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 A

Explanation

A. Exploring changes in life after the loss can help the nurse understand the client's current situation and provide a basis for further interventions.
B. Suggesting psychiatric consultation might be necessary but might not be the immediate first step without assessing the client's current needs.
C. Offering a referral to pastoral counseling might be helpful, but understanding the client's current state is important before making specific referrals.
D. Encouraging attendance at a local support group could be beneficial but might not be the immediate priority without understanding the client's current emotional state.

A. Position a table between the client and the nurse for extra personal space. B. Reduce the noise level in the room by turning off the television and radio. C. Sit within two feet of the client to enhance the level of safety and security. D. Dim the lights in the room to help the patient feel calm. E. Dim the lights in the room to help the patient feel calm.

Correct Answer is B

Explanation

A. Positioning a table might create a barrier and hinder rapport-building during the interview.
B. Reducing noise levels helps create a more conducive environment for communication and allows better focus during the interview.
C. Sitting too close might invade the client's personal space and could be uncomfortable or threatening.
D. Dimming the lights might not be suitable as it can hinder communication and create a less engaging environment for the interview.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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