When planning to discharge the adolescent client with schizophrenia, the nurse teaches the family various strategies to implement effective communication skills. The nurse instructs the family to: (Select all that apply.)
1. Leave the client alone.
2. Talk with family or friends.
3. Increase external stimuli.
4. Increase dose of medication.
5. Pick a time and topic to practice.
2. Talk with family or friends.
5. Pick a time and topic to practice.
Rationale:
Increasing communication in a safe setting with family and friends helps to stimulate both self-confidence and the fostering of important relationships. Asking the family to pick a time and topic to practice at home prepares them for help they can provide the client. The more the client practices skills, the more automatic they will become. Increasing external stimuli is not a strategy to implement effective communication skills. It may overwhelm the client's ability to cope. Increasing the dose of medication is not indicated without contacting a physician. Leaving a client alone is not a strategy to implement effective communication skills. It may overwhelm the client's ability to cope.
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