therapeutic response: schizophrenic hearing voices

  1. 0
    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!
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  3. 9 Comments so far...

  4. 0
    In reading further notes, it says to validate client's action/comment but present reality. "I see you turning your head. Do you hear something?" C is the only one that actually mentions the possibility of voices.
  5. 0
    I would probably have picked A on this one. Its often the "tell me....." answers were the right ones
  6. 0
    Quote from RunnerRN2b2014
    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!
    I would go with C.

    What was the correct answer?

    Sent from my iPhone using allnurses.com
  7. 0
    C
    Yes, it's a closed end question, but you go from there.
  8. 1
    I chose C but I won't be able to review the answers until everyone in the class responds. I'll post when I know. Thanks for your help!
    Esme12 likes this.
  9. 1
    FYI: the correct answer was "C: Have you been hearing voices?" . Happy I chose C!
    Esme12 likes this.
  10. 0
    Quote from RunnerRN2b2014
    FYI: the correct answer was "C: Have you been hearing voices?" . Happy I chose C!
    Thanks for letting us know

    Sent from my iPhone using allnurses.com
  11. 0
    Hello Runner this is off subject but which would be the best school for nursing. I have all my pre reqs done except for micro. I was looking into cpcc and cchs? Which would be the best way to go being that i have taken some pre reqs? Thanks for the help.
  12. 0
    Quote from ladynicole
    Hello Runner this is off subject but which would be the best school for nursing. I have all my pre reqs done except for micro. I was looking into cpcc and cchs? Which would be the best way to go being that i have taken some pre reqs? Thanks for the help.
    Since I go to CCHS, I would definitely say CCHS! Overall, it has a much better reputation than CPCC.


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