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. 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.

A. A hyperactive 4-year-old who has recently been tested for autism. B. An adolescent who is depressed over not being accepted by peers. C. An older adult resident of a long-term care facility who sometimes takes other residents' belongings. D. An adult with schizophrenia who often refuses to take prescribed antipsychotic medications.

Correct Answer is B

Explanation

A. Role-playing might not be suitable for a hyperactive 4-year-old with potential autism, as their attention span and ability to engage in structured activities might be limited.
B. Adolescents often benefit from role-playing to navigate social situations and address feelings of rejection or lack of acceptance from peers.
C. Role-playing might not be as effective for an older adult in a long-term care facility who takes others' belongings, as this behavior may require different interventions.
D. While role-playing can be helpful for individuals with schizophrenia, their tendency to refuse medications might not necessarily be addressed through this method.

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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

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

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

Correct Answer is B

Explanation

A client with post-traumatic stress disorder (PTSD) is admitted to the psychiatric unit. Which intervention is most important for the nurse to include in this client's plan of care?

The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?

A female client with bulimia is admitted to the mental health unit after she disclosed to a friend that she purges after meals. Which intervention should the nurse implement first?

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The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)

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