C. Say, "Don't worry about what is in the pills. It's what is ordered."D. Ignore the comment because it's probably a joke.Rationale: Option B is correct because allowing a paranoid client to open his medicationcan help reduce suspiciousness. Option A is incorrect because the client doesn't know thatit's his medication and he's obviously suspicious. Telling the client not to worry or ignoringthe comment isn't supportive and doesn't offer reassurance.8. The nurse is caring for a client with schizophrenia who experiences auditoryhallucinations. The client appears to be listening to someone who isn't visible. He gestures,shouts angrily, and stops shouting in mid-sentence. Which nursing intervention is the mostappropriate?A. Approach the client and touch him to get his attention.B. Encourage the client to go to his room where he'll experience fewer distractions.C. Acknowledge that the client is hearing voices but make it clear that the nurse doesn'thear these voices.D. Ask the client to describe what the voices are saying.Rationale: By acknowledging that the client hears voices, the nurse conveys acceptance of the client. By letting the client know that the nurse doesn't hear the voices, the nurse avoidsreinforcing the hallucination. The nurse shouldn't touch the client with schizophreniawithout advance warning. The hallucinating client may believe that the touch is a threat or act of aggression and respond violently. Being alone in his room encourages the client towithdraw and may promote more hallucinations. The nurse should provide an activity todistract the client. By asking the client what the voices are saying, the nurse is reinforcingthe hallucination. The nurse should focus on the client's feelings, rather than the content of the hallucination.9. Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol).Today, the nurse notices that the client is holding his head to one side and complaining of neck and jaw spasms. What should the nurse do?A. Assume that the client is posturing.B. Tell the client to lie down and relax.C. Evaluate the client for adverse reactions to haloperidol.D. Put the client on the list for the physician to see tomorrowRationale: An antipsychotic agent, such as haloperidol, can cause muscle spasms in theneck, face, tongue, back, and sometimes legs as well as torticollis (twisted neck position).The nurse should be aware of these adverse reactions and assess for related reactions promptly. Although posturing may occur in clients with schizophrenia, it isn't the same asneck and jaw spasms. Having the client relax can reduce tension-induced muscle stiffness but not drug-induced muscle spasms. When a client develops a new sign or symptom, thenurse should consider an adverse drug reaction as the possible cause and obtain treatmentimmediately, rather than have the client wait.