Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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A female client with schizophrenia informs the nurse that she is hearing voices again. After exploring the content of the auditory hallucination, the nurse implements which nursing intervention to address the client’s needs?
  1. Encourage the client to tell the voices to leave her alone
  2. Direct the client to a quiet and calm area
  3. Invite the client to the dayroom and switch on the radio
  4. Invite the client to go for a walk in the garden
Explanation
Answer: C - The nurse should increase the amount of auditory stimulation to help the client refocus her attention to external sounds, instead of entertaining the internal sounds. Encouraging the client to talk to the voices can reinforce the hallucination. Encouragement of quiet activities would make it more difficult for the client to ignore the hallucinations.
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