Schizophrenia and Psychotic Disorders · NCLEX Exam

While facilitating a group for clients with schizophrenia spectrum disorders, a nurse notices one member becoming suspicious of other members. The best group-management response is:

  1. Confront the client harshly about the suspicion in front of the whole group
  2. Gently redirect the discussion, validate feelings, reinforce reality, and offer follow-up
  3. Allow the suspicion to escalate unchecked while the group continues talking
  4. Remove the client from the room immediately without any explanation given
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Correct answer: Gently redirect the discussion, validate feelings, reinforce reality, and offer follow-up

The correct approach in group mental-health care is to validate the client’s feelings, re-orient to reality gently, redirect to safe discussion, and provide individual follow-up rather than confrontation or abrupt removal.

Difficulty: Medium Question 16 of 20

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