Psychotic Disorders no. 4005

Psychotic Disorders no. 4005

QUESTION: A client with schizophrenia tells the nurse he hears the voices of his dead parents. To help the client ignore the voices, the nurse should recommend that he:

✘O a.) sit in a quiet, dark room and concentrate on the voices.
✓O b.) listen to a personal stereo through headphones and sing along with the music.
✘O c.) call a friend and discuss the voices and his feelings about them.
✘O d.) engage in strenuous exercise.

RATIONALE

RATIONALE: Increasing the amount of auditory stimulation (for example, by listening to music through headphones), may make it easier for the client to focus on external sounds and ignore internal sounds from auditory hallucinations. Option 1 would make it harder for the client to ignore the hallucinations. Talking about the voices, as in option 3, would encourage the client to focus on them. Option 4 is incorrect because exercise alone wouldn't provide enough auditory stimulation to drown out the voices.
NURSING PROCESS STEP: Implementation
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Knowledge