A nurse is assisting with the care of a client who has schizophrenia and auditory hallucinations. Which of the following responses should the nurse make?
"I'm sure the voices will go away soon."
"Let's talk about what the voices are saying to you."
"You should talk to your counselor about the voices."
"Tell me what medications you are taking."
The Correct Answer is B
This response acknowledges the client's experience and shows a willingness to understand and address their concerns.
It opens up a dialogue about the hallucinations, allowing the nurse to gather more information and assess the client's current mental state. It also demonstrates empathy and support, which can help build trust between the nurse and the client.
Offering to discuss the voices with the client can also help in developing coping strategies and exploring potential interventions to manage the hallucinations effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Pantoprazole is a proton pump inhibitor (PPI) used to reduce stomach acid production and treat conditions such as gastroesophageal reflux disease (GERD). Taking pantoprazole before a meal is generally recommended to optimize its effectiveness.
Remaining upright for at least 1 hour after taking the medication helps prevent the medication from refluxing back into the oesophagus. This position allows the medication to reach the stomach and be absorbed properly.
Taking the medication on an empty stomach is not necessary, as it can be taken with or without food. However, it is generally recommended to take it before a meal for better absorption.
Experiencing diarrhea is not a common side effect of pantoprazole. If diarrhea occurs and persists, the client should contact their healthcare provider.
Antacids should not be taken at the same time as pantoprazole. Antacids can interfere with the absorption of pantoprazole, so it is advised to take them at least 2 hours apart.
Correct Answer is A
Explanation
a. Verify the medication three times with the medication administration record.
When administering oral medications, the nurse should verify the medication three times with the medication administration record to ensure that the correct medication is being given to the correct client at the correct time. This is known as the "three checks" and is an important step in preventing medication errors.
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