Hesi rn Mental Health Review

A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist, and the nurse is reinforcing the process. Which intervention has the highest priority for this client's plan of care? • Encourage substitution of positive thoughts for negative ones • Establish trust by providing a calm, safe environment • Progressively expose the client to larger crowds • Encourage deep breathing when anxiety escalates in a crowd B. Establish trust by providing a calm, safe environment A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of risperidone (Risperdal). When the client walks to the nurse's station in a literally contracted position, he states that something has made his body contort into a monster. What action should the nurse take? • Medicate the client with the prescribed antipsychotic thiordazine (mellaril) • Offer the client a prescribed physical therapy hot pack for muscle spasms • Direct client to occupational therapy to distract him for somatic complaints • Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia