A nurse is admitting a client who has schizophrenia.
The client states, “I’m hearing voices.” Which of the following responses is the priority for the nurse to state?
“Have you taken your medication today?”.
“How long have you been hearing the voices?”.
“What are the voices telling you?”.
“I realize the voices are real to you, but I don’t hear anything.”.
The Correct Answer is C
The nurse should ask the client what the voices are telling them, because this can help assess the client’s risk for harm to self or others, and also show empathy and respect for the client’s experience.
choice A:
The nurse should not assume that the client’s hallucinations are related to medication noncompliance, as this can be perceived as accusatory and judgmental.
choice B
The nurse should not focus on the duration of the hallucinations, as this is not the priority at this time.
choice D
The nurse should not invalidate the client’s reality by stating that they do not hear anything, as this can cause mistrust and alienation.
The nurse should use therapeutic communication techniques to establish rapport and safety with the client who has schizophrenia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is because glass ampules can leave small shards of glass in the solution, which can be harmful if injected into the client. A filter needle has a small mesh that traps any glass particles and prevents them from entering the syringe.
Choice B is wrong because the nurse should break the neck of the ampule away from the body to avoid injury from the glass.
Choice C is wrong because the nurse should use a different needle to inject the client after withdrawing the medication with a filter needle. This is to prevent contamination and reduce pain for the client.
Choice D is wrong because the nurse should dispose of the ampule in a sharps container, not in the trash can. This is to prevent injury and infection from the broken glass.
Correct Answer is A
Explanation
This statement indicates that the client understands the need to avoid activities that can increase intraocular pressure, such as lifting heavy objects, bending over, coughing, or straining. An increase in intraocular pressure can cause complications such as bleeding, inflammation, or recurrent detachment of the retina.
Choice B is wrong because sewing is a near-vision activity that can cause eye strain and fatigue. The client should avoid near-vision activities for at least two weeks after surgery.
Choice C is wrong because jogging is a vigorous exercise that can cause jarring movements and increase blood pressure. The client should avoid vigorous exercise for at least six weeks after surgery.
Choice D is wrong because bending at the waist can increase intraocular pressure and compromise the healing of the retina. The client should avoid bending at the waist for at least two weeks after surgery.
The retina is the light-sensitive layer of tissue that lines the back of the eye.
It converts light into electrical signals that are sent to the brain through the optic nerve.
A detached retina occurs when the retina separates from its underlying tissue due to a tear, hole, or break in the retina.
This can cause vision loss or blindness if not treated promptly.
The most common treatment for a detached retina is a surgery called vitrectomy. It typically involves three main steps:
- The vitreous gel inside the eye must be removed.
- A gas bubble is injected into the eye to hold the retina against its underlying tissue while allowing it to heal.
- Laser or cryotherapy creates scar tissue that helps reattach the retina.
The recovery time after retinal detachment surgery varies depending on the type and extent of the detachment, the type of surgery, and the individual healing process of the client.
Some general guidelines to follow after retinal detachment surgery are:
- Rest your eyes for at least two weeks after the surgery.
- Wear sunglasses when outdoors, as bright light may cause discomfort and strain on the eye that has been operated upon.
- If your doctor recommends, use artificial tears every few hours to keep moisture in the eye and lubricate it correctly.
- Take your medicines as directed by your doctor.
- You may use ice on your eye to reduce swelling
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