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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Discussing checking the time might not address the underlying behavior but could be explored as part of understanding the client's routines.
B. Determining the locks' type and size might be relevant but might not address the behavior's root cause.
C. Planning daily activities is important and can help her manage her time effectively.
D. Asking the client why she checks the locks may not hep in addressing the underlying issue.
Correct Answer is A
Explanation
A. This comment is crucial as it involves access to lethal means, which is a significant risk factor for suicidal behavior.
B. While feelings of emptiness are concerning, it might not immediately indicate imminent danger.
C. Panic attacks might signify anxiety, but this statement doesn't directly suggest an immediate risk of harm.
D. While the daughter being a reason to keep trying is positive, it doesn't address the immediate risk of access to firearms.
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