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. The client's belief in having an extraordinarily high IQ and grandiose delusions about being married to a movie star are indicative of disturbed sensory perception.
B. While family coping might be impacted, the primary concern here is the client's altered perception of reality.
C. Impaired environmental interpretation might be related to the delusions but is not the primary problem.
D. Ineffective sexual patterns are not the primary concern in this scenario; the client's altered reality and delusions take precedence.

A. Consumption, liver enzyme, gastrointestinal complaints, and bleeding. B. Cancer screening results, anger, gastritis, daily alcohol intake. C. Minimizes drinking, frequently misses family events, guilt about drinking, amount of daily intake. D. Efforts to cut down, annoyance with questions, guilt, drinking as an "Eye-opener."

Correct Answer is D

Explanation

A. While liver enzymes and gastrointestinal complaints are important, they are not part of the CAGE questionnaire.
B. Cancer screening results, anger, and gastritis are not directly addressed by the CAGE questionnaire.
C. The listed items are relevant but not specifically addressed by the CAGE questionnaire.
D. Efforts to cut down, annoyance with questions, guilt, and drinking as an "eye-opener" are aspects explored in the CAGE questionnaire to assess alcohol dependency.

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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

A male client tells the nurse that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. Which is the priority nursing problem for admission to the psychiatric unit?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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