A client with schizophrenia walks up to the nurse with his arm outstretched and says, "My arm went away. Dog, dog, dog." How should the nurse respond?
A) Ignore the comments and redirect the client's attention.
B) Ask the client if he is trying to say that something is wrong with his arm.
C) Ask the client if he is having visual hallucinations.
D) Tell the client that he or she can see the arm, and no dogs are around.
Ans: B
Feedback:
The client's illogical, symbolic, and disorganized speech often holds a message that he or she cannot express clearly. The nurse listens for themes and reflects back to the client the meaning that the nurse has deciphered. The nurse does not dismiss the client's verbal and nonverbal behaviors as meaningless or nonsense. In effect, the nurse tries to decode the communication that the client offers and validate its meaning.
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