Question

a nurse is assessing a hospitalized client who is hearing voices due to psychosis. the client is easily distracted, and this is creating a barrier to completing the assessment. what is the most effective way for the nurse to proceed?

Answer 1

The most effective way for the nurse to proceed if the hospitalized client is hearing voices due to psychosis and is easily distracted, thus creating barrier in assessment completion, will be to complete the assessment in several short interactions.

How should a nurse deal with auditory hallucinations?

The clients who exhibit impaired cognition and psychotic thought processes tend to have insufficient attention span and thus may sometimes be unable to comprehend the questions being asked to them. The nurse may need several sessions with such clients to complete the assessment.

The most important aspect of such assessment is keeping the client under observation, but it also includes interaction with the client and engaging them in verbal communications. Only following this can ensure complete assessment. Psychiatric medications take some time to show their effect and the assessment shall be completed in a timely manner. In addition to this, the nurse can prepare themselves by planning for future acute psychiatric presentations by understanding how a client presents when in a psychotic state. It is within the scope of each nurse to complete the assessment. In the present scenario, the nurse has not been ineffective. The condition of the client is not favorable for conducting the complete assessment at once.

To know more about auditory hallucinations, visit:

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