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. Providing personal space allows the client to feel less threatened and gives them room to express their emotions without feeling cornered.
B. Standing in the doorway might block the client's exit and could escalate the situation.
C. Requesting backup might be necessary in some situations but should not be the initial response to the client's agitation.
D. Encouraging the client to sit down might not be well-received and could escalate the situation further.

A. Take the medication with at least 8 ounces (240 mL) of water and limit alcohol consumption while taking this medication. B. Begin taking the medication immediately and take it daily, regardless of whether or not you drink alcohol. C. Take the medication at bedtime and avoid consuming any more than one ounce of alcohol daily. D. Take the medication each morning beginning 48 hours after your last drink of alcohol.

Correct Answer is D

Explanation

A. Take the medication with at least 8 ounces (240 mL) of water and limit alcohol consumption while taking this medication is incorrect. Alcohol must be completely avoided while taking disulfiram, as even small amounts can cause a severe reaction (e.g., nausea, vomiting, headache, flushing, hypotension).

B. Begin taking the medication immediately and take it daily, regardless of whether or not you drink alcohol is incorrect. Disulfiram should not be started until at least 12–48 hours after the last drink to prevent an acute reaction.

C. Take the medication at bedtime and avoid consuming any more than one ounce of alcohol daily is incorrect. Alcohol must be strictly avoided in any amount.

D. Take the medication each morning beginning 48 hours after your last drink of alcohol is correct. Disulfiram should be initiated at least 12–48 hours after the last alcohol consumption to prevent adverse reactions. The medication is usually taken in the morning to promote adherence.

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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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