Page 2268 - Saunders Comprehensive Review For NCLEX-RN

f. Development of a private language

C. Interventions: Schizophrenia (Box 65-14)

D. Interventions: Active hallucinations

1. Monitor for hallucination cues and assess content of
hallucinations.
2. Intervene with one-on-one contact.
3. Decrease stimuli or move the client to another area.
4. Avoid conveying to the client that others also are
experiencing the hallucination.
5. Respond verbally to anything real that the client talks
about.
6. Avoid touching the client.
7. Encourage the client to express feelings.
8. During a hallucination, attempt to engage the client’s
attention through a concrete activity.
9. Accept and do not joke about or judge the client’s
behavior.
10. Provide easy activities and a structured environment
with routine activities of daily living.
11. Monitor for signs of increasing fear, anxiety, or
agitation.
12. Decrease stimuli as needed.
13. Administer medications as prescribed.

For a client with hallucinations, safety is the first priority;

ensure that the client does not have an auditory command telling him or
her to harm self or others.
E. Interventions: Delusions

1. Interact based on reality.
2. Encourage the client to express feelings.
3. Do not dispute the client or try to convince the client
that delusions are false.
4. Initiate activities on a one-on-one basis.
5. Alter hospital routines as necessary, such as by using
canned or packaged food or food from home.
6. Recognize accomplishments and provide positive
feedback for successes.
XII. Personality Disorders
A. Description

1. Personality disorders involve the consistent expression
of various inflexible maladaptive behavior patterns or

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