More Questions on the Topic
More Questions on the Topic ( 13 Questions)
A nurse is preparing to administer medication to a client who has schizophrenia and is experiencing auditory hallucinations. The nurse notices that the client is talking to themselves and appears distracted. Which of the following actions should the nurse take first?
Ask the client what they are hearing and how they are feeling. - This is an important action to take, as it can help to assess the client's hallucinations and emotional state, and provide empathy and validation. However, this is not the first action that the nurse should take, as the client may not be able to focus on the nurse's questions or respond appropriately.
Explain to the client what medication they are receiving and why. - This is an important action to take, as it can help to educate the client about their medication and its benefits, and obtain their informed consent. However, this is not the first action that the nurse should take, as the client may not be able to comprehend or retain the information.
The first action that the nurse should take when administering medication to a client who has schizophrenia and is experiencing auditory hallucinations is to establish eye contact with
the client and call them by name. This can help to gain the client's attention, orient them to reality, and establish rapport and trust.
Assess the client's vital signs and check for any adverse effects. - This is an important action to take, as it can help to monitor the client's physical condition and response to the medication. However, this is not the first action that the nurse should take, as the client may not cooperate or tolerate the assessment.
Correct answer: C) Establish eye contact with the client and call them by name.
Rationale: The first action that the nurse should take when administering medication to a client who has schizophrenia and is experiencing auditory hallucinations is to establish eye contact with
the client and call them by name. This can help to gain the client's attention, orient them to reality, and establish rapport and trust.
Incorrect options:
A) Ask the client what they are hearing and how they are feeling. - This is an important action to take, as it can help to assess the client's hallucinations and emotional state, and provide empathy and validation. However, this is not the first action that the nurse should take, as the client may not be able to focus on the nurse's questions or respond appropriately.
B) Explain to the client what medication they are receiving and why. - This is an important action to take, as it can help to educate the client about their medication and its benefits, and obtain their informed consent. However, this is not the first action that the nurse should take, as the client may not be able to comprehend or retain the information.
D) Assess the client's vital signs and check for any adverse effects. - This is an important action to take, as it can help to monitor the client's physical condition and response to the medication. However, this is not the first action that the nurse should take, as the client may not cooperate or tolerate the assessment.