A client states, "I hear voices that tell me that I am evil." Which outcome related to these symptoms should the nurse expect this client to accomplish by discharge?
A. The client will verbalize the reason the voices make derogatory statements.
B. The client will not hear auditory hallucinations.
C. The client will identify events that increase anxiety and illicit hallucinations.
D. The client will positively integrate the voices into the client's personality structure.
ANS: C
It is unrealistic to expect the client to completely stop hearing voices. Even when compliant with antipsychotic medications, clients may still hear voices. It would be realistic to expect the client to associate stressful events with an increase in auditory hallucinations. By this recognition the client can anticipate symptoms and initiate appropriate coping skills.
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