The nurse is assessing a client with schizophrenia who is actively hallucinating, restless, and exhibiting extremely disorganized speech
Although the client has a history of successfully managing her disease and is an employed scientist, she has few social activities and, when well, has a flat affect and tone of voice that put people off. The nurse identifies improved social skills as an important therapeutic goal. How should the nurse implement this plan?
A) Enter the client in the ongoing social skills training program on the unit the following day
B) Wait a few days and then enter her in the social skills training program
C) Enter her in a social skills training program when she initiates this
D) Refer her to a social skills training program after discharge
Ans: D
Feedback:
Although severe psychotic symptoms of schizophrenia can subside with pharmacologic treatment, many clients still have severely restricted social lives. Impaired communication, lack of motivation, inattention to self-care, and difficulty establishing and maintaining relationships leave them socially isolated. Psychosocial approaches can help clients improve social functioning and enjoy a better quality of life. These interventions usually are not implemented, however, until psychotic symptoms are controlled.
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