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Exam NCLEX-RN topic 4 question 77 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 77
Topic #: 4
[All NCLEX-RN Questions]

Except for initial explosiveness on admission, a client diagnosed with schizophrenia stays in her room. She continues to believe other people are out to get her. A nursing intervention basic to improving withdrawn behavior is:

  • A. Assigning her to occupational therapy
  • B. Having her sit with the nurses while they chart
  • C. Helping her to make friends
  • D. Facilitating communication
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Suggested Answer: D 🗳️
(A) The nurse does not make this assignment. (B) One-to-one observation is not appropriate. It does not focus on the client or encourage communication. (C) The client is too suspicious to accomplish this goal. (D) The withdrawn individual must learn to communicate on a one-to-one level before moving on to more threatening situations.

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