A client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. Which intervention is best for the nurse to implement?

Isolate the client from other clients.

Administer a PRN sedative.

Escort the client to a private area.

Avoid recognizing the behavior.

Answer and Explanation

The Correct Answer is C

A.   Isolating the client might exacerbate feelings of social exclusion and isn't the best approach for managing echolalia.
B.   Administering a sedative should not be the initial response to echolalia unless the behavior poses immediate harm to the client or others.
C.   Escorting the client to a private area can help reduce the annoyance to other clients without isolating or punishing the individual.
D.   Avoiding recognition of the behavior doesn't address the issue and might negatively impact the therapeutic relationship.

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Correct Answer is B

Explanation

A. Awareness of signs and symptoms is important, but routine evaluation of lithium levels is crucial for those taking lithium carbonate due to its narrow therapeutic range and potential toxicity.
B. Monitoring serum lithium levels is essential to ensure the medication remains within the therapeutic range and to prevent potential lithium toxicity.
C. Participating in therapy can be beneficial but might not be as critical as monitoring lithium levels for someone newly diagnosed with bipolar disorder.
D. While independence is important, the key concern here is the need for close monitoring of lithium levels due to the medication's potential side effects.

A. Exhibits compulsive, ritualistic behaviors. B. Responds with illogical answers to questions. C. Admits to frequently thinking about committing suicide. D. Describes times of depression followed by feelings of euphoria.

Correct Answer is B

Explanation

A. Compulsive, ritualistic behaviors might be seen in other psychiatric conditions but are not specifically characteristic of schizophrenia.
B. Responding with illogical answers to questions is a common symptom of schizophrenia, specifically disorganized thinking or speech.
C. Frequent thoughts of committing suicide might occur in various psychiatric conditions but are not specific to schizophrenia.
D. Describing times of depression followed by feelings of euphoria is more characteristic of bipolar disorder, not schizophrenia.

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A client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. Which intervention is best for the nurse to implement?

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Correct Answer is B

Explanation

The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophrenia?

Correct Answer is B

Explanation

When responding to a call light, the nurse finds a client with aggressive behaviors pacing and restless in the room. The client shouts, "What took you so long to get in here!" Which action should the nurse implement?

A client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. Which intervention is best for the nurse to implement?

A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care about me the way you do." Which response should the nurse provide to this client?

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The nurse plans to use role-playing as a therapeutic measure. Which individual is most likely to benefit from this type of therapeutic intervention?

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