A nurse is talking with a client who has schizophrenia. Suddenly the client states, "I'm frightened. Do you hear that? The voices are telling me to do terrible things." Which of the following responses by the nurse is appropriate?

"Why do you think you are hearing the voices?

"What are the voices telling you to do?"

you need to tell the voices to leave you alone."

"You need to understand that there are no voices.

Answer and Explanation

The Correct Answer is B

A. "Why do you think you are hearing the voices?" This question may come across as confrontational and might make the client defensive. It's better to focus on the content of the hallucinations rather than questioning the client's perception.

B. "What are the voices telling you to do?"
This response is appropriate because it acknowledges the client's experience, shows empathy, and encourages the client to express their thoughts and feelings. It is important to gather more information about the content of the hallucinations and delusions to understand the client's perception of reality.

C. "You need to tell the voices to leave you alone." This response oversimplifies the experience of hallucinations and may not be helpful. Telling the client to dismiss the voices is unlikely to be effective and may lead to frustration.

D. "You need to understand that there are no voices." Denying the client's experience is not therapeutic. It's essential to validate the client's feelings and explore their subjective experience rather than dismissing it outright.

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Correct Answer is D

Explanation

A. Stating that the medication will prevent depression is not accurate. Risperidone primarily addresses symptoms of psychosis and does not specifically target depression.

B. Indicating that the medication will improve mood is not the primary purpose of risperidone. Its focus is on managing psychotic symptoms rather than directly impacting mood.

C. Mentioning that the medication will decrease anxiety is not the primary action of risperidone. While it might indirectly reduce anxiety associated with psychotic symptoms, it's not its primary function.

D. "This medication will clear your thinking."
Risperidone is an antipsychotic medication commonly used to manage symptoms of schizophrenia, including hallucinations, delusions, and disorganized thinking. While it won't directly improve mood, decrease anxiety, or prevent depression, it aims to alleviate symptoms related to psychosis, allowing for clearer and more organized thinking by reducing hallucinations and delusions.

A. A client requests an appointment to discuss their depression B. A client who states that they are stopping their medication C. A client who states they have been sleeping 12 hr a day D. A client who is giving away their possessions

Correct Answer is D

Explanation

A. Requesting an appointment to discuss depression is an indication that the client is seeking help, which is a positive step. It does not necessarily indicate an immediate risk of suicide.

B. Stating that they are stopping their medication raises concerns about treatment compliance, but it does not provide a clear indication of suicidal intent. It is important to assess the reasons for discontinuing medication and address any concerns.

C. Sleeping 12 hours a day can be a symptom of depression, but it does not necessarily indicate an immediate risk of suicide. It is crucial to assess the client's overall mental health and functioning.

D. A client who is giving away their possessions.
Giving away possessions can be a warning sign of suicidal intent. This behavior may indicate that the individual is preparing for the possibility of not needing those belongings in the future. It is crucial for the nurse to assess and intervene promptly if a client is exhibiting signs of suicidality.

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A nurse is talking with a client who has schizophrenia. Suddenly the client states, "I'm frightened. Do you hear that? The voices are telling me to do terrible things." Which of the following responses by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has paranoid schizophrenia and a new prescription for risperidone. The client asks the nurse what the s is supposed to do. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a group of clients at a mental health facility. The nurse should identify that which of the following clients is exhibiting a warning sign of suicide?

Correct Answer is D

Explanation

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