A patient experiences intrusive, insulting auditory hallucinations. Which independent be-havioral technique can the nurse teach the patient to employ when the voices are trouble-some?

a. Introduce a distraction like reading.
b. Use positive talk to offset the insults.
c. Sing or whistle to compete with the voices.
d. Increase the daily dose of an antipsychotic medication.


ANS: C
This action provides an alternative to listening to the voices and gives the patient a sense of control. The patient should not adjust medication independently. Reading will not be partic-ularly effective, because the voices are uncontested in a quiet atmosphere. Positive talk is generally used to positively affect self-esteem.

Nursing

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