What intervention is a priority when the client is experiencing auditory hallucinations?

Determine what precipitates these hallucinations.

Distract the client when hallucinating.

Determine the content of the hallucinations.

Let the client know you do not hear the voices.

Answer and Explanation

The Correct Answer is C

A.   While understanding precipitating factors is important, it is not the immediate priority when the client is actively experiencing hallucinations.
B.   Distracting the client may not address the underlying cause of the hallucinations, which should be the priority.
C.   Determining the content of the hallucinations can provide important information for assessment and intervention.
D.   Dismissing the client's experience can be alienating and unhelpful.

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Correct Answer is C

Explanation

A. Flat affect (lack of emotional expression) and hygiene needs are negative symptoms, not positive symptoms.
B. Social isolation and anhedonia (inability to experience pleasure) are also negative symptoms, not positive symptoms.
C. Positive symptoms involve the presence of abnormal experiences or behaviors that are not present in healthy individuals. Hallucinations (perceiving things that aren't there) and delusions (strongly held false beliefs) are examples of positive symptoms.
D. Withdrawal (lack of interest or participation in social activities) and avolition (lack of motivation) are negative symptoms, not positive symptoms.

Correct Answer is ["16"]

Explanation

The client needs to take 8 mg of risperidone per day in liquid form.
The concentration of the liquid medication is 0.5 mg/mL.
To calculate the daily dose in milliliters, divide the total milligrams by the concentration.
- 8 mg / 0.5 mg/mL = 16 mL
The answer is 16. This is the number of milliliters that would be administered daily.

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What intervention is a priority when the client is experiencing auditory hallucinations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse states in report that the client is experiencing positive symptoms of schizophrenia. What symptoms would the nurse receiving report expect to observe?

Correct Answer is C

Explanation

Correct Answer is ["16"]

Explanation

Which statement made by the nurse would be most appropriate to an elderly client who is confused, has no history of dementia and is hospitalized for an acute urinary tract infection?

The nurse is caring for a client who has become increasingly agitated. He is pacing in the hallway and shouting at other clients. What is the priority action of the nurse?

When assessing a client immediately following electroconvulsive therapy (ECT), the nurse expects what side effect in a client?

A client is showing symptoms of alcohol intoxication. What question should the nurse ask first?

The nurse is caring for a client who is withdrawing from long-term use of opioids. The nurse will monitor using a Clinical Opioid Withdrawal Scale (COWS). Which of the following cluster of symptoms would indicate to the nurse the client was withdrawing from opioids?

Which of the following is the most therapeutic response by the nurse when a client states, "I no longer need my medication since I do not hear voices"?

A client is hospitalized following a suicide attempt after breaking up with her significant other. The client says to the nurse, "When I get out of here, I'm going to try this again, and next time I'll get it right?" Which is the best response by the nurse?