"What do the voices sound like? Are they familiar or unfamiliar to you?" - This is an inappropriate response that may encourage the client to focus on the voices and reinforce their delusions. The nurse should not ask questions that may stimulate the client's hallucinations or delusions, as this may worsen their symptoms.
That must be very frightening for you. I am here to help you."
Rationale: The nurse should respond with empathy and support, acknowledging the client's feelings and offering assistance. The nurse should also assess the client's risk for self-harm and implement safety measures as needed.
"Why do you think the voices are telling you to harm yourself?" - This is a potentially harmful response that may imply that the client is responsible for their hallucinations or that there is a rational explanation for them. The nurse should not ask questions that may increase the client's guilt or confusion.
Correct answer: C) "That must be very frightening for you. I am here to help you."
Rationale: The nurse should respond with empathy and support, acknowledging the client's feelings and offering assistance. The nurse should also assess the client's risk for self-harm and implement safety measures as needed.
Incorrect options:
A) "You should ignore those voices. They are not real." - This is a dismissive and invalidating response that may make the client feel misunderstood and alienated. The nurse should not challenge the client's perception of reality, as this may increase their anxiety and paranoia.
B) "What do the voices sound like? Are they familiar or unfamiliar to you?" - This is an inappropriate response that may encourage the client to focus on the voices and reinforce their delusions. The nurse should not ask questions that may stimulate the client's hallucinations or delusions, as this may worsen their symptoms.
D) "Why do you think the voices are telling you to harm yourself?" - This is a potentially harmful response that may imply that the client is responsible for their hallucinations or that there is a rational explanation for them. The nurse should not ask questions that may increase the client's guilt or confusion.