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    Hesi rn psychology proctored exam (mental health)

    A client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. Which intervention is best for the nurse to implement?

    Explanation & Rationale

    A. Escort the client to a private area: Moving the client to a quieter, private space allows the nurse to minimize disruption to others while maintaining the client’s dignity. This intervention provides a safe environment to manage echolalia, reduce stimulation, and offer redirection or therapeutic engagement without punitive measures. B. Administer a PRN sedative: Sedation may suppress the behavior temporarily but does not address underlying causes or provide therapeutic support. Routine use of PRN sedatives for non-aggressive verbal behaviors can unnecessarily sedate the client and is not the first-line intervention. C. Isolate the client from other clients: Full isolation may increase feelings of rejection, anxiety, and confusion, potentially exacerbating symptoms. Therapeutic interventions should prioritize safe, supportive management rather than punitive separation. D. Avoid recognizing the behavior: Ignoring echolalia entirely does not provide redirection or support and may frustrate the client or others. The behavior still requires intervention to maintain safety and therapeutic unit functioning.

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