I'm working on case study questions from our unit on schizophrenia. One of the questions is:
What is the most therapeutic response by the nurse to the observation that Caroline turns her head to the side? (The case study mentions that she turns her head to the side as if listening to someone).
A. "Tell me about how you are feeling."
B. "What are you thinking right now?"
C. "Have you been hearing voices?"
D. "I notice that you are talking to yourself."
I eliminated D because the question doesn't say that she is talking to herself, only that she turned her head to the side.
The books says the first intervention is to "Ask the client to describe what she is hearing", so my thought was C, but C only provides the opportunity for a YES or NO answer (closed-ended), which we've been taught to avoid.
I don't believe it's A because I think it's too open-ended and doesn't get to the point of finding out if she's hearing voices.
B is a therapeutic response (and was my initial answer) and is asking about RIGHT NOW.
THANK YOU for your input!